Glossary

Definitions of terms used in Department of Inspections, Appeals, & Licensing documents.

21 terms

A

Administrative Law Judge
An official who conducts formal administrative hearings and issues decisions on regulatory appeals and contested cases
Adverse Action
An official enforcement measure taken by DIA against a licensee or provider, such as a fine, suspension, or license revocation
Artificial Intelligence (AI)
AI definition

C

CMS
Centers for Medicare and Medicaid Services, the federal agency overseeing Medicare and Medicaid programs
Complaint
A formal allegation submitted to DIA reporting suspected violations of laws or regulations by a regulated entity
Corrective Action Plan
A document submitted by a regulated entity outlining the specific steps it will take to remedy identified compliance violations

D

Deficiency
A finding during an inspection where a facility fails to meet a regulatory requirement
DIA
Iowa Department of Inspections and Appeals, the state agency responsible for regulatory oversight and enforcement

F

FOIA
Freedom of Information Act, a public records law governing access to government documents

H

HIPAA
Health Insurance Portability and Accountability Act, a federal law protecting the privacy and security of individually identifiable health information

I

Immediate Jeopardy
A condition in which a provider's noncompliance has caused, or is likely to cause, serious injury or death to a resident or patient

L

Licensure
The process by which the state grants legal permission to an individual or facility to operate within a regulated field
Life Safety Code
The NFPA 101 standard used during healthcare facility inspections to assess fire protection and building safety compliance

M

MFCU
Medicaid Fraud Control Unit, the DIA division that investigates and prosecutes Medicaid provider fraud and patient abuse

O

OSHA
Occupational Safety and Health Administration, the federal agency that sets and enforces workplace safety and health standards

P

PII
Personally identifiable information, data that can be used to identify a specific individual and is protected under applicable privacy laws
Plan of Correction
A formal document submitted by a regulated facility describing the corrective steps it will take to address identified deficiencies
Provider
An individual or entity licensed or certified to deliver healthcare, food service, or other regulated services under DIA jurisdiction

S

Sentinel Event
An unexpected occurrence in a healthcare setting involving death or serious physical or psychological harm to a patient or resident
Substantiated Finding
A conclusion reached after investigation that abuse, neglect, or exploitation occurred and is supported by a preponderance of the evidence
Survey
A formal inspection conducted by DIA staff to assess a regulated entity's compliance with applicable state and federal requirements

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