For purposes of this chapter, the following definitions
apply:
"Acute care category of bed usage," as the
term applies in Iowa Code section
10A.713(2)
"k," is the same as the acute care categories listed in the
state survey section of the American Hospital Association Annual Survey of
Hospitals.
"Any expenditure in excess of five hundred thousand
dollars," as defined in Iowa Code section
10A.711(18)
"e," means new capital expenditures necessary to
operate the service for a year.
"Any mobile health service with a value in excess of
one million five hundred thousand dollars," as defined in Iowa Code
section 10A.711(18)
"l," means the value of all equipment used to provide the
service, including the trailer. The party providing the equipment is the
applicant regardless of the location of that party.
"Appropriate geographic service area," as the
term applies to defining affected persons in Iowa Code section
10A.711(1)
"c," is defined as follows:
1. For applications regarding hospitals,
hospitals located in the same county and in Iowa counties contiguous to the
county wherein the applicant hospital's proposed project will be
located.
2. For applications
regarding health care facilities, other health care facilities located in the
same county and in Iowa counties contiguous to the county wherein the
applicant's proposed health care facility will be located.
3. For applications sponsored by other than
the hospitals or health care facilities specified in paragraphs "1" and "2,"
those providers within the same county who offer similar service or might
logically be viewed as potential providers of such service.
"Bed capacity" is defined as follows:
1. For hospitals, bed capacity is defined as
the total facility licensed beds as reported on the state survey section of the
American Hospital Association Annual Survey of Hospitals.
2. For health care facilities, bed capacity
is defined as a facility's licensed bed capacity according to the department of
inspections, appeals, and licensing.
"Cardiac catheterization service," as the term
applies to anew or changed institutional health service in Iowa Code section
10A.711(18)
"m"(1), means the initiation or expansion of this
service.
"Consumers served by a new institutional health
service" means those consumers residing in the service area as
determined by the department.
"Long-term (acute) care hospital," for
purposes of these rules, means a hospital that has been approved to participate
in the Title XVIII (Medicare) program as a long-term care hospital-prospective
payment system (LTCH-PPS) hospital in accordance with 42 CFR Part 412 as
amended to March 29, 1985.
"Open heart surgical service," as the term
applies to new or changed institutional health service in Iowa Code section
10A.711(18)
"m"(2), means the initiation or expansion of this
service.
"Organ transplantation service," as the term
applies to a new or changed institutional health service in Iowa Code section
10A.711(18)
"m"(3), means the initiation or expansion of this
service. Each type of organ transplant shall be considered separately.
"Permanent change in bed capacity of an institutional
health facility" includes but is not limited to the following:
1. A conversion of a long-term acute care
hospital, a rehabilitation hospital or a psychiatric hospital as defined by
federal regulations to a general acute care hospital or to a different type of
specialty hospital.
2. A hospital
that has deleted beds pursuant to Iowa Code section
10A.713(2)
"g" for the purpose of receiving designation as a critical
access hospital reestablishes the deleted beds at a later time, provided that
the number of beds reestablished does not exceed the number of beds maintained
prior to the deletion as reported on the bed reduction form.
"Physical facility," as the term applies in
Iowa Code section 10A.711(18)
"f," means a separately licensed facility.
"Private offices and private clinics of an individual
physician, dentist, or other practitioner or group of health care
providers." The meaning of this term as used in Iowa Code section
10A.713(2)
"a" is determined by looking at factors that include
but are not limited to:
1. The type of
health care service delivered.
2.
The control and supervision of medical judgment in the care of and treatment of
patients.
3. The control and
supervision of professional assistants, including nurses, physician assistants,
and technicians.
4. The ownership
and maintenance of medical records of patients.
This term excludes an ambulatory surgical center as defined in
Iowa Code section 135R.1.
"Radiation therapy service applying ionizing radiation
for the treatment of malignant disease using megavoltage external beam
equipment," as the term applies to new or changed institutional health
service in Iowa Code section
10A.711(18)
"m"(4), means the initiation or expansion of this
service.
"Rehabilitation hospital," for the purposes of
these rules, means a hospital that has been approved to participate in the
Title XVIII (Medicare) program as an inpatient rehabilitation
facility-prospective payment system (IRF-PPS) hospital in accordance with 42
CFR Part 412.23(b), 412.25 or
412.29 as amended to March 29,
1985.
"Relocation of an institutional health
facility," as the term applies to new or changed institutional health
service in Iowa Code section
10A.711(18)
"b," means the replacement of a facility located in one county
with a facility located in another county.
"Value in excess of one million five hundred thousand
dollars," as used in Iowa Code section
10A.711(18)
"g,", "h," "i" and "j," means the value of
the equipment including any applicable sales tax, delivery charge and
installation charge. With respect to the initiation of radiation therapy
services applying ionizing radiation for the treatment of malignant disease
using the megavoltage external beam equipment, the term includes the cost of
constructing a vault.
