UCSD MCC bro_fix2 - Moores Cancer Center

NEW PATIENTORIENTATIONGUIDE

TABLE OF CONTENTSWelcome to the Moores UCSD Cancer CenterThe Moores UCSD Cancer Center Floor MapsDirections, Transportation, and ParkingYour Moores UCSD Cancer Center TeamCommunication with Your Healthcare TeamMultispecialty ClinicInfusion CenterRadiation OncologyThornton Hospital, UCSD Medical CenterPatient and Family Support Services:The Science of CaringPatient and Family Education CenterDoris A. Howell Consult Service:Compassionate Expertise for Serious IllnessNutrition ServicesClinical Trials OfficeBlood and Marrow Transplant Program (BMT)Imaging CenterProcedure SuiteLaboratory and PhlebotomyPharmacyBillingPatient Rights and Responsibilities124679101112131415161718192021222324Online version available: cancer.ucsd.edu/PatientCare/Orientation.pdf

welcome to the MOORES UCSD CANCER CENTERThe Moores UCSD Cancer Center is a National Cancer Institute (NCI)-designatedcomprehensive cancer center, bringing together the most advanced research and thehighest quality clinical care. At the Moores UCSD Cancer Center, you will find allcancer-related treatments, care, and services in one location. In addition, there are anumber of services and treatments for non-cancer patients, who benefit from ourtechnology and expertise.Because we care, we want your experience at the Cancer Center to be the best possibleand we hope this orientation guide will assist in that effort. Please let a member of ourteam know if you have any questions, needs, or suggestions for how we may betterserve you.Location: 3855 Health Sciences Drive, La Jolla, CA 92093Hours of Operation: Monday – Friday, 7:00 am - 7:00 pmWeekends, 7:00 am - 4:00 pmContact: Information Desk: (858) 822-6146Find UCSD Physician Services: (800) 926-UCSD (8273)Web Site: cancer.ucsd.eduImportant Information• Check in with registration at the main lobby information desk prior to your firstappointment or to renew your UCSD card. Please arrive early to renew your card.Cards cannot be renewed at the Cancer Center on weekends.• Bring both your insurance card and UCSD card with you to each visit.• If you are coming for cancer treatment, please be sure that you are up-to-date withall of your general medical and dental care.• You are encouraged to bring a family member or friend with you to your appointment.Please do not bring children to the Cancer Center.• Food service is available at the Come On In Café, located on the 2nd floor, and at anoutdoor food and coffee kiosk located at the northwest corner of the building.Thank you for choosing the Moores UCSD Cancer Center as your healthcare provider.1

THE MOORES UCSD CANCER CENTERFirst Floor2

THE MOORES UCSD CANCER CENTERSecond Floor3

directionsFrom I-5 Exit La Jolla Village Drive and head east. Turn left onto Regents Road.Turn left onto Health Sciences Drive. Park in the lot on your left, immediately beforeyou reach the Cancer Center, or enter the circular driveway for valet service.From I-805 Exit La Jolla Village Drive and head west. Turn right onto Regents Road.Turn left onto Health Sciences Drive. Park in the lot on your left, immediately beforeyou reach the Cancer Center, or enter the circular driveway for valet service.Parking4

transportation and parkingTransportation:San Diego Bus:Buses #48 and #49 stop at the UCSD Medical Center – Thornton Hospital, directlybeside the Cancer Center.For more information about bus routes, visit: sdcommute.com.The Moores UCSD Cancer Center Shuttle:Patients and caregivers may use the shuttle free of charge.For information about shuttle schedule and stops go to:cancer.ucsd.edu/PatientCare/Transportation, or call: (619) 726-6515.To speak to a Cancer Center social worker about transportation resources,call: (858) 822-2168.Parking:The patient and visitor lot is located directly in front of the Cancer Center, at the endof Health Sciences Drive. Parking costs are $1 per hour, up to a maximum cost of $8.Radiation Oncology and Infusion Center patients may have their parking validated atno cost.Valet parking is available for a $5 initial fee and $0.50 for each additional 1/2 hour, to amaximum cost of $10. A valet attendant is located in the circular driveway, in front ofthe main Cancer Center doors.All parking, including valet, is free for patients with a handicapped placard.5

