Patient Rights & Responsibilities

The following list of patient rights is not intended to be all inclusive.  Patients receiving care at our center have a right to: 

• Be treated with respect, consideration and dignity. Exercise these rights and treated without regard to gender, race, cultural, economic, educational or religious background and without fear of discrimination or reprisal.
• Be treated in a safe environment that is free of physical or psychological threats.
• Expect that any architectural barriers identified will be addressed, and, whenever feasible, such barriers will be modified or corrected.
• Access communication aids (i.e., interpreters, sign language, etc.).
• Be provided appropriate privacy and confidentiality concerning their medical care – the patient has the right to be advised as to the reason for the presence of any individual directly involved or observing their care.
• Be free of restraint except when indicated to protect the patient or others from injury.
• Have their questions, concerns or complaints addressed in good faith.
• Expect continuity of care.  The patient will not be discharged or transferred to another facility without prior notice, except in the case of a medical emergency and within the limits of legal regulations.
• Provisions for after-hour and emergency care.
• Access necessary surgical and/or procedural interventions that are medically indicated.
• Obtain any information they need to give informed consent before any treatment or procedure.
• Be provided, to the degree known, complete and timely information concerning their diagnosis, evaluation, treatment and prognosis.  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.
• Make choices and decisions regarding their medical care to the extent permitted by law – this includes the right to refuse treatment.
• Formulate advanced directives and appoint a surrogate to make health care decisions on their behalf to the extent permitted by law.  The provision of the patient’s care shall not be conditioned on the existence of an advanced directive. (Please see the center’s policy on advanced directives below)
• Have their disclosures and records treated confidentially, and given the opportunity to approve or refuse their release, except when release is required by law.
• Receive, on request, and at a reasonable fee established by the Health Information Management Department, a copy of their medical record.
• Know the services available at the organization.
• Know the facility fees for services.
• Request an itemized statement of all services provided to them through the facility, along with the right to be informed of the payment methodology utilized.
• At their own expense, to consult with another physician or specialist if other qualified physicians or dentists are requested and available.
• Be informed of patient conduct and responsibilities rules.
• Refuse to participate in experimental research.
• Know the identity, professional status, institutional affiliation and credentials of health care professionals providing their care, and be assured these individuals have been appropriately credentialed according to the policies of the center.
• Be informed of their right to change their provider if other qualified providers are available.
• Be provided with appropriate information regarding the absence of malpractice insurance coverage.
• Be informed about procedures for expressing suggestions, complaints and grievances, including those required by state and federal regulations.

Patient Rights & Responsibilities

The care a patient receives depends partially on the patient. Therefore, in addition to these rights, a patient has certain responsibilities that are presented to the patient in the spirit of mutual trust and respect. Patient Responsibilities require the patient to:

• Provide complete and accurate information to the best of his/her ability about his/her health, any medications, including over-the-counter products and dietary supplements and any allergies or sensitivities.
• Make it known whether he/she clearly comprehends the course of his/her medical treatment and what is expected of him/her.
• Follow the treatment plan prescribed by his/her provider.
• Keep appointments and notify surgery center or physician when unable to do so.
• Provide a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours, if required by his/her provider.
• Accept responsibility for his/her actions should he/she refuse treatment or not follow his/her physician’s orders.
• Accept personal financial responsibility for any charges not covered by his/her insurance.
• Follow our facility’s policies and procedures.
• Be respectful of all the health care providers and staff, as well as other patients.

Click to view PDF

Click to view PDF

The Center’s policy considers all patient’s eligible for life-sustaining emergency treatment such as resuscitation and transfer to a hospital in the rare event that their medical condition deteriorates.

If a patient should provide his/her advanced directive a copy will be placed on the patient’s medical record and transferred with the patient should a hospital transfer be ordered by his/her physician.

At all times the patient or his/her representative will be able to obtain any information they need to give informed consent before any treatment or procedure.

In order to assure that the community is served by this facility, information concerning advanced directives is available at the facility. To obtain this form and information, please call (614) 232-6500. Additional information is also available here.

“Polaris Surgery Center acknowledges that a patient may wish to file a formal grievance related to their care or other services. Grievances are taken very seriously and will go through a thorough investigation and ultimately formal review by a multi-disciplinary Grievance Committee. You may file a grievance by:
1.Calling Polaris Surgery Center at (614) 232-6500.
2.Contacting the Ohio Department of Health by way of its Ambulatory Surgical Facilities department at 614-995-7466, by writing to them at: Bureau of Regulatory Operations, Ambulatory Surgical Facilities 246 N. High Street, Columbus, Ohio 43215 or by emailing them at community@ODH.ohio.gov.
3.Contacting the Joint Commission at: complaint@jointcommission.org or by phone at: (800)
994-6610.
4.Contacting the Medicare Ombudsman by way of its Complaint Hotline at 1-800-MEDICARE (633-4227) or https://www.medicare.gov/claims-appeals/your-medicare-rights/get-help-with-your-rights-protections

We want you and your family to be as comfortable as possible. Our goal is to maintain an environment that fosters our staff and physician skills, while providing the comfort and expert care that improves the quality of life for you and your family. Here are a few close hotels.We want you and your family to be as comfortable as possible. Our goal is to maintain an environment that fosters our staff and physician skills, while providing the comfort and expert care that improves the quality of life for you and your family. Here are a few close hotels.

Call the location of your choice below:

Hilton Columbus/Polaris
8700 Lyra Drive
Columbus, OH 43240
Ph: (614) 885-1600

Hilton Garden Inn
8535 Lyra Drive
Columbus, OH 43240
Ph: (614) 846-8884

Cambria Suites
9100 Lyra Drive
Columbus, OH 43240
Ph: (614) 841-9100

Candlewood Suites Polaris
8515 Lyra Drive
Columbus, OH 43240
Ph: (614) 436-6600

Residence Inn By Marriott
8865 Lyra Drive
Columbus, OH 43240
Ph: (614) 436-3955