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.

Full Answer Section

       

US Health and Healthcare Regulatory Agencies

Agency Level of Authority Scope of Authority Role in US Healthcare System Relevance to APRN/DNP Relevance to Specialty/Setting
Centers for Medicare & Medicaid Services (CMS) Federal Medicare, Medicaid, CHIP Oversees national health insurance programs, sets reimbursement rates, establishes quality standards * Determines reimbursement for APRN services * Influences scope of practice through reimbursement rules * Establishes quality reporting requirements * Affects mental health services through reimbursement and quality standards * Impacts access to care for underserved populations
Food and Drug Administration (FDA) Federal Drugs, medical devices, biologics Regulates the safety and efficacy of pharmaceuticals, medical devices, and other healthcare products * Ensures safe and effective medications for patients * Informs APRNs about drug interactions and potential adverse effects * Plays a vital role in the development and use of mental health medications * Ensures safety and efficacy of diagnostic tools and treatments
Health Resources and Services Administration (HRSA) Federal Healthcare workforce, access to care Addresses health workforce shortages, improves access to care for underserved populations, and provides funding for community health centers * Supports APRN education and training * Provides funding for APRN-led health initiatives * Impacts scope of practice through funding requirements * Promotes mental health access through funding for community mental health programs * Supports development of specialized mental health workforce
Centers for Disease Control and Prevention (CDC) Federal Public health, disease prevention Tracks and prevents disease outbreaks, develops public health recommendations, and provides resources for health professionals * Provides evidence-based guidelines for disease prevention and treatment * Offers continuing education opportunities for APRNs * Informs APRNs about emerging health threats * Promotes mental health awareness and prevention strategies * Provides data and guidance on mental health conditions
State Boards of Nursing (BONs) State Nursing practice, licensure, discipline Regulates the practice of nursing within each state, issues licenses, and enforces ethical conduct and safety standards * Determines APRN scope of practice within each state * Sets requirements for APRN licensure and certification * Provides guidance on ethical practice and reporting * Influences mental health practice regulations, including prescribing authority and scope of services * Sets standards for ethical practice in mental health care

Important Note: This is not an exhaustive list, and the specific relevance of these agencies can vary based on the APRN's specialty, practice setting, and state of practice. It's crucial for APRNs to stay informed about current regulations and guidelines from these agencies and others that may impact their practice.

     

Sample Answer