WellBe recognizes that no two patients are exactly the same. WellBe Senior Medical patients and their caregivers are involved in and are empowered to make informed decisions about their care.
This Statement of Patient Rights and Responsibilities sets forth the basic rights and protections afforded to WellBe Senior Medical patients by federal and state law, and the responsibilities of patients to help WellBe Senior Medical provide safe high-quality care.
Patient Rights
Right to Respect and Autonomy
You have a right to be treated with dignity, and to treatment that supports and respects your choices, strengths, individuality, and abilities.
You have a right to respectful and considerate care rendered by competent staff.
You have a right to have your cultural and personal values, beliefs, and preferences respected.
You have a right not to be discriminated against based on race, ethnicity/national origin, language, religion, gender or gender identity, sexual orientation, age, disability, marital status, diagnosis, socioeconomic status, genetic information, or source of payment.
You have a right to clear communication of information, and if you do not speak English or have special communication needs, you have a right to access an interpreter and translation or telecommunications services in accordance with the law.
You have a right to the confidentiality of your clinical records, except as otherwise provided by law.
You have a right to voice your concerns to medical staff or administration without fear of reprisal or discrimination.
Right to Receive Information and Make Decisions
You have a right to make informed decisions regarding your health care, including the receipt of the information on the risks, benefits, side effects, and alternatives of medications and treatments. This right applies to your designated representative.
You have a right to refuse care, including medications, treatment, or procedures offered by WellBe Senior Medical, to the extent permitted by law, and to receive information on the consequences of such refusal.
You have a right to participate in your plan of care and pain management plan, including being able to consent to or refuse treatment. There may be circumstances (such as medical emergencies, if you are determined to not be competent in accordance with the law, or if you are found to be medically incapable of understanding the proposed plan of care) in which your right to participate in your plan of care may be limited. In these circumstances, your designated representative or a legally designated person will exercise your rights.
You have a right to access information contained in your medical records within a reasonable time frame upon written request.
You have a right to know the name of the licensed health care provider acting within the scope of his/her professional licensure, who has primary responsibility for coordinating your care.
You have a right to access advocacy services, as might be needed.
You have a right to receive assistance from a family member, representative, or other individuals in understanding, protecting, or exercising your rights. You may identify a personal representative to act as a decision-maker for you when you are unable.
You have a right to formulate an advance directive and to have practitioners who provide care at any facility comply with the directive. Such advance directives may include the appointment of a surrogate to make health care decisions on your behalf. If applicable, you are responsible for providing a copy of your advance directive to a hospital or your caregiver. You are not required to formulate or have an advance directive in place in order to receive care.
You have a right to have a family member, or your representative of choice and your physician be notified promptly of your admission to a hospital.
Patient Responsibilities
To effectively partner with you in providing high-quality care, WellBe Senior Medical asks that you (or, where appropriate, your designated representative) fulfill the following responsibilities:
- Provide timely, complete, and accurate information about your current and past state of health, including past illnesses, hospitalizations, and medications you are taking or have taken, to facilitate the provision of care, treatment, and services.
- Promptly alert WellBe Senior Medical staff to any change in your condition.
- Provide accurate, up-to-date information on your address, telephone numbers, identification numbers, and insurance and payment information.
- Alert WellBe Senior Medical staff if you feel there is a problem with your care.
- Be open to communicating with WellBe Senior Medical staff about your pain and pain control options.
- Ask questions about your care and acknowledge when you do not understand the treatment course or care decisions.
- Follow your treatment plan as developed with your care team and accept responsibility for the health outcome(s) if you choose not to follow your treatment plan.
- Respect clinical policies to keep appointments or cancel in advance.
- Treat staff members with courtesy and respect, using civil language and conduct.
- Understand that as an equal opportunity employer, WellBe Senior Medical reserves the right to assign a competent care provider with skills that match your clinical needs. Our practice is that staff and their work environment remain free from all forms of retaliation.
Reporting a Patient Rights Concern
If you should experience a problem with a member of staff or difficulty in using our services, there are several courses of action that you may elect to take.
If the problem is related to your healthcare, please attempt to discuss your concerns with the WellBe Senior Medical practitioner with whom you have been working.
If you would like to file a grievance or complaint concerning your treatment or in relation to any of your rights, please contact us as follows:
WellBe Senior Medical, Georgia, 855-492-7642.
1155 Perimeter Center W, 11th Fl. Atlanta, GA 30338
WellBe Senior Medical, Illinois, 855-490-5434.
650 Warrenville Rd, Suite 301 Lisle, IL 60532
WellBe Senior Medical, Ohio, 855-490-9434.
6930 Treeline Drive, Suite J Brecksville, OH 44141
All grievances will be promptly investigated and resolution(s) proposed in a formal written response no later than 14 days after receipt.
If you have a quality of care grievance or complaint, you may also contact the Beneficiary and Family Centered Care Quality Improvement Organization (BFCC-QIO) assigned to your geographic region:
If you are a patient in Illinois:
Livanta (BFCC-QIO)
(888) 524-9900
(888) 985-8775 TTY
https://livantaqio.com/en/beneficiary/immediate_advocacy
If you are a patient in Georgia:
Kepro (BFCC-QIO)
(888) 317-0751
(813) 280-8256
https://www.keproqio.com/bene/statepages/Georgia/
If you are a patient in Ohio:
Livanta (BFCC-QIO)
(888) 524-9900
(888) 985-8775 TTY
https://livantaqio.com/en/beneficiary/immediate_advocacy
