Healthcare Regulation Agency Synopsis
| Regulatory Agency | Description, Level of Regulatory Authority, Scope of Regulatory Authority, and Role within the US Healthcare System | Relevance to APRN/DNP Graduate | Relevance to Specialty Area, Area of Practice, or Setting of Practice |
| Centers for Medicare & Medicaid Services (CMS) | Description: CMS is a federal agency under the Department of Health and Human Services (HHS).
Level of Authority: Federal. Scope: Regulates Medicare, Medicaid, and the Children’s Health Insurance Program (CHIP). Role: Ensures access to healthcare for beneficiaries, oversees healthcare quality, and enforces compliance with healthcare regulations. |
Relevance: APRN/DNP graduates must understand CMS regulations for billing, reimbursement, and quality reporting. Compliance with CMS standards is essential for practice in facilities receiving Medicare/Medicaid funding. | Relevance to Specialty: In primary care and geriatrics, CMS regulations impact practice management, reimbursement rates, and patient care protocols. Understanding CMS guidelines is crucial for compliance and effective practice management. |
| Food and Drug Administration (FDA) | Description: FDA is a federal agency under the Department of Health and Human Services (HHS).
Level of Authority: Federal. Scope: Regulates food safety, medications, medical devices, and cosmetics. Role: Ensures the safety, efficacy, and security of drugs, biological products, and medical devices. |
Relevance: APRN/DNP graduates must be aware of FDA regulations regarding prescribing medications and using medical devices. Ensuring patient safety and adherence to FDA guidelines is vital for practice. | Relevance to Specialty: In pharmacology and acute care, understanding FDA-approved medications and devices is crucial for safe prescribing and patient management. Staying updated on FDA approvals and warnings directly impacts clinical practice. |
Healthcare Regulation Agency Synopsis
| Regulatory Agency | Description, Level of Regulatory Authority, Scope of Regulatory Authority, and Role within the US Healthcare System | Relevance to APRN/DNP Graduate | Relevance to Specialty Area, Area of Practice, or Setting of Practice |
| Occupational Safety and Health Administration (OSHA) | Description: OSHA is a federal agency under the Department of Labor. Level of Authority: Federal.
Scope: Ensures workplace safety and health. Role: Develops and enforces standards for safe and healthful working conditions. |
Relevance: APRN/DNP graduates need to be knowledgeable about OSHA standards to ensure a safe working environment and compliance with safety protocols, particularly in clinical and hospital settings. | Relevance to Specialty: In occupational health and hospital settings, OSHA regulations are critical for maintaining workplace safety, preventing injuries, and ensuring compliance with safety standards. Regular training and adherence to OSHA guidelines are essential. |
| Centers for Disease Control and Prevention (CDC) | Description: CDC is a federal agency under the Department of Health and Human Services (HHS).
Level of Authority: Federal. Scope: Protects public health through disease control and prevention. Role: Conducts research, provides health information, and develops public health policies. |
Relevance: APRN/DNP graduates must use CDC guidelines for infection control, vaccination protocols, and public health initiatives. Implementing CDC recommendations is crucial for patient and community health. | Relevance to Specialty: In infectious disease and public health, CDC guidelines are vital for managing outbreaks, developing prevention strategies, and ensuring vaccination compliance. Staying informed about CDC updates is critical for effective patient care and community health. |
| The Joint Commission (TJC) | Description: TJC is an independent, non-profit organization. Level of Authority: National.
Scope: Accredits and certifies healthcare organizations and programs. Role: Promotes quality and safety through standards and accreditation. |
Relevance: APRN/DNP graduates must understand TJC standards to ensure compliance in clinical practice and improve the quality of care. Accreditation by TJC often influences reimbursement and hospital reputation. | Relevance to Specialty: In hospital administration and quality management, adherence to TJC standards is essential for accreditation, enhancing patient safety, and maintaining high-quality care. Regular reviews and updates on TJC standards are necessary for compliance. |
Healthcare Regulation Agency Synopsis
APA References.
References
- Cortese, S., Adamo, N., Del Giovane, C., Mohr-Jensen, C., Hayes, A. J., Carucci, S., … & Cipriani, A. (2018). Comparative efficacy and tolerability of medications for attention-deficit hyperactivity disorder in children, adolescents, and adults: a systematic review and network meta-analysis. The Lancet Psychiatry, 5(9), 727-738.
- Krull, K. R., Hardy, K. K., Kahalley, L. S., Schuitema, I., & Kesler, S. R. (2021). Neurocognitive outcomes and interventions in long-term survivors of childhood cancer. Journal of Clinical Oncology, 39(15), 1537-1548.
- Stein, M. A., Waldman, I. D., Charney, E., & McGough, J. J. (2019). Examining emotional and social effects of ADHD medication in children. Journal of Child Psychology and Psychiatry, 60(10), 1093-1102.