Patient Grievance Notice
Patients shall have the opportunity for comment, complaint, or suggestions by completing the Patient Satisfaction Survey. Appropriate action shall be taken as deemed necessary. Any action not taken that the patient deems necessary shall be directed to the Pacific Surgery Center Board of Directors by submitting a certified, return receipt letter to:
Pacific Surgery Center
Board of Directors
20669 Bond Road NE
Suite 200
Poulsbo, Washington 98370
All patient surveys are reviewed by the Continuous Quality Assurance Committee. Grievances are addressed through the QA Committee unless addressed otherwise through appropriate channels. All actions are documented and reported according to Quality Assurance Standards and Policy and Procedure.
Issues pertaining to clinical will be referred to the Administrator.
Issues pertaining to the Business Office will be directed to the Business Office Manager.
All other issues will be directed to the Medical Director or Board of Directors.Grievances will be addressed within thirty days of receipt.We appreciate your patronage and value your comments. Thank you.
In the event that you do not feel Pacific Surgery Center personnel have adequately addressed your complaints, you may call the Washington State Department of Health complaint number at 1-800-633-6828.
