The agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare system.
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 the 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 example, mental health.
Submission Requirements:
In the table, write the 3 criteria above and respond to them.
The table is to be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.
The table is to be complete and thorough. It should include all items indicated in the assignment.
Incorporate at least 3 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Sample Solution
Regulatory Agencies in the US Healthcare System
| Regulatory Agency | Level of Regulatory Authority | Scope of Regulatory Authority | Role within the US Healthcare System | Relevance to APRN/DNP Graduate |
|---|---|---|---|---|
| Centers for Medicare & Medicaid Services (CMS) | Federal | Medicare, Medicaid, and the Children's Health Insurance Program (CHIP) | Administers federal health insurance programs, sets reimbursement rates, and establishes quality standards. | Sets reimbursement rates and quality standards for APRNs, impacting their income and practice. |
| Joint Commission | Private, non-profit | Accreditation of healthcare organizations | Sets national standards for quality and safety in healthcare. | APRNs must practice in accredited facilities to receive reimbursement from many payers. |
| Food and Drug Administration (FDA) | Federal | Food, drugs, medical devices, biologics, and cosmetics | Approves new drugs and medical devices, ensures safety and efficacy. | APRNs must be aware of FDA-approved medications and devices for their practice. |
| National Council of State Boards of Nursing (NCSBN) | National, state-based | Nursing licensure and regulation | Develops and maintains the NCLEX-RN and NCLEX-PN exams, and provides guidance to state boards of nursing. | APRNs must pass the NCLEX-RN exam to obtain licensure. |
| State Boards of Nursing | State | Nursing practice within their state | License nurses, set scope of practice, and enforce nursing practice standards. | APRNs must obtain a license from their state board of nursing to practice. |
Full Answer Section
Note: While the National Council of State Boards of Nursing (NCSBN) is not a federal agency, it plays a significant role in regulating nursing practice at the state level.
References:
- CMS: Centers for Medicare & Medicaid Services. (2023). https://www.cms.gov/
- The Joint Commission. (2023). https://www.jointcommission.org/
- FDA: Food and Drug Administration. (2023). https://www.fda.gov/
- NCSBN: National Council of State Boards of Nursing. (2023). https://www.ncsbn.org/
Relevance to APRN/DNP Graduate:
APRNs/DNPs must be aware of and comply with the regulations set forth by these agencies. They must understand the scope of their practice, obtain necessary licenses, and ensure that their practice meets quality and safety standards. Additionally, APRNs may be involved in advocating for changes in healthcare policy and regulations.