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.
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Agency Synopsis
Full Answer Section
Oversees Medicare (health insurance for seniors and some disabled individuals) and Medicaid (health insurance for low-income individuals and families). Sets quality standards for healthcare providers participating in these programs.Administers reimbursement for mental health services provided to Medicare and Medicaid beneficiaries. Ensures qualified providers deliver these services.Requires APRNs/DNPs to meet specific educational and experience requirements to participate in Medicare and Medicaid programs.Joint Commission (JCAHO)Private, Non-ProfitDevelops healthcare quality standards, conducts accreditation surveys, and certifies healthcare organizations.Promotes quality of care and patient safety through voluntary accreditation.Sets standards for mental health facilities, including hospitals, outpatient clinics, and residential treatment centers.State Boards of NursingStateRegulates nursing practice within each state, including licensure, scope of practice, and continuing education requirements.Protects the public by ensuring qualified nurses provide care.Sets the specific requirements for APRNs/DNPs to practice in the state, including their scope of practice in mental health (e.g., medication prescribing, psychotherapy).Substance Abuse and Mental Health Services Administration (SAMHSA)FederalProvides national leadership and funding for mental health and substance abuse prevention, treatment, and recovery services. Sets standards for these services.Leads national efforts in mental health, including developing best practices and funding mental health programs.Provides resources and guidelines for APRNs/DNPs working in mental health settings, including evidence-based treatment practices and reducing stigma.Sample Answer
Regulatory Agencies in the US Healthcare System
Here's a table outlining five key regulatory agencies involved in the US healthcare system:
| Agency | Level | Scope of Regulatory Authority | Role in US Healthcare System | Relevance to APRN/DNP Graduate (Mental Health) |
|---|---|---|---|---|
| Food and Drug Administration (FDA) | Federal | Regulates drugs, medical devices, food (including dietary supplements), cosmetics, tobacco products, and electronic radiation-emitting products. | Ensures safety, effectiveness, and quality of these products. | Sets standards for medications and devices used in mental health settings, including psychotropic drugs and electroconvulsive therapy (ECT) devices. |
| Centers for Medicare & Medicaid Services (CMS) | ||||
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