Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 150 - Iowa Regionalized System of Perinatal Health Care › Rule 641-150.2 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions
				shall apply:
"Categorization"
means a preliminary
				determination by the department that a hospital is capable of providing
				maternal care and neonatal care at Level I, Level II, Level III, or Level
				IV.
"Certificate ofverification"
means a document
				awarded by the department that identifies a hospital's level of maternal care
				and neonatal care at Level I, Level II, Level III, or Level IV and the term of
				verification at that level.
"Department"
means the Iowa department of
				public health.
"Director"
means the director of the Iowa
				department of public health.
"Hospital"
means a facility licensed under
				Iowa Code chapter 135B.
"Late preterm"
means that a newborn infant is
				born between 34 0/7 and 36 6/7 weeks' gestation.
"Levels-of-care assessment tool"
or
"tool"
means a tool to assess the maternal and neonatal
				risk-appropriate care, using the minimum information necessary to identify a
				hospital's maternal level of care based on criteria by the American Congress of
				Obstetricians and Gynecologists/Society for Maternal-Fetal Medicine and a
				hospital's neonatal level of care based on criteria by the American Academy of
				Pediatrics. The tool will be chosen by the department in consultation with the
				perinatal guidelines advisory committee.
"Neonate"
means a newborn infant, up to 28
				days of life.
"On-site verification survey"
means an on-site
				survey conducted by the department's statewide perinatal care team based at the
				University of Iowa hospitals and clinics or by a survey team of members
				(medical experts) contracted to assess a hospital's ability to meet the level
				of designation selected by the hospital.
"Perinatal"
means the five months before and
				one month after birth.
"Perinatal center"
means a medical facility
				capable of providing complex obstetric, fetal and neonatal care.
"Perinatal guidelines advisory committee"
means the committee that provides consultation to the department regarding
				these rules for the regionalized system of perinatal health care, reviews and
				updates Guidelines for Perinatal Services and provides review and counsel to
				the statewide perinatal care program.
"Prenatal"
means during pregnancy.
"Readily available"
means on site or at a
				closely related institution by prearranged consultative agreement.
"Regionalized system of perinatal health care"
means the department's program for designating regional perinatal health care
				services at a verified level of care, based on a hospital's functional
				capabilities. Levels of care designations are stratified in an increasing order
				of intensity and complexity for both maternal health care and neonatal health
				care.
"Regionalized system of perinatal health care
				coordinator"
means the department's program manager for the
				regionalized system of perinatal health care.
"Respiratory distress"
means tachypnea
				(respiratory rate of 60 or more per minute), grunting, tugging, retracting,
				nasal flaring, or cyanosis. Any or all of these may constitute respiratory
				distress in a neonate.
"Reverification"
means the process of periodic
				review, conducted at least every three years, to certify that a hospital has
				maintained its designated level of care in accordance with criteria established
				under these rules for hospitals that are participating in the regionalized
				system of perinatal health care.
"Statewide perinatal care program"
means a
				program consisting of the regionalized system of perinatal health care
				coordinator, the statewide perinatal care team contracted by the department,
				and the regionalized system of perinatal health care as defined in these
				rules.
"Statewide perinatal care team"
means the
				educational team based at the University of Iowa hospitals and clinics and
				contracted by the department to support the regionalized system of perinatal
				health care and to provide services to decrease perinatal morbidity and
				mortality.
"Verification"
means a process by which the
				department certifies a hospital's capacity to provide perinatal care in
				accordance with criteria established under these rules for hospitals that are
				participating in the regionalized system of perinatal health
				care.