Iowa Admin. Code r. 641-134.1 - Definitions

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For the purposes of these rules, the following definitions apply:

"ACS-COT" means the American College of Surgeons Committee on Trauma.

"Categorization" means the same as defined in Iowa Code section 147A.21.

"Certificate of verification" means a document awarded by the department that identifies a hospital or emergency care facility's level and term of verification as a trauma care facility.

"Criteria deficiency" or "deficiency" means a failure to meet criteria requirements as outlined in subrule 134.2(3).

"Emergency care facility" means the same as defined in Iowa Code section 147A.21.

"Emergency medical care provider" means emergency medical care provider as defined in Iowa Code section 147A.1.

"Final report" means the verification report issued by the department following a verification review conducted by trauma survey team members and department staff.

"Governing body" means a group of individuals responsible for the governance of a hospital, including but not limited to a board of directors or board of trustees.

"Hospital" means any hospital licensed under Iowa Code chapter 135B.

"On-site verification survey" means an on-site survey conducted by the department or survey team members to assess a hospital or emergency care facility's ability to meet the level of categorization requested.

"Persistently occurring deficiencies" means deficiencies identified in two sequential verification reviews.

"Trauma" means the same as defined in Iowa Code section 147A.21.

"Trauma care facility" means the same as defined in Iowa Code section 147A.21.

"Trauma survey team" means a group of health care providers contracted by the department to assist in verifying trauma care facilities' compliance with trauma criteria adopted in subrule 134.2(3).

"Type I criteria" or "type I criteria deficiency" indicates criteria requirements that may significantly impact a trauma care facility's ability to provide optimal care for trauma patients.

"Type II criteria" or "type III criteria deficiency" indicates criteria that are required but have a less critical impact on the trauma care facility's ability to provide optimal care for trauma patients than type I criteria.

"Verification" means the same as defined in Iowa Code section 147A.21.

Notes

Iowa Admin. Code r. 641-134.1

ARC 1079C, IAB 10/2/2013, effective 1/6/2014 Amended by IAB August 2, 2017/Volume XL, Number 3, effective 9/6/2017 Adopted by IAB April 16, 2025/Volume XLVII, Number 21, effective 6/1/2025

State regulations are updated quarterly; we currently have two versions available. Below is a comparison between our most recent version and the prior quarterly release. More comparison features will be added as we have more versions to compare.

For the purpose of these rules, the following definitions shall apply:

"Categorization" means a preliminary determination by the department that a hospital or emergency care facility is capable of providing trauma care at Level I, II, III or IV care capabilities.

"Certificate of verification" means a document awarded by the department that identifies a hospital or emergency care facility's level and term of verification as a trauma care facility.

"Criteria deficiency" or "deficiency" means a failure to meet criteria requirements as outlined in paragraph 134.2(3)"a."

"Department" means the Iowa department of public health.

"Director" means the director of the Iowa department of public health.

"Emergency care facility" means a physician's office, clinic, or other health care center which provides emergency medical care in conjunction with other primary care services.

"Emergency medical care provider" means emergency medical care provider as defined in 641-131.1 (147A).

"Final report" means the verification report issued by the department following a verification review conducted by trauma survey team members and department staff.

"Governing body" means a group of individuals responsible for the governance of a hospital, including but not limited to a board of directors or board of trustees.

"Hospital" means any hospital licensed under Iowa Code chapter 135B.

"Persistently occurring deficiencies" means deficiencies identified in two sequential verification reviews.

"Trauma" means a single or multisystem life-threatening or limb-threatening injury, or an injury requiring immediate medical or surgical intervention or treatment to prevent death or permanent disability.

"Trauma care facility" means a hospital or emergency care facility which provides trauma care and has been verified by the department as having Level I, Level II, Level III or Level IV care capabilities and has been issued a certificate of verification pursuant to Iowa Code section 147A.23(2) "c."

"Trauma care system" means an organized approach to providing personnel, facilities, and equipment for effective and coordinated trauma care.

"Trauma survey team" means a group of health care providers contracted by the department to assist in verifying trauma care facilities' compliance with trauma criteria adopted in 134.2(3).

"Type I criteria" or "Type I criteria deficiency" indicates criteria requirements that may significantly impact a trauma care facility's ability to provide optimal care for trauma patients.

"Type II criteria" or "Type II criteria deficiency" indicates criteria that are required but have a less critical impact on the trauma care facility's ability to provide optimal care for trauma patients than Type I criteria.

"Verification" means a process by which the department certifies a trauma care facility's capacity to provide trauma care in accordance with criteria established for Level I, Level II, Level III or Level IV trauma care facilities and these rules.

Notes

Iowa Admin. Code r. 641-134.1

ARC 1079C, IAB 10/2/2013, effective 1/6/2014 Amended by IAB August 2, 2017/Volume XL, Number 3, effective 9/6/2017