228-400-9788
228-400-9788

Transparency and patient protections at Coastal ENT Surgery Center

Patient Rights & Surgery
Center Disclaimer

Table of Contents
Patient’s Rights
Patient’s Responsibilities
Interpreter Services
Rights & Respect for Property and Person
Advance Directives
Complaints & Grievances
Physician Financial Interest & Ownership
Patient’s Rights

Excellence

We are committed to delivering exceptional care in a safe, patient-focused environment. Our Center actively participates in the following state and national healthcare quality initiatives.
  • AORN: Association of periOperative Registered Nursing
  • MASCA: Mississippi Ambulatory Surgery Center Association
  • ASCA: Ambulatory Surgery Center Association

Our Commitment to Care

Our facility’s healthcare team is committed to delivering high standards of clinical care through evidence-based practices and continuous performance improvement.
  • Quality Patient Care
  • Medication Safety
  • Infection Control
  • Patient Satisfaction

Patient’s Rights

These are the protections guaranteed to every patient receiving care at our surgery center.
  • Receive information about rights, conduct, and responsibilities in a language and manner you understand
  • Be treated with respect, consideration, dignity, and appropriate personal privacy
  • Have disclosures and records treated confidentially; approve/refuse release except when required by law
  • Participate in decisions about your care unless medically contraindicated
  • Participate in decisions about your care unless medically contraindicated
Learn More

Patient’s Responsibilities

These are the expectations patients must follow to ensure safe, effective, and coordinated care.
  • Provide accurate and complete health information, including past illnesses, hospital stays, and medications
  • Inform the provider if you have an advance directive
  • Provide information about durable power of attorney, health care surrogate, or other advance directive
  • Report changes in condition promptly
  • Communicate whether you understand the care plan and what is expected of you
Learn More

Interpreter Services

Patients requiring an interpreter will be provided one. If a personal translator is preferred, arrangements should be made to accompany the patient on the day of the procedure.

Rights & Respect for Property and Person

Patients are entitled to privacy, safety, and freedom from discrimination or abuse.
  • Exercise rights without discrimination or reprisal
  • Voice grievances regarding care
  • Be fully informed about procedures and expected outcomes
  • Confidentiality of medical information
  • Personal privacy and safe care settings
  • Personal privacy and safe care settings
  • Have a person appointed under state law act on your behalf if deemed incompetent

Advance Directives

Patients have the right to make decisions about future care if incapacitated.
  • Information on advance directives and state regulations available upon request
  • Facility policy: patients will be resuscitated and transferred to a hospital if condition deteriorates
  • Patients wishing directives honored will be offered care at an alternate facility
  • Copies of directives provided to the center will accompany the patient to the hospital
  • Official state forms available at the facility

Patient’s Responsibilities

These are the expectations patients must follow to ensure safe, effective, and coordinated care.
  • Provide accurate and complete health information
  • Report changes in condition
  • Communicate understanding of treatment plans
  • Follow recommended care plans
  • Keep appointments or notify if unable
  • Accept responsibility if refusing treatment
  • Fulfill financial obligations promptly
  • Follow facility rules and regulations

Complaints & Grievances

Patients may raise concerns, which will be investigated and addressed promptly.
  • Speak with staff or management to resolve concerns
  • Grievances investigated with written notification of actions taken
  • Contacts:
  • Administrator: 228‑400‑9788
  • MS Health Facility Complaint Hotline: 601‑576‑7400
  • Medicare Ombudsman: 1‑800‑MEDICARE (1‑800‑633‑4227)
  • Online: Medicare Ombudsman Website
  • Role: Ensures beneficiaries receive information and help to understand options and apply rights/protections
  • Office of Inspector General: OIG Website

Physician Financial
Interest & Ownership

Patients are informed of physician ownership to ensure transparency.
The center is owned, in part, by the physicians. The physician(s) who referred you to this center and who will be performing your procedure(s) may have a financial and ownership interest. Patients have the right to be treated at another health care facility of their choice. We are making this disclosure in accordance with federal regulations.
Physicians with ownership interest:
  • Dr. Vincent Pisciotta
  • Dr. Clay Bratton
  • Dr. Michael Seicshnaydre
  • Dr. Robert Wineski
  • Dr. Ashley Kraft

Hear Clearly.
Breathe Freely.
Live Fully.

 PATIENT’S STATEMENT OF RIGHTS AND RESPONSIBILITIES AND NOTIFICATION OF PHYSCIAN OWNERSHIP

The staff of this health care facility recognizes you have rights while a patient receiving medical care. 

