As a patient of Mankato Surgery Center you have the right:
To receive care that respects individual, cultural, spiritual, and social values, regardless of race, color, creed, nationality, age, gender, disability or source of payment and be free from all forms of abuse or harassment.
To receive services that are accessible to those individuals with communication barriers such as an inability to read or follow directions and non-English-speaking patients.
To receive respectful, considerate, compassionate care that promotes dignity, privacy, safety and comfort.
To expect that all communications and records pertaining to your care will be treated as confidential in compliance with all state and federal privacy regulations. Patients have the right to review and copy their own medical records and request amendments to their records. Patients are given opportunity to approve or refuse the release of their records except when release is required by law.
To receive accurate, easily understood information concerning your diagnosis, evaluation, treatment, and prognosis to assist in making informed decisions about health plans, facilities, and professionals. When it is medically inadvisable to give such information to a patient, the information is provided to a person designated by the patient or to a legally authorized person. You have the right to know by name the physician responsible for coordinating your care.
To receive from your physician information necessary to give informed consent prior to the start of any procedure and/or treatment. Except in emergencies, such information for informed consent should include, but not necessarily be limited to specific procedure and/or treatment, medically significant risks involved, and the probable duration of incapacitation. Where medically significant alternatives for care or treatment exist, or when you request information concerning medical alternatives, you have the right to know the name of the person responsible for the procedure and/or treatment.
To refuse treatment to the extent permitted by law and be informed of the medical consequences of this action. To leave Mankato Surgery Center at any time, even against the advice of your physician. To expect that within its capacity, Mankato Surgery Center must provide evaluation, service and/or referral as indicated by the urgency of the case. When medically permissible, you may be transferred to another facility only after you have received complete information and explanation concerning the need for and alternatives to such a transfer. The institution to which you are to be transferred must have accepted the transfer beforehand.
To be informed in writing prior to the date of procedure and posted at the Center, that there are patient rights for your protection during your stay at Mankato Surgery Center.
To know what facility rules and regulations apply to your conduct as a patient.
To receive services that are within the capacity of Mankato Surgery Center. This Center does not provide after hours care, nor emergency care.
To examine and receive explanation of your bill and payment policies
To be advised if Mankato Surgery Center proposes to engage in experimental research affecting your care or treatment. You have the right to refuse to participate in such research projects.
To be informed in advance of the date of the procedure, of the facility’s policy regarding advance directives/living wills.
To know at all times the identity and professional status of all individuals providing any type of service. To request a second opinion or change physicians.
To understand and exercise your rights, voice grievances and recommend changes in policies and services without concern of restraint, interference, coercion, discrimination or reprisal.
To obtain a response to written grievances within 30 days.
To know that your health care provider is referring you to a facility or service in which your health care provider has a financial or economic interest.
The patient may file concerns with the following:
Accreditation Association for Ambulatory Health Care
5250 Old Orchard Road, Suite 200
Skokie, IL 60077
Administrative Director of Mankato Surgery Center
1411 Premier Drive, Mankato MN 56001
Minnesota Board of Medical Practice
2829 University Ave SE, Suite 400
Minneapolis MN 55414-3246
Phone: 612-617-2130 or 800-657-3709
Office of Health Facility Complaints
PO Box 64970
St. Paul MN 55164-0970
Phone: 651-201-4200 or 800-369-7994
Office of the Medicare Beneficiary Ombudsman:
Phone 1-800-MEDICARE (1-800-663-4227)
As a patient of Mankato Surgery Center, you have the responsibility to:
Provide accurate and complete information about present complaints, past illnesses, hospitalizations, medications including over-the-counter products and dietary supplements and any allergies or sensitivities and other matters relating to your health. Report perceived risks in your care and unexpected changes in your condition, and communicate whether you clearly comprehend a contemplated course of action and what is expected.
Fully participate in decisions involving your own health care and accept the consequences of these decisions if complications occur as a result of refusal to participate in the recommended treatment plan.
Follow up on your doctor’s plan of treatment or instructions, take medication when prescribed, and ask questions concerning your own health care that you feel are necessary.
Accept personal financial responsibility for any charges not covered by your insurance.
Follow Mankato Surgery Center’s rules and regulations affecting patient care and conduct.
Be considerate of the rights of other patients, Mankato Surgery Center personnel and their property.
