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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| Joint Commission (JCAHO) | National | Accreditation of healthcare organizations | Establishes quality standards for healthcare organizations, including mental health facilities. | Sets quality and safety standards for mental health facilities where APRNs/DNPs might practice. Meeting these standards is crucial for facilities to maintain accreditation. |
| State Licensing Boards | State | Healthcare professional licensure | Grants licenses to practice medicine, including APRN/DNP licensure, and sets practice guidelines within each state. | Directly affects APRNs/DNPs' ability to practice in a specific state and defines their scope of practice for mental health care. Licensure requirements and practice guidelines vary by state. |
- Scope of Practice: State licensing boards define the specific mental health services APRNs/DNPs can provide (e.g., diagnosis, medication management, therapy).
- Reimbursement: CMS regulations influence how mental health services are reimbursed under Medicare and Medicaid, which can affect practice decisions.
- Quality Standards: JCAHO and other accrediting bodies establish quality standards that mental health facilities, including those employing APRNs/DNPs, must meet. These standards aim to ensure patient safety and quality of care.
Sample Answer
The US healthcare system operates under a complex web of regulations enforced by various agencies. Here's a table outlining five key regulatory bodies and their relevance to APRNs/DNPs, particularly those specializing in mental health:
| Agency | Level | Scope | Role | Relevance to APRN/DNP (Mental Health) |
|---|---|---|---|---|
| Food and Drug Administration (FDA) | Federal | Food, drugs, medical devices, cosmetics | Approves medications used in mental health treatment, including psychotropic drugs. | Sets standards for the safety and efficacy of medications used in mental health practice. APRNs/DNPs need to be aware of FDA-approved medications and potential side effects for prescribing or administering them. |
| Drug Enforcement Administration (DEA) | Federal | Controlled substances | Regulates the prescribing and dispensing of controlled substances, including some medications used in mental health treatment. | Sets guidelines for prescribing controlled substances in mental health, impacting APRNs/DNPs' prescribing practices for certain medications. |
| Centers for Medicare & Medicaid Services (CMS) | Federal | Medicare and Medicaid programs | Sets standards for healthcare quality and reimbursement for services provided under these programs. | May impact reimbursement for mental health services provided by APRNs/DNPs depending on practice setting and patient population. Standards can also influence documentation and quality of care expectations. |
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