reglab/statecodes huggingface dataset:
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 142 - Out-of-hospital Do-not-resuscitate Orders › Rule 641-142.8 - Transfer of Patients

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An attending
			 physician or attending physician assistant who is unwilling to comply with an
			 OOH DNR order or who is unwilling to comply with the provisions of Iowa Code
			 section 144A.7A shall take all
			 reasonable steps to effect the transfer of the patient to another physician or
			 physician assistant.
(2) If the
			 policies of a hospital, nursing home, home health care agency, hospice or other
			 health care organization preclude compliance with the OOH DNR order of a
			 qualified patient, the provider shall take all reasonable steps to effect the
			 transfer of the patient to an organization in which the provisions of Iowa Code
			 section 144A.7A can be carried
			 out.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 142 - Out-of-hospital Do-not-resuscitate Orders › Rule 641-142.9 - Application to Existing Orders

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An
			 OOH DNR order or similar order executed prior to September 10, 2003, is valid
			 and shall be honored in accordance with the then-applicable provisions of the
			 law.
(2) Health care providers may
			 honor an OOH DNR order or identifier from another state if it can be validated
			 and applied in a manner consistent with the OOH DNR order or identifier
			 prescribed in these rules. In cases where there is uncertainty, clarification
			 should be sought through on-line medical direction or resuscitation efforts
			 should be initiated.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
These rules establish standards for the maintenance of
				automated external defibrillators for a person or entity that owns, manages or
				is otherwise responsible for the premises on which an automated external
				defibrillator is located if the person or entity maintains the automated
				external defibrillator in accordance with Iowa Code section
				613.17.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.2 - Definition

Current through Register Vol. 47, No. 3, July 24, 2024
For the purposes of these rules, the following definition shall
				apply:
"Automated external defibrillator"
or
"AED"
means an external semiautomatic device that determines
				whether defibrillation is required.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.3 - Aed Maintenance

Current through Register Vol. 47, No. 3, July 24, 2024
The person or entity maintaining the AED shall:
(1) Ensure that the AED is maintained and
			 inspected in accordance with the manufacturer's guidelines.
(2) Maintain records of all maintenance and
			 inspections of the AED for the usable life of the device.
(3) Ensure that the AED is programmed to
			 conform to nationally accepted guidelines for treatment of cardiac arrest
			 patients.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.4 - Early Defibrillation Program

Current through Register Vol. 47, No. 3, July 24, 2024
A local board of health, community organization or city that
				receives an automated external defibrillator program grant shall:
(1) Adopt and implement a policy that ensures
			 establishment of an emergency plan of action; AED maintenance; personnel
			 competency in the use of an AED and CPR; and a method for postevent analysis
			 and staff debriefing.
(2) Designate
			 an individual who shall be responsible for the overall supervision of the early
			 defibrillation program.
(3) Submit
			 an annual report to the department indicating the number of AED uses, patient
			 outcomes and number of individuals trained.
(4) Comply with the terms and conditions of
			 the contract with the department for implementation of the program.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.5 - Review Process

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall establish a request for proposal and
				application process for eligible organizations to apply for an automated
				external defibrillator program grant. The department shall establish a process
				to review applications, which shall include receiving input from a review
				committee. The review process and review criteria shall be described in the
				request for proposals.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.10 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
These rules establish standards for the maintenance of
				automated external defibrillators for a person or entity that owns, manages or
				is otherwise responsible for the premises on which an automated external
				defibrillator is located if the person or entity maintains the automated
				external defibrillator in accordance with Iowa Code section
				613.17
				as amended by 2008 Iowa Acts, Senate File 505.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.11 - Definition

Current through Register Vol. 47, No. 3, July 24, 2024
For the purposes of these rules, the following definition shall
				apply:
"Automated external defibrillator"
or
"AED"
means an external semiautomatic device that determines
				whether defibrillation is required.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.12 - Aed Maintenance