YOUR MOORES UCSD cancer center TEAMThe Moores UCSD Cancer Center employs an interdisciplinary team approach, bringingtogether specialists from all aspects of cancer care to ensure that you are treated withthe best possible, well-rounded expertise and care. Your interdisciplinary healthcareteam includes a physician, a nurse case manager, and a social worker.The nurse case manager works with your physician to coordinate your healthcare,medication needs, and symptom management. The social worker provides for yourpsychological, social, emotional, spiritual and practical needs. Other members will jointhis team when necessary. As a component of the UCSD system, the Cancer Centerpractices academic medicine, and medical students, residents, and fellows may be partof your healthcare team.NamePhoneMy Physician: _______________________ _____________________My Physician’sAdministrative Assistant: _______________________ _____________________My Nurse Case Manager: _______________________ _____________________My Social Worker: _______________________ _____________________Other Members of MyHealthcare Team: _______________________ _____________________________________________________________________________________________________________________________________________________________________________________________________6

communication with your healthcare teamOpen and honest communication with your doctor is the first step in maximizing thequality of the care you receive. You may feel stressed and overwhelmed with informationand decisions, making it harder to understand complex information and to rememberwhat is said.Your Cancer Center healthcare team wants to provide you with the best possible medicalservice. That means making sure you understand your diagnosis and treatment, andhave the necessary information to make decisions about your care. It is your job to keepthem fully informed about how you are doing, and to ask the questions you needanswered, including issues you may find embarrassing, like bladder control, memoryloss, sexual function, or other personal concerns.Tips for communication:• Write down your questions before each appointment. Make them specific andbrief to get the most of your doctor’s limited time. Ask your most importantquestions first.• Write down the answers. This will help you remember your doctor’s responsesand directions, and will allow you to review them later. You may also want toaudiotape your appointment to listen to later. Always ask if you don’t understand.• Whenever possible, bring a friend or family member along. It is always helpfulto have the support of another person to help you think of questions andremember the information you hear.• Tell your doctor how you prefer medical information to be communicated.For example, do you want all the details or simply a summary?• Tell your healthcare team to whom they may give medical information if you arenot available and whom you trust to make decisions for you in the event you arenot able.Here are some questions that you may want to ask:• What is my diagnosis?• What is the stage of my cancer and what does that mean?• What are my treatment options? Of these, what treatment are you recommending?• What are the goals of treatment?• What are the benefits and the risks?• What symptoms and side effects might I expect, and what are some ways tomanage them?• How will this impact my daily life?• Are there clinical research trials I may be eligible for?• Who are the members of my healthcare team and what are their roles?7

communication with your healthcare teamUse this page for additional questions that you have:____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________8

multispecialty clinicLocation: On the 1st floor, down the hallway to the left of thelobby elevators.Hours of Operation: Monday – Friday, 8:00 am - 5:00 pmContact: (858) 822-6100After-Hours On-Call Physician: (858) 657-7000In an emergency, call 911.The Multispecialty Clinic brings together specialists in medical oncology, surgicaloncology, hematology oncology, and gynecologic oncology. This is the main clinicwhere you will have appointments with your physician and where certain proceduresare done.Important Information• Check in at the front desk in the Multispecialty Clinic.• Prior to your exam, a medical assistant will take your height, weight, blood pressure,temperature, pulse, and respiration.• If you are coming from outside the UCSD system, you must send your medicalrecords at least one week prior to your appointment to:Attention: New Patient OfficeMoores UCSD Cancer Center3855 Health Sciences Dr. #0987La Jolla, CA 920939

infusion centerLocation: On the 1st floor to the right of the lobby elevators, past theRetail Pharmacy. Proceed through the double glass doors intothe reception area.Hours of Operation: Monday – Friday, 7:30 am - 7:00 pmWeekends, 8:00 am - 4:30 pmContact: (858) 822-6294After-Hours On-Call Physician: (858) 657-7000In an emergency, call 911.The Infusion Center provides multiple services for people with cancer and other illnessesthat benefit from similar treatments. Services include:• Chemotherapy• Biological therapies• Blood transfusions• Hydration and electrolyte replacement• Injections• Blood draws from central lines• Dressing changesImportant Information• Check in at the front desk located in the Infusion Center. A medical assistant will escortyou at your scheduled appointment time.• Be aware that authorizations need to be obtained from your insurance company prior tobeginning treatment.• Appointment duration varies by type of treatment/procedure; when scheduling yourappointment, please ask for the approximate amount of time it will take so you can planaccordingly.• If you are having lab tests performed on the same day as your treatment, your infusioncenter appointment time may be longer due to the time required for lab analysis and testresults.• For longer appointments, please feel free to bring reading materials, snacks, and/orlunch. Refrigerator and microwave are available.• Dress in comfortable clothes and bring a warm layer.• If you have a central venous access device, such as a portacath or PICC line, blood drawswill be done in the Infusion Center.10

