Identify regulatory agencies that regulate health and the health care system within the US, create a table listing your 5 regulatory agencies and address the following:
- Describe the agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare system.
- Address relevance of the organization or the organization’s authority to the APRN/DNP graduate.
- Describe relevance to specialty area, area of practice, or setting of practice. For an example, mental health.
Answer
- Describe the agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare system.
Regulatory agencies are organizations that are responsible for enforcing laws and regulations within a certain industry or sector. In the United States, regulatory agencies can operate at the local, state, or federal level, and their scope of authority can vary depending on the specific industry or sector they regulate.
he 5 regulatory agencies are:
1. Centers for Medicare and Medicaid Services (CMS)
2. Food and Drug Administration (FDA)
3. Centers for Disease Control and Prevention (CDC)
4. National Institutes of Health (NIH)
5. Health Resources and Services Administration (HRSA)
Each agency has a unique focus within the health care system, but all work together to ensure that Americans have access to safe and effective health care.
CMS: The Centers for Medicare and Medicaid Services is responsible for ensuring that Medicare and Medicaid beneficiaries have access to high quality, safe, and effective health care services. CMS also works to improve the overall efficiency of the health care system by promoting competition and innovation.
FDA: The Food and Drug Administration is responsible for protecting the public health by ensuring that food is safe and drug products are safe and effective. FDA also regulates tobacco products, cosmetics, dietary supplements, veterinary products, and much more.
CDC: The Centers for Disease Control and Prevention is responsible for protecting the public from disease, injury, and disability by promoting healthy lifestyles, conducting research, and providing information about diseases and conditions. CDC also works to control outbreaks of infectious diseases such as Ebola and Zika virus.
NIH: The National Institutes of Health is the nation’s medical research agency. NIH funds research on a wide variety of topics including cancer, heart disease, AIDS, mental health, diabetes, Alzheimer.
Describe the agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare system
The Centers for Medicare and Medicaid Services (CMS) is a federal agency within the U.S. Department of Health and Human Services (HHS) that administers the Medicare program and works in partnership with state governments to administer Medicaid, the Children’s Health Insurance Program (CHIP), and health insurance portability standards.
CMS is responsible for ensuring that beneficiaries receive high-quality health care at a reasonable cost. In carrying out this responsibility, CMS develops national coverage determinations, which define when Medicare will pay for specific services; sets payment rates for services covered by Medicare; oversees the quality of care delivered to beneficiaries; contracts with managed care plans to provide benefits on behalf of Medicare beneficiaries; enforces Beneficiary Specific Plan Requirements (BSPRs) against managed care plans; ensures compliance with civil rights laws; and provides benefits counseling services to beneficiaries.
In addition, CMS collaborates with other HHS agencies on initiatives such as e-prescribing, disease management, and reducing racial and ethnic disparities in health care.
2. Address relevance of the organization or the organization’s authority to the APRN/DNP graduate.
APRNs and DNPs are advanced practice registered nurses who have completed graduate-level education and training in a specific area of nursing practice. Depending on their area of specialization, they may be required to adhere to certain regulations and standards of practice set by regulatory agencies. For example, an APRN or DNP who specializes in mental health may need to be licensed by a state regulatory board and may also need to comply with federal regulations related to the treatment of mental health disorders.
In general, regulatory agencies play an important role in the US healthcare system by ensuring that healthcare professionals, facilities, and organizations comply with relevant laws and regulations. This helps to protect the health and safety of patients and to maintain the integrity and quality of the healthcare system. For APRN/DNP graduates, understanding and complying with the relevant regulations and standards of practice is essential for practicing in their chosen specialty area and providing high-quality care to their patients.
3. Describe relevance to specialty area, area of practice, or setting of practice. For an example, mental health.
As a mental health professional, it is important to be aware of the different agencies that exist in order to best serve your clients. The agency synopsis is a great resource for mental health professionals as it provides an overview of various agencies and their work. This can help you determine which agency may be the best fit for your clients, or if there is another agency that could better meet their needs.
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