Current through Register Vol. 47, No. 3, July 24, 2024
The person or entity maintaining the AED shall:
(1) Ensure that the AED is maintained and
			 inspected in accordance with the manufacturer's guidelines.
(2) Maintain records of all maintenance and
			 inspections of the AED for the usable life of the device.
(3) Ensure that the AED is programmed to
			 conform to nationally accepted guidelines for treatment of cardiac arrest
			 patients.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.16 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of these rules is to allow a local fire department
				that is not authorized as an EMS service program and that has an AED to respond
				to cardiac arrest events in the department's community. These rules are
				intended to enhance and supplement the local EMS system with nontraditional
				early defibrillation programs.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.17 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions shall
				apply:
"Automated external defibrillator"
or
"AED"
means an external semiautomatic device that determines
				whether defibrillation is required.
"CPR "
means training and successful course
				completion in cardiopulmonary resuscitation, AED, and obstructed airway
				procedures for all age groups according to recognized national
				standards.
"Emergency medical care provider "
means an
				individual who has been trained to provide emergency and nonemergency medical
				care at the first responder, EMT-basic, EMT-intermediate, EMT-paramedic,
				paramedic specialist or other certification levels recognized by the department
				before 1984 and who has been issued a certificate by the department.
"Local fire department"
means a paid,
				volunteer, or combination fire protection service provided by a benefited fire
				district under Iowa Code chapter 357B or by a county, mimicipality or township
				or a private corporate organization that has a valid contract to provide fire
				protection service for a benefited fire district, county, mimicipality,
				township or governmental agency. "Local fire department" does not include a
				military or private industrial fire department or an authorized Iowa EMS
				service.
"Service program"
or
"service"
means any medical care ambulance service or nontransport service that has
				received authorization by the department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 143 - Automated External Defibrillator Maintenance › Rule 641-143.18 - Local Fire Department Aed Service Registration

Current through Register Vol. 47, No. 3, July 24, 2024
A local fire department that desires to allow its firefighters
				to use an AED may register with the department to provide AED coverage.
(1)
Training requirements.
Local fire department personnel wishing to provide AED coverage shall have
			 current course completion in CPR.
(2)
Local fire department AED
			 service
-
registration, guidelines, and standards.
A
			 local fire department may register with the department to provide AED coverage.
			 Local fire departments seeking registration with the department shall:
a. Complete the department's AED service
			 registration form initially and every five years thereafter
b. Provide an AED liaison to be responsible
			 for supervision of the AED service.
c. Ensure that the AED is maintained and
			 inspected in accordance with rule
			 641-143.12
			 (135).
d. Maintain records of all
			 maintenance and inspections of the AED for the usable life of the
			 device.
e. Ensure that the fire
			 department's AED providers maintain AED and CPR skill competency.
f. Identify which authorized Iowa ambulance
			 service program(s) will provide patient transportation.
g. Ensure that emergency medical care is
			 limited to CPR and AED.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 144 - Emergency Medical Services-air Medical Service Program Authorization › Rule 641-144.2 - Authority of Emergency Medical Care Provider

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An emergency medical care provider who
			 holds an active certification issued by the department may:
a. Render via on-line medical direction
			 emergency and nonemergency medical care in those areas for which the emergency
			 medical care provider is certified, as part of an authorized service program:
(1) At the scene of an emergency;
(2) During transportation to a
			 hospital;
(3) While in the hospital
			 emergency department;
(4) Until
			 patient care is directly assumed by a physician or by authorized hospital
			 personnel; and
(5) During transfer
			 from one entity where health care is normally provided to another
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 144 - Emergency Medical Services-air Medical Service Program Authorization › Rule 641-144.4 - Service Program Levels of Care and Staffing Standards

Current through Register Vol. 47, No. 3, July 24, 2024
(1) An air ambulance service program seeking
			 authorization shall:
a. Apply for
			 authorization at the following levels:
(1)
			 EMT-Basic.
(2) Paramedic
			 specialist.
(3) Critical care
			 transport.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 144 - Emergency Medical Services-air Medical Service Program Authorization › Rule 641-144.5 - Air Ambulance Service Program-off-line Medical Direction

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The medical
			 director shall be responsible for providing appropriate medical direction and
			 overall supervision of the medical aspects of the service program and shall
			 ensure that those duties and responsibilities are not relinquished before a new
			 or temporary replacement is functioning in that capacity.
(2) The medical director's duties include,
			 but need not be limited to:
a. Developing,
			 approving and updating protocols to be used by service program personnel that
			 meet or exceed the minimum standard protocols developed by the
			 department.
b. Developing and
			 maintaining liaisons between the service, other physicians, physician
			 designees, hospitals, and the medical community served by the service
			 program.
c. Monitoring and
			 evaluating the activities of the service program and individual personnel
			 performance, including establishment of measurable outcomes that reflect the
			 goals and standards of the EMS system.
d. Assessing the continuing education needs
			 of the service and individual service program personnel and assisting them in
			 the planning of appropriate continuing education programs.
e. Being available for individual evaluation
			 and consultation to service program personnel.
f. Performing or appointing a designee to
			 complete the medical audits required in subrule 144.5(4).
g. Developing and approving an applicable
			 continuous quality improvement policy to be used for all patient care
			 encounters, including an action plan and follow-up.
h. Informing the medical community of the
			 emergency medical care being provided according to approved protocols in the
			 service program area.
i. Helping to
			 resolve service operational problems.
j. Approving or removing an individual from
			 service program participation.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 144 - Emergency Medical Services-air Medical Service Program Authorization › Rule 641-144.6 - Complaints and Investigations-denial, Citation and Warning, Probation, Suspension or Revocation of Service Program Authorization or Renewal

