OFFICE-BASED ANESTHESIA

ABOUT OFFICE-BASED ANESTHESIA The board-certified anesthesiologists and registered nurses of VAC Mobile Services, a division of Valley Anesthesiology Consultants, are delighted to provide anesthesia for office-based procedures. Valley Anesthesiology Consultants is one of the nation’s premier providers of anesthesia services; a physician group nationally recognized for its commitment to the highest standards of patient care, serving patients and their physicians throughout Arizona, for more than 28 years. VAC Mobile Services maintains the accreditation standards of the Accreditation Association of Ambulatory Health Care (AAAHC). OUR MISSION To promote and ensure high quality and efficient office-based anesthesia services for surgeons/proceduralists and their patients. Valley is committed to bringing the safety and comfort of the hospital operating room to the office setting, providing the highest standards of patient care, and creating a successful partnership with all parties with whom we serve. PATIENT CARE GOALS Our Golden Rule — to treat each patient the way we would want to be treated if we were the patient Patient safety Patient comfort Patient privacy To make your surgical experience as pleasant as possible PATIENT RIGHTS AND RESPONSIBILITIES This notice describes your rights and responsibilities concerning your medical care. Please review it carefully and let us know if you have questions. Except where medically contraindicated, these rights apply to all adults, children, and adolescents treated by VAC Mobile Services and their parents and/or guardians. EACH PATIENT HAS THE RIGHT… To access medical care To have access to an interpreter, To be treated with respect, consideration, and dignity, To receive a written statement of his/her rights and responsibilities as a patient, To know the identity and professional status of his/her caregivers, To receive an informed consent prior to the procedure, or to refuse treatment, To privacy and security, To understand disclosures and records are treated confidentially, and to approve or refuse their release, except when release is required by law, To participate in his/her health care decisions, To consent to or refuse to participate in research or educational projects, To receive truthful information regarding his/her illness along with knowledge of the benefits and risks of each alternative treatment To understand provisions for after-hours and emergency care, To understand the fees for services and payment policies, and to request an itemized bill, To receive information regarding methods for expressing suggestions or grievances to the organization, To request a different anesthesia provider. PATIENTS ARE RESPONSIBLE FOR… Keeping appointments or notifying the healthcare provider when unable to do so, Reporting complete and accurate information about matters relating to their health, including prescription and over-the-counter medications and dietary supplements, and any allergies or sensitivities, Reporting whether they understand the proposed treatment and what is expected of them, Following instructions of agreed upon treatment plans, The consequences of their actions if they refuse treatment or do not follow instructions, Providing a responsible adult to transport him/her home from the facility and remain with him/her for 24 hours, if required by his/her provider, Assuring that financial obligations for their healthcare are fulfilled, Being considerate of the rights of other patients and personnel, Being Respectful of the property of Valley Mobile Services. POTENTIAL CONFLICT OF RIGHTS Where any person raises a concern that remains unresolved regarding a divergence of opinion regarding the rights or treatment of a child, or adolescent patient and the rights of their parents and/or guardians, the Valley Mobile Services shall consult with the Arizona Department of Child Protective Services to ensure that the minor’s rights are protected. HOW TO FILE A COMPLAINT OR GRIEVANCE Any patient or patient’s representative that has a concern with Valley Mobile Services may submit a written request for resolution to: VAC Mobile Services 1850 N. Central Ave, Suite 1600 Phoenix, AZ 85004   WHAT IS OFFICE-BASED ANESTHESIA? Sometimes referred to as ambulatory anesthesia, special medications and techniques are used when a patient is expected to go home as soon as possible on the same day of the surgery. Office-based surgery is a type of ambulatory anesthesia. Since most patients want to avoid an overnight hospital stay after surgery, ambulatory surgical procedures have become very popular. There has been a growing trend for surgery to be performed in a physician’s office. Office-based surgery can offer the convenience of having a procedure performed in a more comfortable setting and with a quick return home. For more information about anesthesia, please visit our website, www.ValleyAnesth.com OFFICE-BASED ANESTHESIA FEES For questions regarding office-based anesthesia billing, please contact 602.744.4760. For dental and some plastic surgery cases, payment is required in advance of the procedure. A representative of Valley Anesthesiology Consultants’ billing service will contact the patient (or responsible party) after the procedure is scheduled to provide the patient with the estimated anesthesia fee and collect payment via credit card. This pre-payment is based on the estimated procedure time; however, the final dental anesthesia fee will be based on the precise duration of the anesthesia services. Payment by credit card (VISA, MasterCard, American Express, or Discover) will be required at this time. The patient will be refunded in the amount of any over-payment. PATIENT SATISFACTION SURVEY It is our pleasure to assist in your care. VAC Mobile Services’ physicians, nurses and billing personnel are continually seeking to improve the office-based anesthesia experience. Please take a moment to complete the brief patient satisfaction survey at the link below. Patients who complete the survey will be eligible for a quarterly prize. All drawing winners will be notified by email. To complete the office-based anesthesia patient satisfaction survey, please click here. CONTACT US Billing Questions VAC Mobile Services Phone:  602.744.4760 Facsimile:  602.744.4799 Mailing Address/General Questions 1850 N. Central Ave, Suite 1600 Phoenix, Arizona 85004 602.528.6998