adiation oncologyLocation: On the 1st floor to the left of the information desk.Hours of Operation: Monday – Friday, 8:00 am - 5:00 pmContact: (858) 822-6040Web Site: radonc.ucsd.eduAfter-Hours On-Call Physician: (858) 657-7000In an emergency, call 911.Radiation Oncology employs the most advanced treatments and technology available,offered in a carefully coordinated, individualized treatment program. This programconsists of three main steps:Consultation: You will meet with a physician and other members of the RadiationOncology team to discuss the best treatment options available for you and determinethe recommended course of treatment.Simulation: Computed tomography (CT) simulation is the most accurate processavailable to precisely define the treatment area, and allows a physician to design a planunique to your anatomy. The simulation will determine your proper positioning on thetreatment table, which will be used during the rest of the treatment course.Radiation Treatment: Your treatment will begin one to two weeks after thesimulation appointment. Radiotherapy treatments are usually given five days per weekfor several weeks. The total number of treatments is determined by the physician. Ateach appointment, a therapist will position you on the table exactly as you were at thetime of simulation.Important Information• Check in for your appointment at the front desk in Radiation Oncology.• Your daily treatment will be administered by a radiation therapist. Your physicianwill see you weekly throughout the course of your treatment.• Some patients change into a gown before treatment. Lockers inside the changingrooms are provided for your clothes.• For patients receiving daily treatments, please feel free to make a time request andwe will do our best to accommodate you.11

THORNTON HOSPITAL, UCSD MEDICAL CENTERLocation: 9300 Campus Point Drive La Jolla, CA 92037Directly west of Moores UCSD Cancer Center.Contact: (858) 657-7000At times, patients undergoing cancer treatment will need inpatient services or certaintests and procedures that are not available within the Moores UCSD Cancer Centerbuilding.Thornton Hospital, of UCSD Medical Center, is an affiliate of the Cancer Center.Patients needing surgery, in-patient treatment, and certain radiology procedures will betreated, for those specific medical services, at Thornton Hospital. Emergency servicesare available at Thornton Hospital and at UCSD Medical Center, Hillcrest.Important Information• Your Moores UCSD Cancer Center healthcare team will give you the informationyou need prior to your appointment, including when and where to check in.• Transport is available between Moores UCSD Cancer Center and Thornton Hospital.Your nurse will arrange your transportation, when necessary.• You are encouraged to bring a family member or friend with you to yourappointment. Please do not bring children to Thornton Hospital.• There are no specified visiting hours at Thornton Hospital. The only after-hoursentrance is through the Emergency Department.• A cafeteria, open 7:00 am – 7:00 pm, and room service are available for yourconvenience.12

PATIENT AND FAMILY SUPPORT SERVICES:PATIENT AND FAMILY EDUCATION CENTERthe science of caringPatient and Family Support Services: (858) 822-3141How Can We Help You?Patient and Family Support Services: The Science of Caring assists patients and theirfamilies in facing the challenges of cancer. We ensure that, from your very first visit tothe Cancer Center, you will never feel alone.This uniquely integrated team of cancer experts includes social workers, psychologists,psychiatrists, palliative care specialists, and volunteers. All programs and services aretailored to the needs of our patients, their families, and the community and arescientifically evaluated to ensure that they enhance medical treatment, maximizecoping, and improve quality of life.• Each healthcare team includes a social worker who will remain a key part of yourhealthcare team from diagnosis through treatment.• Early on in your treatment, you will complete the How Can We Help You and YourFamily? questionnaire that quickly communicates concerns and problems to yourhealthcare team, allowing us to respond quickly to your needs.• We offer supportive and therapeutic groups for patients and their families, such asgeneral groups, groups by cancer type, stress-management groups (including yoga andmeditation), creativity groups, and educational workshops. Most of these programsare at no cost to you. Look for our monthly Calendar of Activities in the CancerCenter lobby or online: cancer.ucsd.edu/wecare.• Individual, couples, and family counseling, as well as medication evaluation andmanagement, are readily available to help you cope with the psychologicalchallenges of cancer.• Find the most up-to-date information about your illness and community resourcesat our Patient and Family Education Center, located on the first floor of the CancerCenter.13