Current through Register Vol. 47, No. 3, July 24, 2024
(1) All complaints
			 regarding the operation of authorized air medical service programs, or those
			 purporting to be or operating as the same, shall be reported to the department.
			 The address is: Iowa Department of Public Health, Bureau of Emergency Medical
			 Services, Lucas State Office Building, Des Moines, Iowa 50319-0075.
(2) Complaints and the investigative process
			 will be treated as confidential in accordance with Iowa Code section
			 22.7 and chapter
			 272C.
(3) Air ambulance service
			 program authorization may be denied or a program may be disciplined as provided
			 in subrule 144.6(4) by the department in accordance with Iowa Code subsections
			 147A.5(3)
			  and
			 272C.3(2)
			  for any of the following reasons:
a. Knowingly allowing the falsifying of a
			 patient care report (PCR).
b.
			 Failure to submit required reports and documents.
c. Delegating professional responsibility to
			 a person when the service program knows that the person is not qualified by
			 training, education, experience or certification to perform the required
			 duties.
d. Practicing, condoning,
			 or facilitating discrimination against a patient, student or employee based on
			 race, ethnicity, national origin, color, sex, sexual orientation, age, marital
			 status, political belief, religion, mental or physical disability diagnosis, or
			 social or economic status.
e.
			 Knowingly allowing sexual harassment of a patient, student or employee. Sexual
			 harassment includes sexual advances, sexual solicitations, requests for sexual
			 favors, and other verbal or physical conduct of a sexual nature.
f. Failure or repeated failure of the
			 applicant or alleged violator to meet the requirements or standards established
			 pursuant to Iowa Code chapter 147A or the rules adopted pursuant to that
			 chapter.
g. Obtaining or attempting
			 to obtain or renew or retain service program authorization by fraudulent means
			 or misrepresentation or by submitting false information.
h. Engaging in conduct detrimental to the
			 well-being or safety of the patients receiving or who may be receiving
			 emergency medical care.
i. Failure
			 to correct a deficiency within the time frame required by the
			 department.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 144 - Emergency Medical Services-air Medical Service Program Authorization › Rule 641-144.7 - Temporary Waivers

Current through Register Vol. 47, No. 3, July 24, 2024
(1) If during a
			 period of authorization there is some occurrence that temporarily causes a
			 service program to be in noncompliance with these rules, the department may
			 grant a temporary waiver. Temporary waivers from these rules (not to exceed six
			 months in length per any approved request) may be granted by the department to
			 a currently authorized service program. Requests for temporary waivers shall
			 apply only to the service program requesting the temporary waiver and shall
			 apply only to those requirements and standards for which the department is
			 responsible.
(2) To request a
			 waiver, the service program shall:
a. Notify
			 the department verbally (as soon as possible) of the need to request a
			 temporary waiver. Submit to the department, within ten days after having given
			 verbal notification to the department, a written explanation for the temporary
			 waiver request. The address and telephone number are Iowa Department of Public
			 Health, Bureau of Emergency Medical Services, Lucas State Office Building, Des
			 Moines, Iowa 50319-0075; (515)725-0326.
b. Cite the rule from which the temporary
			 waiver is requested.
c. State why
			 compliance with the rule cannot be maintained.
d. Explain the alternative arrangements that
			 have been or will be made regarding the temporary waiver request.
e. Estimate the period of time for which the
			 temporary waiver will be needed.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 144 - Emergency Medical Services-air Medical Service Program Authorization › Rule 641-144.8 - Transport Options for Air Medical Services

