Federal and state law provide you certain rights and responsibilities while you are receiving healthcare services. We are committed to making every effort to protect and uphold your rights. If you have any questions or would like additional information, including a copy of the full text of your state’s laws regarding your rights and responsibilities, please ask. Your rights and responsibilities include:
Quality of Care and Decision Making
You have a right to:
- An interpreter when you do not speak English and an interpreter is available;
- Be informed of the facility’s policies regarding your rights during the appointment process;
- Not to be discriminated against on the basis of race, color, national origin, disability, or age;
- Care and treatment, in compliance with state statute and consistent with sound and quality nursing and medical practices, that is competent and respectful, recognizes a person’s dignity, cultural values and religious beliefs, and provides for personal privacy to the extent possible during the course of treatment;
- A reasonable response to your requests and needs for treatment or service, within the boutique’s capacity, its stated mission, and applicable law and regulation and to have your care, treatment, and service needs met and receive care in a safe setting;
- Be informed of your health status, including full information in laymen’s terms, concerning your condition and including information about alternative treatments and possible complications;
- Participate in all decisions regarding the development and implementation of your plan of care;
- Make informed decisions regarding your care;
- Know names, professional status, and experience of the staff providing care or treatment to the patient;
- Be informed of the name, business telephone number and business address of the person supervising your services and how to contact that person;
- Choose the participating physician responsible for coordinating your care;
- Request or refuse treatment and be informed of the risks and benefits of your request or refusal;
- Except for emergencies, to give informed consent prior to the start of any procedure or treatment, or both, and to have care implemented without unnecessary delay;
- Be promptly and fully informed of any changes in your plan of service;
- Be free of all forms of neglect, abuse (physical or mental), corporal punishment, or harassments;
- Be free from restraint or seclusion, of any form, imposed as a means of coercion, discipline, convenience, or retaliation by staff; and
- Formulate advance directives and to have boutique staff and practitioners who provide care in the boutique comply with these directives;
- Appoint a surrogate to make health care decisions on your behalf to the extent permitted by law;
- Have a family member or representative of your choice and your own physician notified promptly of your admission to the boutique;
- Know whether referrals to other providers are entities in which we have a financial interest:
- Know whether the health care entity is participating in teaching programs;
- Receive an explanation of the nature and possible consequences of any research or experimental procedure before the research or experiment is conducted and provide prior informed consent and to refuse to participate;
- Be advised when a physician is considering you as a part of a medical care research program or donor program, to give informed consent prior to actual participation in such a program, and to, at any time, refuse to continue in any such program;
- Provide informed consent prior to being included in any clinical trials relating to your care;
- Have your property treated with respect;
- Assistance in obtaining consultation with another physician or practitioner at your request and expense;
- Not be denied the right of access to an individual or agency who is authorized to act on your behalf to assert or protect your rights;
- Request an in-network healthcare provider provide services at an in-network facility or agency, if available.
Finances
You have a right to:
- Receive, upon request and prior to initiation of care or treatment, estimated average charges for care, including deductibles and co-payments that would not be covered by a third-party payer based on the coverage information supplied by you or your representative;
- Receive our general billing procedures;
- Regardless of source of payment, to examine and to receive a reasonable explanation of your total bill for health care services rendered by your physician or other health care provider, including the itemized charges for specific health care services received; and
- If you are a Colorado, receive within ten (10) business days of your request or thirty (30) days after your discharge or after service is rendered (whichever is later) an itemized bill that has a telephone number for billing inquiries and identifies the treatment and services by date that will enable you to validate the charges; and
Privacy and Confidentiality
You have a right to:
- Personal privacy and confidentiality in health care (may be waived in writing);
- Confidentiality of your clinical records except as otherwise provided by law; and
- Access to information contained in your clinical records within a reasonable time frame.
Grievances
You have a right to:
- Be informed of the complaint procedures and the right to submit complaints, either orally or in writing, without fear of discrimination or retaliation and to have them investigated by your provider within a reasonable period of time;
- Be given the name, business address and telephone number of the person that will handle any complaints or questions about services being delivered to you;
- If you are a Colorado patient, register complaints with us at (303)993-8725, the Colorado Department of Public Health & Environment at (303) 692-2827 or the appropriate oversight board at the Department of Regulatory Agencies (DORA); and
- Obtain a copy of our most recent completed report of licensure inspection upon written request.
Patient Responsibility
You have the responsibility to:
Advise your provider of any changes in your condition or any events that affect your service needs.
Concerns or Complaints
Your satisfaction is important to us. If you have a concern or a complaint, please allow the person responsible for your care or their supervisor the opportunity to listen, review, and to assist you with an appropriate resolution. If your complaint is unresolved, please ask to speak to the department’s manager, director or the house supervisor. If your concern cannot be resolved by the De La Shey Lingerie’s process indicated, please allow the facility the opportunity to further address your grievance in a way that is agreeable and reasonable by those involved.