Iowa Admin. Code r. 481-51.2 - Classification, compliance and license
(1) Classification. For the purpose of
administering the hospital licensing law, all institutions subject to licensure
shall be classified as a critical access hospital , general hospital, long-term
acute care hospital, or specialized hospital. The license issued by the
department shall clearly identify the classification of the hospital.
(2) Compliance requirements for each
classification. A hospital shall comply with all of the general regulations for
hospitals and shall comply with regulations pertaining to specialized services,
if specialized services are provided in the hospital .
(3) Separate license required. A separate
license shall be required for each hospital even though more than one is
operated under the same management. A separate license is not required for
separate buildings of a hospital located on separate parcels of land, which are
not adjoining but provide elements of the hospital 's full range of services for
the diagnosis, care, and treatment of human illness, including convalescence
and rehabilitation, and which are organized under a single owner or governing
board with a single designated administrator and medical staff.
(4) Posting of license. The license shall be
conspicuously posted on the main premises of the hospital .
(5) The department shall recognize, in lieu
of its own licensure inspection, the comparable inspections and inspection
findings of The Joint Commission (TJC), the American Osteopathic Association
(AOA), DNV GL - Healthcare (DNV GL), or the Center for Improvement in
Healthcare Quality (CIHQ) if the department is provided with copies of all
requested materials relating to the inspection process. In cases of the initial
licensure, the department may require its own inspection when needed in
addition to comparable accreditations to allow the hospital to begin
operations. The department may also initiate its own inspection when it is
determined that the inspection findings of TJC, AOA, DNV GL, or CIHQ are
insufficient to address concerns identified as possible licensure
issues.
(6) Hospitals not
accredited by TJC, AOA, DNV GL, or CIHQ shall be inspected by the department
utilizing the current Medicare conditions of participation found in Title XVIII
of the federal Social Security Act and 42 CFR Part 482, Subparts A, B, C, D,
and E, or 42 CFR Part 485, Subpart F. Licensed-only hospitals shall be
inspected utilizing the requirements of this chapter. The department may
promulgate additional standards. The department may recognize, in lieu of its
own licensure inspection, the comparable inspection and inspection findings of
a Medicare conditions of participation survey.
This rule is intended to implement Iowa Code chapter 135B.
Notes
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