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Upon responding to an emergency call, air
			 medical services may make a determination at the scene as to whether air
			 medical transportation is needed. The determination shall be made by a medical
			 crew member and shall be based upon protocol and concurrence of medical control
			 approved by the service program's medical director When the medical crew member
			 applies this protocol to determine the appropriate transport option, the
			 following criteria, as a minimum, shall be used:
a. Primary assessment;
b. Focused history and physical
			 examination;
c. Chief
			 complaint;
d. Name, address and age
			 of the individual in need of emergency assistance; and
e. Nature of the call for
			 assistance.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 145 - Iowa Physician Orders for Scope of Treatment › Rule 641-145.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
For the purpose of these rules, the following definitions
				shall apply:
"Advanced registered nurse practitioner"
means
				an advanced registered nurse practitioner licensed pursuant to Iowa Code
				chapter 152 or 152E.
"Department"
means the department of public
				health.
"Director "
means the director of the
				department of public health.
"Emergency medical care provider "
means
				emergency medical care provider as defined in Iowa Code section
				147A.1.
"Health care facility"
means health care
				facility as defined in Iowa Code section
				135C.1, ahospice
				program as defined in Iowa Code section
				135J.1, an elder
				group home as defined in Iowa Code section
				231B.1, and an
				assisted living program as defined in Iowa Code section
				231C.2.
"Health care provider"
means an individual,
				including an emergency medical care provider and an individual providing home-
				and community-based services, and including a home health agency, licensed,
				certified, or otherwise authorized or permitted by the law of this state to
				administer health care in the ordinary course of business or in the practice of
				a profession.
"Home health agency"
means home health agency
				as defined in 42 CFR Part 484.
"Hospital"
means hospital as defined in Iowa
				Code section
				135B.1.
"Legal representative"
means an individual
				authorized to execute a POST form on behalf of a patient who is not competent
				to do so, in the order of priority set out in Iowa Code section
				144A.7,
				subsection 1, and guided by the express or implied intentions of the patient
				or, if such intentions are unknown, by the patient's best interests given the
				patient's overall medical condition and prognosis.
"Patient"
means an individual who is frail and
				elderly or who has a chronic, critical medical condition or a terminal illness
				and for which a physician orders for scope of treatment is consistent with the
				individual's goals of care.
"Physician "
means a person licensed to
				practice medicine and surgery or osteopathic medicine and surgery in this
				state.
"Physician assistant"
means a person licensed
				as a physician assistant under Iowa Code chapter 148C.
"Physician orders for scope of treatment form"
or
"POST form"
means a document containing medical orders which
				may be relied upon across medical settings that consolidates and summarizes a
				patient's preferences for life-sustaining treatments and interventions and acts
				as a complement to and does not supersede any valid advance
				directive.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 145 - Iowa Physician Orders for Scope of Treatment › Rule 641-145.3 - Responsibilities of the Department

Current through Register Vol. 47, No. 3, July 24, 2024
(1) The department shall prescribe the
			 uniform POST form and shall post the form on the department's Web site
www.idph.iowa.gov
for public
			 availability.
(2) The POST form
			 shall be a uniform form based upon the national physician orders for
			 life-sustaining treatment (POLST) paradigm form. The form shall have all of the
			 following characteristics:
a. The form shall
			 include the patient's name and date of birth.
b. The form shall be signed and dated by the
			 patient or the patient's legal representative.
c. The form shall be signed and dated by the
			 patient's physician, advanced registered nurse practitioner, or physician
			 assistant.
d. If preparation of the
			 form was facilitated by an individual other than the patient's physician,
			 advanced registered nurse practitioner, or physician assistant, the facilitator
			 shall also sign and date the form.
e. The form shall include the patient's
			 wishes regarding the care of the patient, including but not limited to all of
			 the following:
(1) The administration of
			 cardiopulmonary resuscitation.
(2)
			 The level of medical interventions in the event of a medical
			 emergency.
(3) The use of medically
			 administered nutrition by tube.
(4)
			 The rationale for the orders.
f. The form shall be easily distinguishable
			 to facilitate recognition by health care providers, hospitals, and health care
			 facilities.
g. An incomplete
			 section on the form shall imply the patient's wishes for full treatment for the
			 type of treatment addressed in that section.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 146 - Stroke Care Reporting › Rule 641-146.1 - Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of this chapter is to identify the statewide stroke
				database where nationally certified comprehensive stroke centers and nationally
				certified primary stroke centers in the state are required to report stroke
				care data in accordance with Iowa Code chapter 135.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 146 - Stroke Care Reporting › Rule 641-146.2 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
"Comprehensive stroke center"
means a hospital
				certified as a comprehensive stroke center by a nationally recognized
				certifying body with certification criteria consistent with the most current
				nationally recognized, evidence-based stroke guidelines related to reducing the
				occurrence of and disabilities and death associated with stroke.
"Department"
means the Iowa department of
				public health.
"Primary stroke center"
means a hospital
				certified as a primary stroke center by a nationally recognized certifying body
				with certification criteria consistent with the most current nationally
				recognized, evidence-based stroke guidelines related to reducing the occurrence
				of and disabilities and death associated with stroke.
"Stroke"
means a clinical diagnosis of acute
				stroke or principal International Classification of Disease, 10th Revision,
				Clinical Modification (ICD-10-CM) discharge code of "stroke," or "transient
				ischemic attack," or "cerebral infarction," or "cerebral hemorrhage."
"Stroke care"
means care provided to
				individuals with confirmed cases of stroke.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 146 - Stroke Care Reporting › Rule 641-146.3 - Stroke Care Reporting