Patient and Family Education CenterLocation: On the 1st floor, in the hallway just to the left of thelobby elevators, room #1066.Hours of Operation: Open daily; hours vary.Contact: (858) 822-6152The Patient and Family Education Center offers:• The most up-to-date cancer information for patients, families, and the community.• Informative brochures, videos, and books (in English and Spanish) to help youlearn about your cancer diagnosis, treatment options, managing symptoms and sideeffects, clinical trials, nutrition, coping, caregiving, and self-care.• Computers with internet access to the most comprehensive and credible web sitesfor cancer information and community resources.• Various comfort items such as lap blankets, pillows, hats, and wigs.• Trained volunteer staff, many of them cancer survivors.Helpful Resources to Get You Started:• San Diego Cancer Navigator (English or Spanish)www.cancernavigator.org(866) 324-2628• American Cancer Society (multiple languages)www.acs.org(800) 227-2345• National Cancer Institute (English or Spanish)www.cancer.gov(800) 422-6237• Cancer Legal Resource Center (English or Spanish)www.disabilityrightslegalcenter.org(866) 843-257214

DORIS A. HOWELL CONSULT SERVICE:NUTRITION SERVICESCOMPASSIONATE EXPERTISE FOR SERIOUS ILLNESSFor referral, please speak with a member of your healthcareteam or call: (858) 534-7079The Doris A. Howell Service is a specialized team consisting of a physician, nursepractitioner, pharmacist, and social worker. The focus of this consult service is toenhance care and quality of life for patients with serious, complex illness, and theirfamilies.When treating patients, the team takes into account each individual’s physical symptoms,emotions, practical daily lives, values, sense of meaning, and family system.Working closely with patients and their families, and in conjunction with the primaryhealthcare team, the Howell Service can help:• manage pain and other symptoms• educate patients about non-drug options for pain management, includingmeditation, hypnosis, and behavioral therapy• clarify goals of care• make plans for the future• transition patients from the hospital to their home or another setting• provide counseling and caregiver support• inform patients about clinical trials15

NUTRITION SERVICESInformation and Registration: (858) 822-2236healthyeating.ucsd.eduClinical Dietician Appointment Scheduling: (619) 471-0420The Healing Foods Kitchen: The Healing Foods Kitchen offers cookingclasses that teach participants how to prepare easy and healthy recipes using foodsthat promote health and help fight disease. Classes include demonstration, discussionabout ingredients and cooking methods, tasting, recipes, and educational hand-outs.Class topics change every month. Registration is required by telephone or online.Monthly Nutrition Lectures: Monthly Nutrition Lectures are offered on twotopics: “Fighting Cancer with Your Fork” provides an overview of nourishing foodsessential for health and healing, and tips on how to incorporate these easily into yourlife; and “Nutrition During Cancer Treatment” focuses on managing treatment-relatednutrition and digestion challenges. These classes are free of charge.UCSD Healthy Eating Telephone Support Program: UCSD HealthyEating Telephone Support Program offers personalized coaching and support designedto help you adopt a diet that will promote health and fight disease. This program isfocused on long-term dietary behavior change and is particularly for patients who havecompleted initial therapy. It includes a dietary analysis and consultation, personalizedone-on-one telephone counseling, educational materials, self-monitoring tools, andrecipes. This program has a fee.Consultation with a Clinical Dietician: Consultation with a clinicaldietician is available for patients undergoing treatment and experiencing dietarychallenges including loss of appetite, nausea, difficulty swallowing, constipation,fatigue, and significant weight loss. There is a fee for consultation however manyinsurance plans reimburse for this service. A physician referral is required prior toscheduling an appointment.16

