Iowa Administrative Code › Agency 481 - Inspections and Appeals Department › Inspections Division › Chapter 51 - Hospitals › Rule 481-51.1 - Definitions

Current through Register Vol. 47, No. 3, July 24, 2024
As used in this chapter, unless the context otherwise
				  requires, the following definitions apply:
"Critical access hospital"
means any
				  hospital located in a rural area and certified by the Iowa department of health
				  and human services as being a necessary provider of health care services to
				  residents of the area. A "critical access hospital" makes available 24-hour
				  emergency care, is a designated provider in a rural health network, and meets
				  the criteria specified pursuant to rule
				  481-51.27 (135B).
"Governing board"
means the board of
				  trustees, the owner, or person(s) designated by the owner as the governing
				  authority. The governing board has supreme authority in the hospital and is
				  responsible for the management, control, and appointment of the medical
				  staff.
"Hospital"
or
"general
				  hospital"
means an institution, place, building, or agency represented
				  and held out to the general public as ready, willing and able to furnish care,
				  accommodations, facilities and equipment for the diagnosis or treatment, over a
				  period exceeding 24 hours, of two or more nonrelated individuals suffering from
				  illness, injury, infirmity or deformity, or other physical or mental condition
				  for which medical, surgical and obstetrical care services are provided.
"Long-term acute care hospital"
means any
				  hospital that has an average inpatient length of stay greater than 25 days and
				  that provides extended medical and rehabilitative care for patients who are
				  clinically complex and who may suffer from multiple acute or chronic
				  conditions. Services provided by a long-term acute care hospital include but
				  are not limited to comprehensive rehabilitation, respiratory therapy, head
				  trauma treatment, and pain management.
"Medical staff"
means an organized body that
				  is composed of individuals appointed by the hospital governing board, that
				  operates under bylaws approved by the governing board and that is responsible
				  for the quality of medical care provided to patients by the hospital. All
				  members of the medical staff, one of whom shall be a licensed physician, shall
				  be licensed to practice in the state of Iowa.
"Premises"
means any or all designated
				  portions of a building or structure, enclosures or places in the building, or
				  real estate when the distinct and clearly identifiable parts provide separate
				  care and services. "Premises" is not to be construed to permit the existence of
				  a separately licensed specialty hospital within the physical structure of a
				  general hospital.
"Rural emergency hospital"
means the same as
				  defined by Iowa Code section
				  135B.1.
"Specialized hospital"
means any hospital
				  devoted primarily to the specialized care and treatment of persons with chronic
				  or long-term illness, injury, or infirmity. "Specialized hospital" does not
				  include a specialty hospital.
"Specialty hospital"
means the same as
				  defined by 42 CFR Section
				  411.351 as amended to November 7,
				  2023.