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Iowa statewide stroke database.
The department designates the
			 Get with the Guidelines stroke module of the American Heart
			 Association/American Stroke Association as the Iowa stroke database established
			 in Iowa Code section
			 135.191.
(2)
Who is required to
			 report.
All nationally certified comprehensive stroke centers and all
			 nationally certified primary stroke centers operating in the state of Iowa are
			 required to report stroke data. Nationally certified acute stroke-ready
			 hospitals and emergency medical services operating in the state of Iowa are
			 encouraged to report stroke care data.
(3)
What is required to be
			 reported.
Reportable data of stroke care are required to be reported.
			 Reportable data are those data identified by a clinical diagnosis of acute
			 stroke or by the following ICD-10 coding:
ICD-10-CM Code
Short Description
160.00 -160.9
Nontraumatic subarachnoid hemorrhage
161.0-161.9
Nontraumatic intracerebral hemorrhage
163.00 -163.9
Cerebral infarction (occlusion and stenosis of cerebral
						  and precerebral arteries, resulting in cerebral infarction)
G45.0 - G45.2
TIA and related syndromes
G45.8 - G45.9
TIA and related syndromes
099.411 -099.43
Diseases of the circulatory system complicating
						  pregnancy, childbirth and puerperium
G97.31 -G97.32
Intraoperative hemorrhage and hematoma of a nervous
						  system organ or structure complicating a procedure
G97.51 -G97.52
Postprocedural hemorrhage and hematoma of a nervous
						  system organ or structure following a procedure
197.810 -197.821
Intraoperative and postoperative cerebrovascular
						  infarction
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 146 - Stroke Care Reporting › Rule 641-146.4 - Method and Frequency of Reporting

Current through Register Vol. 47, No. 3, July 24, 2024
(1) Stroke centers shall report the required
			 stroke care information for any reportable stroke case no later than 120 days
			 after the patient was discharged, transferred to another hospital, or
			 pronounced dead.
(2) Reports shall
			 meet the data quality, format, and timeliness standards prescribed by the Iowa
			 statewide stroke database.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 146 - Stroke Care Reporting › Rule 641-146.6 - Penalties and Enforcement

Current through Register Vol. 47, No. 3, July 24, 2024
If a stroke center required to report under this chapter does
				not comply with the reporting requirements, the department may request a review
				of the certification of the comprehensive stroke center or the primary stroke
				center by the certifying entity.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 150 - Iowa Regionalized System of Perinatal Health Care › Rule 641-150.3 - Perinatal Guidelines Advisory Committee

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Purpose.
The director
			 shall appoint an advisory committee to consult with the department in its
			 development and maintenance of the regionalized system of perinatal health care
			 and to provide review and counsel to the statewide perinatal care
			 program.
(2)
Appointment.
Appointments to the committee shall be made by
			 the director.
a. Each appointment shall be
			 for a term of three years, commencing on July 1.
b. No member shall serve more than three
			 consecutive terms, unless this provision is waived by the director.
c. In order to ensure that one third of the
			 committee rotates each year, staggered terms shall be initiated in June. For
			 terms expiring during the calendar year, appointments and reappointments shall
			 be staggered, resulting in a committee with approximately one third of the
			 terms of membership expiring each year.
d. Members of the perinatal guidelines
			 advisory committee shall include:
(1) A
			 representative from each of the following organizations that chooses to
			 designate a nominee to the director:
1. Iowa
			 Hospital Association;
2. Iowa
			 Medical Society;
3. Iowa
			 Osteopathic Medical Association;
4.
			 Iowa Chapter, American Academy of Pediatrics;
5. Iowa Section, American Congress of
			 Obstetricians and Gynecologists;
6.
			 Iowa Academy of Family Physicians;
7. Iowa Nurses Association;
8. Iowa Association of Neonatal
			 Nurses;
9. Iowa Association of
			 Women's Health, Obstetrical and Neonatal Nurses.
(2) The director or designee of the statewide
			 perinatal care team.
(3) One
			 designated representative each from a Level I, Level II, Level III, and Level
			 IV hospital (either maternal or neonatal). Hospital representatives in this
			 category will be appointed based on recommendations made by the Iowa Hospital
			 Association to the director of the department.
(4) Representatives from the department of
			 inspections and appeals and the bureau of family health at the department, who
			 shall serve as nonvoting ex officio members of the committee.
e. Vacancies shall be filled in
			 the same manner in which the original appointments were made.
f Three consecutive unexcused absences shall
			 be grounds for the director to consider dismissal of the committee member and
			 appointment of another.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 150 - Iowa Regionalized System of Perinatal Health Care › Rule 641-150.4 - Duties of Statewide Perinatal Care Team