BLOOD AND marrow transplant CLINICAL PROGRAM TRIALS OFFICE (BMT)Hours of Operation: Monday – Friday, 8:00 am - 5:00 pmContact: (858) 822-5354What Is a Clinical Trial?A clinical trial is a research study that tests new treatments for people with cancer.The goal is to find better ways to prevent cancer, treat cancer, and care for cancerpatients. Clinical trials test various types of treatments such as new drugs, newsurgeries or types of radiation therapy, new combinations of treatments, or newmethods such as gene therapy.Who Can Participate?To help protect patients and produce sound scientific results, clinical trial research iscarried out within strict scientific and ethical principles. Each study describes theeligibility criteria (characteristics such as type and stage of cancer, age, and gender)that all patients must have in order to protect patient safety and ensure reliable results.The Moores UCSD Cancer Center has more than 100 study protocols active at any time.Ask your doctor if a clinical trial is right for you.What Are the Benefits?• Clinical trials offer high-quality cancer care and may allow you access to the newesttreatments not yet available to the public.• An interdisciplinary healthcare team will follow your progress very closely.• Participation in a clinical trial allows you to help others by improving cancertreatment.Important Information• You have the right to informed consent, which means that you must be given all thefacts about the study before you agree to participate.• If you are in a study and not receiving the new treatment being tested, you willstill receive the best standard treatment available. No one will be given a placebo(no treatment) when there is a treatment that exists.• Your safety is a priority.• You have the right to drop out of a clinical trial at any time.17

BLOOD AND MARROW TRANSPLANT PROGRAM (BMT)Location: Outpatient appointments: Multispecialty Clinic at MooresUCSD Cancer Center, first floor.Inpatient admissions: 3 West in Thornton Hospital.Contact: Blood and Marrow Transplant Program: (858) 822-66003 West Inpatient Unit: (858) 657-6390After-Hours On-Call Physician: (858) 657-7000In an emergency, call 911.Blood and marrow transplants (BMT) are being used to treat a growing list of diseasessuch as lymphoma and Hodgkin’s disease, acute and chronic leukemia, multiplemyeloma, myelodysplastic syndrome, breast, ovarian, and testicular cancers, sarcoma,aplastic anemia, and certain autoimmune and genetic diseases.The BMT patient receives high-dose chemotherapy and/or radiation, followed byre-introduction of the cells, with the goal to restore blood cell production and thepatient’s immune system. Two methods of transplantation are performed:Autologous: In most cases, autologous stem cell transplants are performed withstem cells that are collected from the patient’s bloodstream. These are called “peripheralstem cells” because they do not come directly from the marrow. These cells are collected,stored in a frozen state, and later thawed and given back to the patient after completionof high-dose chemotherapy.Allogeneic: Transplants use marrow from a healthy donor, usually a brother orsister who has the same tissue type. If a sibling is not available, a search of the NationalMarrow Donor Program Registry of tissue-typed volunteers can be made for a non-relateddonor. Sources of stem cells include peripheral, bone marrow, or umbilical cord blood.Important Information• For inpatient admission, report to the Admissions Office located on the 1st floor ofThornton Hospital.• For specific questions regarding your care, please contact your assigned BMT nursecoordinator during normal business hours, 8:00 am - 5:00 pm.18

procedure imaging center suiteLocation: On the 1st floor, down the hallway to the left of the lobbyelevators, past the Multispecialty Clinic.Hours of Operation: Monday – Thursday, 8:00 am - 7:00 pmFriday, 8:00 am - 5:00 pmSelect Saturdays, 8:00 am - 12:00 pmMRI: Monday – Friday, 8:00 am - 5:00 pmContact: (858) 822-6122Scheduling for mammogram, ultrasound, DEXA: (619) 534-3405MRI Scheduling: (619) 543-6148The Imaging Center is the only all-digital breast imaging facility in San Diego County,and offers services including screening, diagnostic mammography, breast ultrasound,bone densitometry (DEXA), and magnetic resonance imaging (MRI). Interventionalbreast procedures include ultrasound-guided breast biopsy, stereotactic breast biopsy,MRI-guided breast biopsy, and certain preoperative procedures.As screening and early detection are a comprehensive cancer center priority, the imagingservice is not limited to patients with a cancer diagnosis.Important Information• Check in at the front desk in the Imaging Department.• Patients must have a referral from a primary care physician or specialist.• If you have prior mammogram films at a site other than UCSD, bring them withyou or request that they be sent to the Imaging Department for comparison withyour current study.Attention: Imaging DepartmentMoores UCSD Cancer Center3855 Health Sciences Dr. #0846La Jolla, CA 92093• For mammogram appointments, refrain from using any deodorant, lotions, powders,or creams on the chest and underarm area the morning of the exam.• To avoid complications, patients undergoing breast biopsy must not be takingCoumadin or other blood thinners (aspirin, Plavix, Advil, or ibuprofen) for sevendays prior to the procedure.19

