This bill establishes a comprehensive framework for the reporting of serious reportable events by healthcare facilities in Iowa, including hospitals, ambulatory surgical centers, and pregnancy resource centers. It defines key terms such as "serious injury," "facility," and "health care professional," and mandates that facilities report any serious reportable event to the director of the Department of Inspections, Appeals, and Licensing (DIAL) within fifteen working days of discovery. The report must identify the facility while excluding any identifying information about healthcare professionals, employees, or patients involved. The bill categorizes serious reportable events into various types, including surgical errors, product/device events, patient protection events, and more.

Furthermore, the bill requires facilities to conduct a root cause analysis after a serious reportable event and implement a corrective action plan or provide justification for not doing so. It emphasizes the establishment of an electronic reporting system and ensures that reported events do not fall under child or dependent adult abuse reporting requirements if reported in a timely manner. The bill also stipulates that if a serious reportable event is reported, no other state agency or licensing board is required to investigate the same event, and it allows for reports made under other state laws to be recognized by DIAL. Confidentiality of reports and findings is a key focus, with the director responsible for maintaining records and reporting serious events to the national quality forum.