Your rights and responsibilities include: 

A patient, patient representative or surrogate has the right to 

  • Receive information about rights, patient conduct and responsibilities in a language and manner the patient, patient representative or surrogate can understand. 
  • Be treated with respect, consideration and dignity. 
  • Be provided appropriate personal privacy. 
  • Have disclosures and records treated confidentially and be given the opportunity to approve or refuse record release except when release is required by law. 
  • Be given the opportunity to participate in decisions involving their health care, except when such participation is contraindicated for medical reasons. 
  • Receive care in a safe setting. 
  • Be free from all forms of abuse, neglect or harassment. 
  • Exercise his or her rights without being subject to discrimination or reprisal with impartial access to medical treatment or accommodations, regardless of race, national origin, religion, physical disability, or source of payment. 
  • Voice complaints and grievances, without reprisal. 
  • Be provided, to the degree known, complete information concerning diagnosis, evaluation, treatment and know who is providing services and who is responsible for the care. When the patient’s medical condition makes it inadvisable or impossible, the information is provided to a person designated by the patient or to a legally authorized person. 
  • Exercise of rights and respect for property and persons, including the right to o Voice grievances regarding treatment or care that is (or fails to be) furnished. 

o Be fully informed about a treatment or procedure and the expected outcome before it is performed. 

o Have a person appointed under State law to act on the patient’s behalf if the patient is deemed incompetent under applicable State health and safety laws by a court of proper jurisdiction. If a state court has not adjudged a patient incompetent, any legal representative designated by the patient in accordance with State law may exercise the patient’s rights to the extent allowed by State law.

  • Refuse treatment to extent permitted by law and be informed of medical consequences of this action. 
  • Know if medical treatment is for purposes of experimental research and to give his consent or refusal to participate in such experimental research. 
  • Have the right to change primary or specialty physicians or dentists if other qualified physicians or dentists are available. 
  • A prompt and reasonable response to questions and requests. 
  • Know what patient support services are available, including whether an interpreter is available if he or she does not speak English. 
  • Receive, upon request, prior to treatment, a reasonable estimate of charges for medical care and know, upon request and prior to treatment, whether the facility accepts the Medicare assignment rate.
  • Receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to have charges explained. 
  • Formulate advance directives and to appoint a surrogate to make health care decisions on his/her behalf to the extent permitted by law and provide a copy to the facility for placement in his/her medical record. 
  • Know the facility policy on advance directives. 
  • Be informed of the names of physicians who have ownership in the facility. 
  • Have properly credentialed and qualified healthcare professionals providing patient care. 

A patient, patient representative or surrogate is responsible for

  • Providing a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours, unless specifically exempted from this responsibility by his/her provider. 
  • Providing to the best of his or her knowledge, accurate and complete information about his/her health, present complaints, past illnesses, hospitalizations, any medications, including over-the-counter products and dietary supplements, any allergies or sensitivities, and other matters relating to his or her health. 
  • Accept personal financial responsibility for any charges not covered by his/her insurance. 
  • Following the treatment plan recommended by his health care provider. 
  • Be respectful of all the health providers and staff, as well as other patients. 
  • Providing a copy of information that you desire us to know about a durable power of attorney, health care surrogate, or other advance directive. 
  • His/her actions if he/she refuses treatment or does not follow the health care provider’s instructions. 
  • Reporting unexpected changes in his or her condition to the health care provider. 
  • Reporting to his health care provider whether he or she comprehends a contemplated course of action and what is expected of him or her. 
  • Keeping appointments. 

COMPLAINTS 

Please contact us if you have a question or concern about your rights or responsibilities. You can ask any of our staff to help you contact the Administrative Director at the surgery center. Or you can call 228-400-9788. 

We want to provide you with excellent service, including answering your questions and responding to your concerns. 

You may also choose to contact the licensing agency of the state: 

State of MS Health Facility Complaint Hot Line at 

601-576-7400 

If you are covered by Medicare, you may choose to contact the Medicare Ombudsman at 1-800-MEDICARE (1-800-633-4227) or online at http://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html. The role of the Medicare Beneficiary Ombudsman is to ensure that Medicare beneficiaries receive the information and help you need to understand your Medicare options and to apply your Medicare rights and protections.

PHYSICIAN FINANCIAL INTERST AND OWNERSHIP:

The center is owned in part, by the physicians.  The physician(s) who referred you to this center and who will be performing your procedure(s) may have a financial and ownership interest.   Patients have the right to be treated at another health care facility of their choice.  We are making this disclosure in accordance with federal regulations. 

The following physicians have a financial interest in this center:

Dr. Vincent Pisciotta

Dr. Clay Bratton

Dr. Michael Seicshnaydre

Dr. Robert Wineski

Dr. Ashley Kraft 

 PATIENT’S STATEMENT OF RIGHTS AND RESPONSIBILITIES AND NOTIFICATION OF PHYSCIAN OWNERSHIP

The staff of this health care facility recognizes you have rights while a patient receiving medical care. 