Cooperate with Mankato Surgery Center staff and ask questions when you do not understand what you have been told about your care or what you are expected to do.
Keep your scheduled appointment times, and if you are unable, advise the Surgery Center as soon as possible.
Be responsible for your personal possessions and
Keep the Mankato Surgery Center campus smoke-free.
Inform your provider or Mankato Surgery Center about any living wills, Medical Power Of Attorney, Advance Directives or other documents that could affect your care.
Provide a responsible adult to transport you home from the facility and remain with you for 24 hrs, if required by your provider.
It is the policy of Mankato Surgery Center to protect the rights of patients and inform them of their rights, as well as their responsibilities. This policy was adopted from the 1998 Patient Bill of Rights Act and 2004 MN Statutes. It is expected that the observance of these rights will contribute to more effective patient care and greater satisfaction for the patient, the physician and the organization. It is with the recognition of these factors that these rights and responsibilities are affirmed.
English Proficiency - Language Assistance Services
ATTENTION – English: If you speak English, language assistance services, free of charge, are available to you. Call 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
ATENCIÓN – Español (Spanish): Si habla español, tiene a su disposición servicios gratuitos de asistencia lingüística. Llame al 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
LUS CEEV – Hmoob (Hmong): Yog tias koj hais lus Hmoob, cov kev pab txog lus, muaj kev pab dawb rau koj. Hu rau 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
XIYYEEFFANNAA – Oroomiffa (Somali): Afaan dubbattu Oroomiffa, tajaajila gargaarsa afaanii, kanfaltiidhaan ala, ni argama. Bilbilaa 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
ACHTUNG – Deutsch (German): Wenn Sie Deutsch sprechen, stehen Ihnen kostenlos sprachliche Hilfsdienstleistungen zur Verfügung. Rufnummer: 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
CHÚ Ý – Việt (Vietnamese): Nếu bạn nói Tiếng Việt, có các dịch vụ hỗ trợ ngôn ngữ miễn phí dành cho bạn. Gọi số 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
注意 如果您使用繁體中文，(Chinese): 您可以免費獲得語言援助服務。請致電1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
ATTENTION – Français (French): Si vous parlez français, des services d’aide linguistique vous sont proposés gratuitement. Appelez 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
ВНИМАНИЕ – Pусском (Russian): Если вы говорите на русском языке, то вам доступны бесплатные услуги перевода. Звоните 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
ໂປດຊາບ – Laotian: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ: ຖ້າວ່າ ທ່ານເວົ້າພາສາ ລາວ, ການບໍລິການຊ່ວຍເຫຼືອດ້ານພາສາ, ໂດຍບໍ່ເສັຽຄ່າ, ແມ່ນມີພ້ອມໃຫ້ທ່ານ. ໂທຣ 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
ملحوظة: إذا كنت تتحدث اذكر اللغة، فإن خدمات المساعدة اللغوية تتوافر لك بالمجان. Arabic اتصل برق 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax) (رقم هاتف الصم والبكم)
ማስታወሻ – Amharic: የሚናገሩት ቋንቋ ኣማርኛ ከሆነ የትርጉም እርዳታ ድርጅቶች፣ በነጻ ሊያግዝዎት ተዘጋጀተዋል፡ ወደ ሚከተለው ቁጥር ይደውሉ (መስማት ለተሳናቸው: 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
ध्यान दें – Hindi: यदि आप हिंदी बोलते हैं तो आपके लिए मुफ्त में भाषा सहायता सेवाएं उपलब्ध हैं। 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
Ige nti – Ibo: O buru na asu Ibo asusu, enyemaka diri gi site na call 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
AKIYESI – Yoruba: Ti o ba nso ede Yoruba ofe ni iranlowo lori ede wa fun yin o. E pe ero ibanisoro yi 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
주의 – Korean: 한국어를 사용하시는 경우, 언어 지원 서비스를 무료로 이용하실 수 있습니다. 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).
ប្រយ័ត្ន – Cambodian ៖ បើសិនជាអ្នកនិយាយ ភាសាខ្មែរ, សេវាជំនួយផ្នែកភាសា ដោយមិនគិតឈ្នួល គឺអាចមានសំរាប់បំរើអ្នក។ ចូរ ទូរស័ព្ទ 1-507-388-6000, 866-565-1511(toll free), 507-388-6913 (fax).