McLean Tysons Orthopedic Surgery Center, LLC
As a state licensed outpatient surgery center and in accordance with State and Federal regulations, the McLean Tysons Orthopedic Surgery Center, LLC ensures all patients are properly informed on the following information, prior to their scheduled surgical procedure.
Grievance Procedure
Please contact the following with any concerns or complaints related to your experience at the surgery center. Complaints are reviewed and acted upon as they are received.
Administrator:
McLean Tysons Orthopedic Surgery Center, LLC
1760 Old Meadow Road
McLean, VA 22102
571-470-2030
The patient, family member, and visitor to the facility may contact the following if not satisfied with the outcome of their complaint:
Virginia Department of Health
P.O. Box 2448
Richmond, VA 23218-2448
109 Governor Street
Richmond, VA 23219
804-367-2106 or toll free 800-955-1819
Medicare Ombudsman
1-800-633-4227
www.medicare.gov/claims-and-appeals/index.html
AAAHC 847-853-6060
Advance Directives
The facility will always attempt to resuscitate a patient and transfer that patient to a hospital in the event their condition deteriorates. The center will make every reasonable attempt to obtain and file in the patient’s medical record copies of the following existing documents:
- Appointment of a Health Care Representative
- Living Will and Health Care Instructions
- Documentation of Anatomical Gift
- Conservator of the Person for My Future Incapacity.
If an emergency transfer did occur, all chart information would be copied and sent with the patient to the hospital, including the patient’s information regarding Advance Directives, if given to the facility by the patient on admission.
Discrimination Policy
The facility does not discriminate, exclude people or treat them differently on the basis of race, color, national origin, age, disability, or sex.
The facility provides free aids and services for disabilities as follows:
- Qualified sign language interpreters
- Written information in other formats (large print, electronic formats, etc)
The Center provides free language services to people whose primary language is not English, such as:
- Qualified interpreters
- Information written in other languages
ATTENTION: Language assistance services, free of charge, are available to you. Call (888) 808-9008.
ATENCIÓN: si habla español, tiene a
su disposición servicios gratuitos de
asistencia lingüística. Llame al
(888) 808-9008.
ATENÇÃO: Se fala português, encontram-se disponíveis serviços linguísticos, grátis. Ligue para
(888) 808-9008.
Patients who believe that the facility has failed to provide these services may file a complaint with the either in person or
by mail, fax or email. (See Grievance Procedure)
Patients can also file a civil rights complaint with the U.S. Department of Health and Human Services, Office for Civil Rights.
U.S. Department of Health and Human Services
200 Independence Avenue, SW
Room 509F, HHH Building
Washington, D.C. 20201
1-800-368-1019, 800-537-7697 (TDD)
Complaint forms are available at http://www.hhs.gov/ocr/office/file/
HIPAA Privacy Policies
The facility has adopted a Patient Privacy Plan to comply with the Health Insurance Portability and Accountability Act of 1996 (“HIPAA”),and applicable security and privacy regulations, as well as our duty to protect the confidentiality and integrity of confidential medical information as required by law, professional ethics, and accreditation requirements. This policy applies to all personnel of the Facility.
IF you feel that your privacy protections have been violated, you may submit a written complaint with the facility or with the Department of Health and Human Services, office of Civil Rights. (See Grievance Procedure)