Your rights and responsibilities include: 

A patient, patient representative or surrogate has the right to 

  • Receive information about rights, patient conduct and responsibilities in a language and manner the patient, patient representative or surrogate can understand. 
  • Be treated with respect, consideration and dignity. 
  • Be provided appropriate personal privacy. 
  • Have disclosures and records treated confidentially and be given the opportunity to approve or refuse record release except when release is required by law. 
  • Be given the opportunity to participate in decisions involving their health care, except when such participation is contraindicated for medical reasons. 
  • Receive care in a safe setting. 
  • Be free from all forms of abuse, neglect or harassment. 
  • Exercise his or her rights without being subject to discrimination or reprisal with impartial access to medical treatment or accommodations, regardless of race, national origin, religion, physical disability, or source of payment. 
  • Voice complaints and grievances, without reprisal. 
  • Be provided, to the degree known, complete information concerning diagnosis, evaluation, treatment and know who is providing services and who is responsible for the care. When the patient’s medical condition makes it inadvisable or impossible, the information is provided to a person designated by the patient or to a legally authorized person. 
  • Exercise of rights and respect for property and persons, including the right to o Voice grievances regarding treatment or care that is (or fails to be) furnished. 

o Be fully informed about a treatment or procedure and the expected outcome before it is performed. 

o Have a person appointed under State law to act on the patient’s behalf if the patient is deemed incompetent under applicable State health and safety laws by a court of proper jurisdiction. If a state court has not adjudged a patient incompetent, any legal representative designated by the patient in accordance with State law may exercise the patient’s rights to the extent allowed by State law.

  • Refuse treatment to extent permitted by law and be informed of medical consequences of this action. 
  • Know if medical treatment is for purposes of experimental research and to give his consent or refusal to participate in such experimental research. 
  • Have the right to change primary or specialty physicians or dentists if other qualified physicians or dentists are available. 
  • A prompt and reasonable response to questions and requests. 
  • Know what patient support services are available, including whether an interpreter is available if he or she does not speak English. 
  • Receive, upon request, prior to treatment, a reasonable estimate of charges for medical care and know, upon request and prior to treatment, whether the facility accepts the Medicare assignment rate.
  • Receive a copy of a reasonably clear and understandable, itemized bill and, upon request, to have charges explained. 
  • Formulate advance directives and to appoint a surrogate to make health care decisions on his/her behalf to the extent permitted by law and provide a copy to the facility for placement in his/her medical record. 
  • Know the facility policy on advance directives. 
  • Be informed of the names of physicians who have ownership in the facility. 
  • Have properly credentialed and qualified healthcare professionals providing patient care. 

A patient, patient representative or surrogate is responsible for

  • Providing a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours, unless specifically exempted from this responsibility by his/her provider. 
  • Providing to the best of his or her knowledge, accurate and complete information about his/her health, present complaints, past illnesses, hospitalizations, any medications, including over-the-counter products and dietary supplements, any allergies or sensitivities, and other matters relating to his or her health. 
  • Accept personal financial responsibility for any charges not covered by his/her insurance. 
  • Following the treatment plan recommended by his health care provider. 
  • Be respectful of all the health providers and staff, as well as other patients. 
  • Providing a copy of information that you desire us to know about a durable power of attorney, health care surrogate, or other advance directive. 
  • His/her actions if he/she refuses treatment or does not follow the health care provider’s instructions. 
  • Reporting unexpected changes in his or her condition to the health care provider. 
  • Reporting to his health care provider whether he or she comprehends a contemplated course of action and what is expected of him or her. 
  • Keeping appointments. 

COMPLAINTS 

Please contact us if you have a question or concern about your rights or responsibilities. You can ask any of our staff to help you contact the Administrative Director at the surgery center. Or you can call 228-400-9788. 

We want to provide you with excellent service, including answering your questions and responding to your concerns. 

You may also choose to contact the licensing agency of the state: 

State of MS Health Facility Complaint Hot Line at 

601-576-7400 

If you are covered by Medicare, you may choose to contact the Medicare Ombudsman at 1-800-MEDICARE (1-800-633-4227) or online at http://www.medicare.gov/claims-and-appeals/medicare-rights/get-help/ombudsman.html. The role of the Medicare Beneficiary Ombudsman is to ensure that Medicare beneficiaries receive the information and help you need to understand your Medicare options and to apply your Medicare rights and protections.

PHYSICIAN FINANCIAL INTERST AND OWNERSHIP:

The center is owned in part, by the physicians.  The physician(s) who referred you to this center and who will be performing your procedure(s) may have a financial and ownership interest.   Patients have the right to be treated at another health care facility of their choice.  We are making this disclosure in accordance with federal regulations. 

The following physicians have a financial interest in this center:

Dr. Vincent Pisciotta

Dr. Clay Bratton

Dr. Michael Seicshnaydre

Dr. Robert Wineski

Dr. Ashley Kraft