Current through Register Vol. 47, No. 3, July 24, 2024
The team shall:
1.
			 Promote evidence-based and evidence-informed care of pregnant women and
			 newborns.
2. Provide education and
			 consultation to regional and primary providers of perinatal care.
3. Provide chart review to assess quality of
			 care provided and additional education required.
4. Promote change in practice when needed
			 through sharing best practice ideas, policies and procedures.
5. Promote maternal-fetal transfer if
			 delivery of an at-risk infant or mother is anticipated and a higher level of
			 care is anticipated.
6. Provide
			 on-site verification to determine a hospital's ability to meet its
			 level-of-care designation. This rule is intended to implement Iowa Code section
			 135.11(27).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 150 - Iowa Regionalized System of Perinatal Health Care › Rule 641-150.5 - Duties of the Department

Current through Register Vol. 47, No. 3, July 24, 2024
The department shall:
1. Certify a hospital's capacity to provide
			 perinatal health care in accordance with criteria established under these
			 rules.
2. Provide technical
			 assistance to the hospitals that choose to participate.
3. Review the submitted levels-of-care
			 assessment tool from all participating hospitals.
4. Conduct or coordinate the on-site
			 verification of determined levels of care for maternal and neonatal care
			 hospitals designated as Level II, Level III and Level IV.
5. Facilitate all meetings of the perinatal
			 guidelines advisory committee. This rule is intended to implement Iowa Code
			 section
			 135.11(27).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 150 - Iowa Regionalized System of Perinatal Health Care › Rule 641-150.6 - Maternal and Neonatal Levels of Care-categorization and Verification

Current through Register Vol. 47, No. 3, July 24, 2024
Categorization and verification of hospitals participating in
				Iowa's regionalized system of perinatal health care shall be made by the
				department based on national recommendations from the American Academy of
				Pediatrics and the American Congress of Obstetricians and Gynecologists.
(1)
Application for initial
			 verification.
a. An application for
			 initial verification may be submitted when:
(1) A new hospital with a perinatal service
			 is opened;
(2) A hospital is
			 reopening a previously inactive obstetrical unit; or
(3) A hospital requests a change to a
			 higher-level designation in maternal care or neonatal care.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 150 - Iowa Regionalized System of Perinatal Health Care › Rule 641-150.8 - Maternal-fetal Transport-all Levels

Current through Register Vol. 47, No. 3, July 24, 2024
Matemal-fetal transport is an essential component of perinatal
				care. A hospital participating in the regionalized system of perinatal health
				care must be familiar with its own resources and capabilities in dealing with
				obstetrical and neonatal complications. In most instances, maternal-fetal
				transport is preferable to neonatal transport. Each hospital, when transporting
				or accepting a transport, needs a system in place to facilitate a smooth
				transition of care in the most expeditious manner possible. The majority of
				maternal-fetal transports can be carried out by ground transportation. It is
				important for ambulance services to be equipped for maternal-fetal transport
				and have appropriately trained staff.
This rule is intended to implement Iowa Code section
				135.11(27).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 150 - Iowa Regionalized System of Perinatal Health Care › Rule 641-150.9 - Levels of Neonatal Care