PROCEDURE SUITELocation: On the 1st floor, down the hallway to the left of the lobbyelevators, behind the Multispecialty Clinic.Hours of Operation: Monday – Friday, 8:00 am - 5:00 pmContact: (858) 822-6100After-Hours On-Call Physician: (858) 657-7000In an emergency, call 911.The Procedure Suite provides therapeutic and diagnostic procedures on an outpatientbasis that are related to:• Acute and chronic pain management• Urology• Head and neck• Other minor surgeriesImportant Information• Check in at the front desk of the Multispecialty Clinic.• You should plan on remaining in the Cancer Center for at least two hours.This time will depend on the need for lab work or other interventions.• Do not eat or drink, including water, after midnight the day of your procedure,unless otherwise directed by your physician.• Bring any materials your physician has given you.• Wear loose, comfortable clothing.• If you develop a cold, fever, or other illness before your procedure, contact yourphysician as soon as possible.• Discuss your medications with your physician, especially if you take blood thinners,heart or blood pressure medication, or aspirin.• Immediately after your procedure, you will be seen in the recovery area.Upon your discharge we will discuss in detail the care you may require at home.• Be sure to arrange for a driver to take you home after discharge.20

laboratory and phlebotomypharmacyLocation: On the 1st floor to the right of the lobby elevators, inside theInfusion Center. Proceed through the double glass doors intothe reception area.Hours of Operation: Monday – Friday, 7:30 am - 5:00 pmContact: (858) 822-6296The Laboratory is part of the UCSD Clinical Laboratory and offers:• Phlebotomy (blood drawing)• CBC testing (complete blood count)• Bone marrow and fine-needle aspiration assistanceImportant Information• Check in at the front desk in the Infusion Center.• To avoid delays, verify with your doctor or nurse that you have properly filled out alaboratory service request form prior to your visit.• Some tests require that you fast (do not eat) prior to a blood draw. Always check withyour ordering doctor or nurse to determine if this is necessary prior to your visit.• While lab tests need to be requested by your physician, you do not need a specificappointment time for phlebotomy labs. Walk-ins are accepted.• If you have a central venous access device, such as a portacath or PICC line, blooddraws will be done in the Infusion Center, and require an appointment time.21

PHARMACYLocation: On the 1st floor to the right of the lobby elevators,just before the Infusion Center.Hours of Operation: Monday – Friday, 9:00 am - 5:00 pmContact: (858) 822-6088Refills: (619) 543-6191Online Refills: pharm-refill.ucsd.eduThe Pharmacy includes three specialty areas: Retail/Outpatient, Infusion, andInvestigational Drug Services.Retail/Outpatient Pharmacy: This pharmacy provides outpatient prescriptionfillingservices, counseling, and insurance billing for patients. Clinic and infusion patientsmay choose to fill their prescriptions at this location.Infusion Pharmacy: This pharmacy provides medications for all patient careareas located within the Cancer Center using Pyxis MedStations, an automatedmedication management system that guarantees correct medication and dosage forevery patient. There is also a state-of-the-art sterile compounding clean room in whichall patient parenteral medications (i.e., chemotherapy) are prepared, safety checked,and monitored.Investigational Drug Services: This area offers a series of services toinvestigators who are conducting clinical research: assists in executing the scientific,clinical, and administrative function of research, as well as preparing and dispensinginvestigational medications that are not available through retail pharmacies.22

