This text of Iowa § 147.163 (Provision of information — referral to ambulatory surgical center — licensee discipline) is published on Counsel Stack Legal Research, covering Iowa primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.
discipline.
1.A health care provider who determines that a patient is a candidate for outpatient
surgery based on the patient’s medical status and surgical service needs, and refers the
patient to an ambulatory surgical center as an option for the surgery, shall provide the
patient with a written document listing the factors the patient should consider to make a
fully informed decision about the patient’s recommended course of care. The considerations
shall include all of the following:
a.The differences in ownership; licensure, certification, or accreditation; and payment
alternatives between the ambulatory surgical center and a hospital.
b.The types of medical personnel generally involved in the patient’s surgical service and
the capacity of the ambulatory surgical center and a hospit
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discipline.
1. A health care provider who determines that a patient is a candidate for outpatient
surgery based on the patient’s medical status and surgical service needs, and refers the
patient to an ambulatory surgical center as an option for the surgery, shall provide the
patient with a written document listing the factors the patient should consider to make a
fully informed decision about the patient’s recommended course of care. The considerations
shall include all of the following:
a. The differences in ownership; licensure, certification, or accreditation; and payment
alternatives between the ambulatory surgical center and a hospital.
b. The types of medical personnel generally involved in the patient’s surgical service and
the capacity of the ambulatory surgical center and a hospital to comply with the personnel
requirements.
c. The capacity of the ambulatory surgical center and a hospital to respond to medical
complications and emergencies that may arise from the surgical service.
d. The proximity of the ambulatory surgical center to a hospital and the protocols in place
for transfer of a patient from the ambulatory surgical center to the hospital for emergency
care.
e. The type of anesthesia generally used for the patient’s surgical service and the capacity
of the ambulatory surgical center and a hospital to comply with requirements relative to the
use of anesthesia.
2. For the purposes of this section:
a. “Ambulatory surgical center” means a distinct facility that operates exclusively for
the purpose of providing surgical services to patients not requiring hospitalization and
in which the expected duration of services does not exceed twenty-four hours following
an admission. “Ambulatory surgical center” includes a facility that otherwise meets the
definition of ambulatory surgical center whether or not licensed, certified, or accredited as
an ambulatory surgical center and which may or may not operate on a partially cash-only
or completely cash-only basis. “Ambulatory surgical center” does not include individual
or group practice offices of private physicians or podiatrists that do not contain a distinct
area used for outpatient surgical treatment on a regular basis, or that only provide surgery
routinely provided in a physician’s or podiatrist’s office using local anesthesia or conscious
sedation; individual or group practice offices of private dentists; or a portion of a licensed
hospital designated for outpatient surgical treatment.
b. “Health care provider” means a person who is licensed, certified, or otherwise
authorized or permitted by the laws of this state to administer health care in the ordinary
course of business or in the practice of a profession.
c. “Hospital” means the same as defined in section 135B.1.
3. A health care provider who violates this section is subject to licensee discipline by the
appropriate licensing or disciplinary authority.