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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.

In the table, write the 3 criteria above and respond to them.
Incorporate at least 3 current (published within 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

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 for APRNs, establishes quality measures, and determines eligibility for Medicare and Medicaid benefits.
Food and Drug Administration (FDA) Federal Food, drugs, medical devices, biologics, and cosmetics Approves new drugs and medical devices, ensures safety and efficacy, and sets labeling requirements. Ensures the safety and efficacy of medications and medical devices used by APRNs in their practice.
Joint Commission Private, nonprofit organization Hospitals, health systems, home health agencies, and other healthcare organizations Accredits healthcare organizations, sets performance standards, and conducts surveys. Sets standards for quality of care, patient safety, and performance improvement that APRNs must adhere to in their practice.
State Board of Nursing (BON) State Nursing practice within the state Licenses nurses, sets scope of practice, and enforces nursing practice laws. Determines the scope of practice and licensure requirements for APRNs, including education, certification, and continuing education.
Health Insurance Portability and Accountability Act (HIPAA) Federal law Health information privacy and security Establishes standards for the privacy and security of patient health information. Requires APRNs to comply with HIPAA regulations to protect patient privacy and security.

References:

  1. CMS: Centers for Medicare & Medicaid Services. (2023). https://www.cms.gov/
  2. FDA: Food and Drug Administration. (2023). https://www.fda.gov/
  3. Joint Commission: The Joint Commission. (2023). https://www.jointcommission.org/
  4. State Board of Nursing: [Your State Board of Nursing Website]
  5. HIPAA: Health Insurance Portability and Accountability Act of 1996. (1996).

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