Current through Register Vol. 47, No. 3, July 24, 2024
The levels of neonatal care include basic neonatal care Level
				I, specialty care Level II, and subspecialty intensive care Level III and Level
				IV. The levels reflect the overall evidence for risk-appropriate care through
				the availability of appropriate functional criteria, physical facilities,
				medical and nursing personnel, outreach education, allied health personnel and
				services, infection control, newborn or neonatal safety, neonatal transport and
				quality improvement.
(1)
Level
			 I neonatal care hospital.
a.
Provider of basic neonatal care.
A Level I neonatal care
			 hospital provides a basic level of care to neonates without complications. A
			 Level I neonatal care hospital has the following capabilities:
(1) To provide neonatal resuscitation at
			 every delivery.
(2) To evaluate and
			 provide postnatal care to stable term newborn infants.
(3) To stabilize and provide care for infants
			 born at 35 to 37 weeks' gestation who remain physiologically stable.
(4) To stabilize newborn infants who are ill
			 and those born at less than 35 weeks' gestation until transfer to a higher
			 level of care.
(5) To provide
			 leadership in early risk identification before and after birth.
(6) To seek consultation or referral for
			 high-risk neonates.
(7) To provide
			 public and professional education.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 150 - Iowa Regionalized System of Perinatal Health Care › Rule 641-150.11 - Prohibited Acts

Current through Register Vol. 47, No. 3, July 24, 2024
A hospital that imparts or conveys, or causes to be imparted or
				conveyed, that it is a participating hospital in Iowa's regionalized system of
				perinatal health care, or that uses any other term, such as a designated level
				of care, to indicate or imply that the hospital is a participating hospital in
				the regionalized system of perinatal health care without having obtained a
				certificate of verification from the department is subject to licensure
				disciplinary action by the department of inspections and appeals, as well as to
				the application by the director to the district court for a writ of injunction
				to restrain the use of the term or terms "Level I maternal care or neonatal
				care hospital," "Level II maternal care or neonatal care hospital," "Level III
				maternal care or neonatal care hospital" and "Level IV maternal care or
				neonatal care hospital" in relation to the provision of perinatal health care
				services.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 151 - Tobacco Use Prevention and Control Community Partnership Initiative › Rule 641-151.1 - Scope

Current through Register Vol. 47, No. 3, July 24, 2024
These rules apply to community partnerships established under
				Iowa Code chapter 142A as part of a comprehensive tobacco use prevention and
				control initiative to reduce tobacco use by youth and pregnant women, to
				promote compliance by minors and retailers with tobacco sales laws and
				ordinances, to enhance the capacity of youth to make healthy choices and to
				foster a social and legal climate in which tobacco use becomes undesirable and
				unacceptable.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 151 - Tobacco Use Prevention and Control Community Partnership Initiative › Rule 641-151.2 - Community Partnership Areas

Current through Register Vol. 47, No. 3, July 24, 2024
It is the goal of the commission on tobacco use prevention and
				control that the entire state be divided into multiple community partnership
				areas, so that all portions of the state are included in a comminitypartnership
				area and no portion of the state is without the services of a community
				partnership. Toward this goal, the commission will encourage formation of
				community partnership areas that incorporate surrounding comminities in a
				manner that does not isolate any geographic region of the state, and encourages
				optimal use of resources. In addition to the requirements of Iowa Code section
				142A.8(1),
				a community partnership area:
(1)
			 Shall be composed of one or more counties, school districts, economic
			 development enterprise zones, or community empowerment areas.
(2) Shall follow existing boundaries of one
			 or more counties, school districts, economic development enterprise zones, or
			 community empowerment areas.
(3)
			 Shall serve a population of at least 4,000, including a minimum school-age
			 population of 500.
(4) Shall serve
			 a minimum geographic area of one county.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 151 - Tobacco Use Prevention and Control Community Partnership Initiative › Rule 641-151.3 - Community Partnerships

Current through Register Vol. 47, No. 3, July 24, 2024
A community partnership is a public agency or nonprofit
				organization which utilizes broad community involvement and represents a broad
				coalition of community groups, organizations, and interests. Community
				partnerships shall promote a wide range of activities that discourage tobacco
				use and support smoke-free environments. Some of these activities include
				developing coalitions with local organizations, conducting educational programs
				and encouraging policies that support tobacco use prevention and
				cessation.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 151 - Tobacco Use Prevention and Control Community Partnership Initiative › Rule 641-151.4 - Application Requirements for Community Partnerships

Current through Register Vol. 47, No. 3, July 24, 2024
In order to qualify for funding through the tobacco use
				prevention and control program, a public agency or nonprofit organization
				seeking to be designated as a community partnership must apply to, and be
				approved by, the department of public health. Only one application per
				community partnership will be accepted. An application must provide the
				following information:
(1) A
			 description of the community partnership area to be served by the community
			 partnership, including:
a. The geographic
			 boundaries of the area;
b.
			 Population, including both general population and school-age population, of the
			 area;
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 151 - Tobacco Use Prevention and Control Community Partnership Initiative › Rule 641-151.5 - Performance Indicators

