Patient Privacy, Rights and Responsibilities

Ostrow aims to provide high-quality care and service to our patients. As an educational institution, we also provide training for future oral care professionals who are supervised by our expert faculty members.

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UNIVERSITY OF SOUTHERN CALIFORNIA PRIVACY PRACTICES (ENG)

UNIVERSITY OF SOUTHERN CALIFORNIA PRIVACY PRACTICES (ESP)

Ostrow protects the privacy of your health information.

Learn about your Health Insurance Portability and Accountability Act (HIPAA) privacy rights by reviewing USC’s privacy practices.

YOU HAVE THE RIGHT TO:

Patient-centered care, which means “providing care that is respectful of, and responsive to, individual patient preferences, needs and values, and ensuring that patient values guide all clinical decisions” (Institute of Medicine). As such, your care shall not be influenced by student requirements.

An appointment with your student doctor in a timely manner

Considerate, respectful and confidential treatment

Complete and current information about your condition

Know in advance the type and expected cost of treatment

Expect dental team members to use appropriate infection and sterilization controls

Explanation of the prescribed treatment, treatment alternatives, the option to refuse treatment, the risk of no treatment and expected outcomes of these treatments, and be told, in language you can understand, the advantages and disadvantages of each

Ask your student doctor to explain all the treatment options regardless of your insurance benefit coverage or cost

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GRIEVANCE PROCEDURE

NOTICE OF NON-DISCRIMINATION

NON-DISCRIMINATION TAGLINES AND LANGUAGES

COMPLAINT FORM

YOU HAVE A RESPONSIBILITY TO:

Keep your appointment, or reschedule in a timely manner

Be considerate and respectful to others, such as your student doctor and other patients

Provide complete and current information about your condition

Participate in your care and keep current on your cost of treatment

Dress and present yourself appropriately

Participate, as well as you are able, in prescribed treatment, carefully weigh the consequences of accepting or refusing treatment, and appropriately discuss changes that occur during your care

Make reasonable decisions within your and Ostrow’s limitations

For those assigned to a comprehensive care program, you have the responsibility to complete your treatment at Ostrow without receiving treatment elsewhere. Your acceptance of these Bill of Rights has been obtained by your signature on the Patient Understanding/Informed Consent as a part of the Application of Treatment.

Grievance Procedure

Ostrow does not discriminate based on race, color, national origin, sex, age or disability. We have adopted an internal grievance procedure providing for prompt and equitable resolution of complaints alleging any action prohibited by Section 1557 of the Affordable Care Act (42 U.S.C. 18116) and its implementing regulations at 45 CFR part 92, issued by the U.S. Department of Health and Human Services.

Any person who believes someone has been subjected to discrimination based on race, color, national origin, sex, age or disability may file a grievance under this procedure. Complaint forms are available online. Complaints must be filed within 180 days of the date of the alleged discrimination.

It is against the law for Ostrow to retaliate against anyone who opposes discrimination, files a grievance or participates in the investigation of a grievance.

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