patient rights and responsibilitiesbillingHours of Operation: Monday – Friday, 8:00 am - 4:30 pmContact: Medical Group Billing Office: (800) 873-9057Medical Center Billing Office: (619) 543-3000Please Note: The above contact numbers will only be able to help you withquestions regarding your bill and statements. Please contactyour insurance company directly for insurance coverage,verification, and copayment information.Medical care at the UCSD Medical Center frequently involves two charge components:a professional fee (the physician) and the facility fee (services, pharmacy, procedures,lab, and hospital). The UCSD Medical Group bills for the physician component, whilethe UCSD Medical Center bills for the facility component. Therefore, you may receivetwo billing statements regarding the same services rendered.Important Information• When you check in at the main lobby Information Desk, let the receptionist knowabout any changes in insurance coverage since your last visit or changes in youraddress or phone number(s).• All copayments are due at the time of service.• Questions about your account with the Moores UCSD Cancer Center should bedirected to the Medical Center Billing Office.• You are responsible for any portion of your medical fees not covered by insurance.Please check your insurance policy, coverage, benefits, and copayment responsibilitywith your health plan prior to your appointment. The customer service number islocated on the back of your insurance card.• If you are having difficulty paying for treatment, please contact the patient servicerepresentative for assistance: (858) 822-6177.23

PATIENT RIGHTS AND RESPONSIBILITIESThe physicians and staff at the Moores UCSD Cancer Center are committed to providinghigh-quality, compassionate care to all patients. As a patient, you have certain rightsregarding your medical care. These include:• The right to receive considerate and respectful care that values you as a uniqueindividual who holds personal values, cultural, religious, and spiritual traditions,and personal abilities and preferences.• The right to be informed concerning your condition, treatment options and possibleoutcomes, and the names of persons delivering your care. As appropriate, this alsoapplies to your family or other caregivers.• The right to make choices by participating in care decisions: accepting or refusingtreatment; making advance directives; identifying your healthcare agent; andaccepting or declining participation in research.• The right to personal privacy in the receipt of your care, and confidentiality in themanagement of your protected medical information and communications.You also have certain responsibilities to your healthcare providers. These include:• Respect and consideration toward the rights of other patients, physicians, and staff.• Providing accurate information for your healthcare team about prior illnesses, yourpain, medications, and allergies.• Participation in your healthcare. Ask if you need more information to betterunderstand your health status or treatment options.• Clear, accurate, and updated insurance information at all visits.If you feel your needs have not been met, we encourage you to call the Patient Relations(We Listen Program) line and offer your feedback: (619) 543-5678.24

Supporting supporting the Moores moores UCSD ucsd Cancer cancer CentercenterThe Moores UCSD Cancer Center’s mission is to translate promising scientific discoveriesinto new and better options for the prevention, diagnosis, and treatment of cancer, and toprovide the best care of our patients, their families, and the community.Achieving our mission depends on support from generous friends.Your gift can make an immediate difference in the lives of cancer patients beingtreated today as well as fund research into life-saving therapies and diagnostics thatwill make a difference for countless generations to come.The Cancer Center is seeking private gifts to:• Support cutting-edge research• Purchase state-of-the-art equipment• Fund our outstanding researchers and physician scientists• Provide educational programs and materials to patients, their families, andthe community• Enrich and expand psychosocial programs and support groups for patients,their families, and the communityYou Can Make A Difference:• If you are interested in making a gift to support the Cancer Center, call: (858) 822-0175.• If you are interested in volunteer opportunities, call: (858) 822-6574.• If you have suggestions for how we can improve our services,please share your ideas with the Patient Advisory Council throughthe Your Suggestions form available at locations throughout the Cancer Centerand online: cancer.ucsd.edu/wecare/suggestions/questions.asp.

Where knowledge and imagination are changing the courseof medicine.The Moores UCSD Cancer Center is one of only 39 centers in the United States to hold aNational Cancer Institute (NCI) designation as a Comprehensive Cancer Center,the highest-ranking award to cancer centers from the federal government. As such, itis recognized as one of the top centers in the nation conducting basic, clinical, andbehavioral research and providing advanced patient care.The Cancer Center’s mission is to translate promising scientific discoveries into new andbetter options for the prevention, diagnosis, and treatment of cancer, and to provide thebest possible care and support to patients and their families.F3855 Health Sciences DriveLa Jolla, CA 92093(858) 822-6146cancer.ucsd.edu