Current through Register Vol. 47, No. 3, July 24, 2024
Periodic reports shall be submitted to the department by the
				community partnerships. These required reports shall be based on the degree to
				which the partnerships have achieved goals set out in the application and shall
				include information such as how many events/meetings were held and how many
				participants were in attendance.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 151 - Tobacco Use Prevention and Control Community Partnership Initiative › Rule 641-151.6 - Application Deadline

Current through Register Vol. 47, No. 3, July 24, 2024
An applicant seeking to be approved as a community partnership
				for distribution of funds during the current fiscal year may apply once the
				RFA/RFP has been posted.
(1) Rescinded
			 IAB 12/11/2013, effective 1/15/2014.
(2) Any change in the geographic boundaries
			 of a community partnership area after a community partnership has been approved
			 must be submitted to the tobacco use prevention and control division as a
			 request to amend the application. The request shall describe the boundary
			 change, explain the reason for the boundary change and describe any impact the
			 boundary change will have on the information provided in response to rule
			 641-151.4
			 (142A).
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 151 - Tobacco Use Prevention and Control Community Partnership Initiative › Rule 641-151.8 - Gifts

Current through Register Vol. 47, No. 3, July 24, 2024
The commission shall solicit and accept gifts of money or
				services or property from governmental or private sources for use in support of
				the comprehensive tobacco use prevention and control initiative.
(1) The commission shall not accept gifts of
			 money or services or property from a manufacturer of tobacco products.
a. A gift means a rendering of anything of
			 value in return for which legal consideration of equal or greater value is not
			 given and received. A gift does not include funds deposited by any manufacturer
			 of tobacco products into the tobacco settlement fund.
b. A manufacturer of tobacco products means
			 every person who ships cigarettes or other tobacco products as defined in Iowa
			 Code section 453 A. 1 into this state from outside the state.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 152 - Tobacco Use Prevention and Control Funding Process › Rule 641-152.1 - Scope and Purpose

Current through Register Vol. 47, No. 3, July 24, 2024
In addition to funding community partnerships in accordance
				with 641-Chapter 151, it is the goal of the commission on tobacco use
				prevention and control to provide funding for other programs for the purpose of
				achieving the goals of the initiative as defined in 2000 Iowa Acts, House File
				2565. Toward this end, the commission intends to provide funding on a
				competitive basis for school programs; a media, marketing, and communications
				program; and a cessation program for pregnant women.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 152 - Tobacco Use Prevention and Control Funding Process › Rule 641-152.2 - Funding

Current through Register Vol. 47, No. 3, July 24, 2024
(1) In addition to
			 other requests for proposals necessary to implement the initiative, the
			 commission shall issue a request for proposal (RFP) for the youth program, the
			 media, marketing and communications program, and the cessation program for
			 pregnant women. The RFP for each program shall include the amount of funding
			 available, the project period, the services to be delivered, performance
			 measures, application due date and other relevant time frames, a description of
			 the review process, the review criteria to be used, expected contract terms,
			 and a reference to the appeal process in the event an application is
			 denied.
(2) Applications submitted
			 in accordance with these rules shall be evaluated in accordance with the review
			 process described in the RFP. The administrator of the division of tobacco use
			 prevention and control shall make the final determination regarding funding and
			 shall notify all applicants regarding funding decisions by restricted certified
			 mail, return receipt requested.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 153 - Smokefree Air › Rule 641-153.1 - Purpose and Scope

Current through Register Vol. 47, No. 3, July 24, 2024
The purpose of these rules is to implement Iowa's Smokefree Air
				Act, enacted to reduce the level of exposure by the general public and
				employees to environmental tobacco smoke in order to improve the public health
				of lowans. These rules apply to public places, places of employment, and
				certain outdoor areas in the state.
Iowa Administrative Code › Agency 641 - Public Health Department › Chapter 153 - Smokefree Air › Rule 641-153.3 - Prohibition of Smoking

Current through Register Vol. 47, No. 3, July 24, 2024
(1)
Public places, places of employment.
Smoking is prohibited and
			 a person shall not smoke in either of the following areas:
a. Public places, as defined in 2008 Iowa
			 Acts, House File 2212.
b. All
			 enclosed areas within places of employment including but not limited to work
			 areas, private offices, conference and meeting rooms, classrooms, auditoriums,
			 employee lounges and cafeterias, hallways, medical facilities, restrooms,
			 elevators, stairways and stairwells, and vehicles owned, leased, or provided by
			 the employer imless otherwise provided under these rules and 2008 Iowa Acts,
			 House File 2212.