Patient Rights, Responsibilities and Privacy Practices

Our Mission is to provide the highest quality surgical care with compassion and respect. We appreciate the trust you have placed in the staff at RiverBend ASC and we will make every attempt to maintain that trust by providing quality medical care you expect and deserve. We want your visit to be as pleasant as possible and welcome any comments or suggestions you may have.

If you have a concern at any time during or after your visit, we ask that you communicate it to the staff. They will do everything they can to respond and resolve the issue in a timely manner. Should we fail to resolve the situation to your satisfaction, please be aware that you have the right to make a complaint directly to the: Oregon Department of Human Resources, 800 NE Oregon Street, Suite 305, Portland, Oregon 97232 Phone: (971) 673-0540, ext. 3-0488.

Patients, who are Medicare beneficiaries or their representative, may receive assistance to understand their Medicare options and to apply their Medicare rights and protections through the Medicare Beneficiary Ombudsman. The Medicare Beneficiary Ombudsman:

Patient Rights and Responsibilities

At Day Surgery at RiverBend, we believe patients who understand their rights and responsibilities are better able to participate in their healthcare. These rights and responsibilities also apply to your designated representative, guardian, or legally recognized next of kin if you are unable to advocate on your own behalf or to a parent if you are a minor.

Patient Rights

  • The right of access to care.
  • The right to be treated with dignity and respect, free from abuse or harassment.
  • The right to safety, security and privacy.
  • The right to information about your treatment.
  • The right to participate in decisions about your care, including consent or refusal for treatment and preparation of advance directives.
  • The right to know providers by name.
  • The right to bring complaints or grievances to the attention of staff without jeopardizing access to current or future care or services.
  • The right to disclosure of unanticipated outcomes.
  • The right to an itemized bill.
  • The right to access copy and amend medical records.
  • The right to be informed of any human experimentation or other research/educational projects affecting his or her care or treatment and can refuse participation in such experimentation or research without compromise to the patient’s usual care.
  • The right to express those spiritual beliefs and cultural practices that do not harm or interfere with the planned course of medical therapy for the patient or other patients.
  • The right to have an initial assessment and regular reassessment of pain.
  • The right to education of patients and families, when appropriate, regarding their roles in managing pain, as well as potential limitations and side effects of pain treatment.

Patient Responsibilities

  • Provide all of the information necessary to care for you.
  • Report perceived risks that concern you.
  • Ask for clear explanations or additional information when you need it.
  • Make informed decisions about your healthcare and treatment.
  • Be an active participant in making healthcare decisions.
  • Comply with your treatment plan.
  • Accept the consequences when you do not comply with the plan of care or treatment.
  • Show respect and consideration for surgery center personnel, property, and other patients.
  • Follow surgery center rules and regulations.
  • Meet financial commitments – pay expenses associated with your visit.

Privacy Practices

We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We are required to abide by the terms of this Notice of Privacy Practices. We may change the terms of our notice at any time. The new notice will be effective for all protected health information that we maintain at that time. If you request, you may receive any revised Notice of Privacy Practices.

How We May Use and Disclose Your Protected Health Information

We may use or disclose your information: With persons and other organizations when they are involved in providing healthcare services to you; In order to pay your healthcare bills; To support the operations of the Day Surgery at RiverBend; As required by state and federal law.

Your Rights

You have the right to: Inspect and copy your protected health information; Request a restriction of use of your protected health information; Request to receive your protected health information in a confidential manner; Amend or change your protected health information when necessary; Receive an accounting of certain disclosures made; Receive the RiverBend ASC’s Notice of Privacy Practices

Advance Directives

Day Surgery at RiverBend respects and honors the right of all patients to participate in their own health care decisions. Patients may formulate Advance Directives or execute Powers of Attorney authorizing others to make decisions on their behalf based on the patient’s expressed wishes when the patient is unable to make or communicate decisions. If a patient should provide his/her Advance Directive, a copy is placed in the patient’s medical record, and transferred with the patient should a hospital transfer be ordered by his/her physician.

Day Surgery at RiverBend recognizes that members of the Medical Staff have the primary responsibility for discussing Advance Directives with patients. The Medical Staff’s responsibility is to provide information and education to enable individuals to make decisions regarding their Advance Directive in a thoughtful and informed manner. However, unlike in an acute care hospital setting, the Surgery Center does not routinely perform “high risk” procedures. Most procedures performed in this center are considered to be of minimal risk. Of course, no surgery is without risk. You will discuss the specifics of your procedure with your physician who can answer your questions as to the risks, your expected recovery and care after your surgery.

Information on Advance Directives for Oregon residents can be found at: and

Disclosure of Ownership

The Day Surgery at RiverBend, (RiverBend ASC, LLC), is an outpatient surgical facility owned and operated by Health Ventures (61.60%) and the following local physicians/group (38.40%):

Thomas Bascom, MD,

Kimberly Bock, MD  

Joyce Brackebusch, MD

David DeHaas, MD

Jennifer Freeman, MD

Audrey Garrett, MD

Dan Hagengruber, MD

Todd Tritch, MD

Winnie Henderson, MD

Daniel Hutton, MD

Paula Jewett, MD

Andrew Kokkino, MD

Christine Kollmorgen, MD

Michael McCourt, MD

Kevin Modeste, MD

Duc Vo, MD

Slocum Orthopedics, P.C.

Advanced Medical Technology has made it possible for an adult or child to have non-emergency surgery in a warm, comfortable, professional atmosphere. We strive to maintain a welcoming environment that extends from the physician’s office into the operating room. Our administrative and peri-operative staff is dedicated to the delivery of compassionate patient care.

We are dedicated to your well-being and strive to earn your confidence by offering the highest degree of expertise and skill. Our goal is to provide quality care and establish a pleasant professional relationship with you. We welcome any suggestions or comments about any aspect of our practice that will enable us to serve you better.

RiverBend Ambulatory Surgery Center, LLC | Dba: Day Surgery at RiverBend | 3355 RiverBend Drive, Suite 110, Springfield, Oregon 97477 | (541) 852-4800