Regulatory Agencies in US Healthcare: Roles and Relevance to APRN/DNP Graduates

Agency Synopsis

 

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:

1. Describe the agency, level of regulatory authority (local, state, federal), scope of regulatory authority, and role within the US healthcare system.

2. Address relevance of the organization or the organization’s authority to the APRN/DNP graduate.

3. Describe relevance to specialty area, area of practice, or setting of practice. For an 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 misspelling.

· The table is to be complete and thorough. It should include all items indicated in the assignment.

· Incorporate at least 3 current (published within last five years)  scholarly journal articles or  primary legal sources (statutes, court opinions) within your work.

· Complete and submit the chart by 11:59 PM ET Sunday

 

 

 

Here’s a table format and an example of how to structure the information for five regulatory agencies that oversee health and the healthcare system within the US.

| **Regulatory Agency** | **Description, Level, and Role** | **Relevance to APRN/DNP Graduates** | **Relevance to Specialty Area/Practice Setting** |
|——————————-|————————————————————————————————————————————————————————————-|—————————————————————————————————————————————————————————————————————————————————————————————————————————————————————-|——————————————————————————————————————————————————————————————————————————————————————————|
| **Centers for Medicare & Medicaid Services (CMS)** | **Description:** Federal agency under the Department of Health and Human Services (HHS).<br>**Level:** Federal.<br>**Role:** Oversees Medicare, Medicaid, and CHIP programs, sets standards for healthcare providers, and ensures compliance with federal regulations. | **Relevance to APRN/DNP:** APRNs/DNPs involved in Medicare or Medicaid must comply with CMS regulations. CMS policies directly impact reimbursement rates, billing practices, and patient care standards. | **Specialty Area:** Primary care, geriatrics, family practice.<br>**Practice Setting:** Clinics, hospitals, long-term care facilities.<br>CMS regulations influence care delivery models and reimbursement structures in these settings. |
| **Food and Drug Administration (FDA)** | **Description:** Federal agency under HHS.<br>**Level:** Federal.<br>**Role:** Ensures safety, efficacy, and security of drugs, biological products, and medical devices. Regulates food safety, tobacco products, and cosmetics. | **Relevance to APRN/DNP:** APRNs/DNPs must stay informed about FDA approvals, drug recalls, and safety alerts. FDA regulations guide prescribing practices and patient education regarding medications and treatments. | **Specialty Area:** Pharmacology, acute care, chronic disease management.<br>**Practice Setting:** Hospitals, outpatient clinics, specialty practices.<br>FDA guidelines are crucial for safe medication management and treatment protocols. |
| **Centers for Disease Control and Prevention (CDC)** | **Description:** Federal agency under HHS.<br>**Level:** Federal.<br>**Role:** Protects public health through disease prevention, control, and health promotion. Provides guidelines for disease management and prevention. | **Relevance to APRN/DNP:** APRNs/DNPs use CDC guidelines for infection control, vaccination schedules, and disease management protocols. CDC updates on emerging health threats guide clinical practice and patient education. | **Specialty Area:** Infectious diseases, public health, epidemiology.<br>**Practice Setting:** Public health departments, clinics, hospitals.<br>CDC guidelines are essential for preventing and controlling disease outbreaks and managing public health interventions. |
| **Occupational Safety and Health Administration (OSHA)** | **Description:** Federal agency under the Department of Labor.<br>**Level:** Federal.<br>**Role:** Ensures safe and healthy working conditions by setting and enforcing standards and providing training and education. | **Relevance to APRN/DNP:** APRNs/DNPs must ensure workplace safety and comply with OSHA standards, especially in clinical settings. OSHA regulations guide infection control practices, exposure protocols, and employee safety measures. | **Specialty Area:** Occupational health, emergency medicine.<br>**Practice Setting:** Hospitals, clinics, workplaces.<br>OSHA standards ensure safe working environments for healthcare professionals and patients, reducing occupational hazards and risks. |
| **State Boards of Nursing** | **Description:** State-level regulatory bodies.<br>**Level:** State.<br>**Role:** Regulate nursing practice, issue licenses, enforce nursing laws, and ensure safe nursing care. | **Relevance to APRN/DNP:** APRNs/DNPs must be licensed and adhere to state-specific regulations. State Boards of Nursing define scope of practice, continuing education requirements, and disciplinary actions for non-compliance. | **Specialty Area:** All nursing specialties.<br>**Practice Setting:** Any setting where nurses practice.<br>State Boards of Nursing directly impact licensure, practice authority, and professional standards, affecting all aspects of nursing practice and patient care. |

### References

1. Centers for Medicare & Medicaid Services. (2020). About CMS. Retrieved from https://www.cms.gov/about-cms
2. U.S. Food and Drug Administration. (2021). What We Do. Retrieved from https://www.fda.gov/about-fda/what-we-do
3. Centers for Disease Control and Prevention. (2021). CDC Organization. Retrieved from https://www.cdc.gov/about/organization/cio.htm
4. Occupational Safety and Health Administration. (2021). About OSHA. Retrieved from https://www.osha.gov/aboutosha
5. National Council of State Boards of Nursing. (2021). About NCSBN. Retrieved from https://www.ncsbn.org/about.htm

 

 

 

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