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NONDISCRIMINATION POLICY
This facility has agreed to comply with the provisions of the Federal Civil Rights Act of 1964 and the Pennsylvania Human Relations Act and all requirements imposed pursuant thereto the end that no person shall, on the grounds of race, color national origin, ancestry, age, sex, religious creed, or disability, be excluded from participation in, be denied benefits of or otherwise be subject to discrimination in the provision of any care or service.
Ravine Way Surgery Center complies with applicable Federal civil rights laws and does not discriminate on the basis of race, color, national origin, age, disability or sex. Ravine Way Surgery Center does not exclude people or treat them differently because of race, color, national origin, age, disability or sex.
GRIEVANCE MECHANISM
Ravine Way Surgery Center administrative staff is available to help with any concerns or suggestions you may have regarding your stay. Complaints will be investigated, and a response will be provided under the provisions of the facility grievance mechanism. If a grievance or complaint is not solved to the patient’s, family’s, or surrogate’s satisfaction, the grievance may be filed in writing with the Illinois Department of Public Health and Environment, 535 West Jefferson St., Springfield, IL 62761. Phone (217) 782-4977.
Grievances may also be reported to the Office of Medicare Beneficiary Ombudsman at 1-800-MEDICARE or 1-800-633-4227 or
https://www.cms.gov/center/special-topic/ombudsman/medicare-beneficiary-ombudsman-home
If still dissatisfied with the physician, patients or their legal representative may file a complaint with the State Board of Medical Examiners, or the Podiatry Board. Upon request, the facility shall provide the address of the appropriate board. These boards are prohibited from arbitrating or adjudicating fee disputes.
Ravine Way Surgery Center
2350 Ravine Way
Suite 500
Glenview, IL 60025
847-832-1555
ADVANCED DIRECTIVES
An Advance Directive tells your doctor what kind of care you would like to have if you become unable to make medical decisions (you are in a coma, for example). If you are admitted to the hospital, the hospital staff will probably talk to you about advance directives.
A good Advance Directive describes the kind of treatment you would want depending on how sick you are. For example, the directives would describe what kind of care you want if you have an illness that you are unlikely to recover from or if you are permanently unconscious. Advance Directives usually tell your doctor that you don't want certain kinds of treatment. However, they can also say that you want a certain treatment no matter how ill you are.
It is the policy of Ravine Way Surgery Center that any Advance Directives will not be honored. However, we will revive, stabilize, and transfer patients to a hospital in a life-threatening situation. You may bring a copy of your Advance Directives, which will be placed in your patient chart in case of an emergency hospital transfer.
As a courtesy to our patients, a copy of the State of Illinois' "Statutory Short Form for Powers of Attorney for Health Care" can be provided upon request.
LANGUAGE ASSISTANCE
Ravine Way Surgery Center provides services to people with disabilities to communicate effectively with us, such as.
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Qualified sign language interpreters;
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Written information if other formats can be requested and made readily available, other formats may include (large print, audio, accessible electronics formats, other formats);
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Provides free language services to people whose language is not English;
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Qualified interpreters.
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Information written in other languages.
If you need these services please contact the facility Director of Nursing or Business Office Manager. If you believe that we have failed to provide these services or discriminated in another way on the basis of race, color, national origin, age, disability, or sex, you can file a grievance with:
Ravine Way Surgery Center
2350 Ravine Way
Suite 500
Glenview, IL 60025
847-832-1555
You can file a grievance in person or by mail, fax, or email. If you need help filing a grievance, our Administrator is available to help you. You can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights electronically through the Office for Civil Rights Complaint Portal, available at https://ocrportal.hhs.gov/ocr/portal/lobby.jsf, or by mail or phone at:
U.S. Department of Health and Human Services
200 Independence Avenue SW, Room 509F
HHH Building, Washington, DC 20201
800-868-1019, 800537-7697 (TDD)
Complaint forms are available at:
https://www.hhs.gov/ocr/office/file/index.html
Informing Individuals with Limited English Proficiency of Language Assistance Services
ATTENTION: If you need foreign language assistance, please call 847-832-1555
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