The Jefferson Surgery Center—Blue Bell is a physician-owned facility. This means that the facility has one or more physicians with ownership or a financial interest in this facility. The physician who referred you to Jefferson Surgery Center—Blue Bell for a surgical procedure may be one of the physicians that have ownership or financial interest in this facility. This facility maintains a list of all physician owners, which is available upon request.
This information is being provided in order to assist you in making an informed decision about your care. You are free to choose another facility in which to receive the services that have been ordered by your physician.
This facility complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex.
Protection of Health Information
This facility is dedicated to the protection of your personal health information. We follow the guidelines set forth by the U.S. Depart of Health & Human Services, Office of Civil Rights. You can visit their website for more information: https://www.hhs.gov/hipaa/index.html.
Independent Contractor Notice
The physicians and other specialized medical service providers using this facility, including anesthesia, radiology or pathology, are independent contractors and are not employees or agents of the facility. Since they are independent contractors, the facility is not responsible or liable for their acts or omissions.
We are required by Federal law to provide the patient, patient representative or surrogate written information concerning its policies on advance directives, including a description of applicable State health and safety laws and if requested, official State advance directive forms. We also must inform the patient, patient representative or surrogate of your right to make informed decisions regarding the patient’s care. 42 C.F.R. § 416.50 (c)
I understand that there are several types of advance directives; the two most common forms are living wills and durable power of attorney designation. All patients have the right to participate in their own healthcare decisions and to make advance directives or execute Powers of Attorney that authorize others to make decisions on their behalf based on the patients expressed wishes.
This Facility will honor the intent of the advance directive to the extent permitted by law, and subject to the limitations on the basis of conscience. This Facility performs elective procedures that generally enhance or improve the patient’s quality of life, therefore; in the event of a medical emergency, it is the policy of this Facility to initiate resuscitative measures and transfer the patient to the hospital for further evaluation. When permitted by State law. At the hospital, further treatments or withdrawal of treatment measures may be exercised in accordance with your Advance Directive or Power of Attorney. If you do not agree with this policy please address this issue with your physician prior to the procedure.
This policy applies to all patients having a procedure performed at this facility.