Regulatory Agencies Paper
Regulatory Agencies Paper
HCS/437
August 18, 2014
Joyce Wooten
Instructor / Nicolas Gross
Regulatory Agencies Paper
The concept of regulatory agencies has many boundaries and their responsibility is to license long-term care facilities to ensure compliance of laws and regulations. It is stated that in the United States the long-term care (LTC) marketplace is normally recognized as one of the most strongly regulated sectors in the economy, although there are differences in the degree of regulations across long term care establishments (Stevenson & Grabowski, 2006). Therefore, every long term facility are held responsible to abide by the regulations set forth to properly provide accurate care for patients, moral and ethical treatment, secure environments, and health care reimbursement. This paper will discuss three regulatory agencies including an overview of the agency and its functions and at least one specific example of how each agency regulates long-term care. One of the regulatory agencies that are extremely active in the way long term care is delivered is the Center for Medicare and Medicaid services (CMS). According to (Stevenson & Grabowski (2006), these services creates and maintains federal regulations for long-term care facilities that choose to accept residents that depend on Medicare and Medicaid benefits as a form of payment. Federal regulations affecting long-term care include those rules governing the certification of nursing homes and home health organizations to receive payment under Medicare or Medicaid. These conditions of participation are established by the Centers for Medicare and Medicaid Services (CMS), and in the case of nursing homes, largely stem from the OBRA reforms. These reforms included a federally mandated uniform resident assessment form to be used in all nursing homes as a basis for planning, the creation of new conditions of participation on resident’s rights and quality of
HCS/437
August 18, 2014
Joyce Wooten
Instructor / Nicolas Gross
Regulatory Agencies Paper
The concept of regulatory agencies has many boundaries and their responsibility is to license long-term care facilities to ensure compliance of laws and regulations. It is stated that in the United States the long-term care (LTC) marketplace is normally recognized as one of the most strongly regulated sectors in the economy, although there are differences in the degree of regulations across long term care establishments (Stevenson & Grabowski, 2006). Therefore, every long term facility are held responsible to abide by the regulations set forth to properly provide accurate care for patients, moral and ethical treatment, secure environments, and health care reimbursement. This paper will discuss three regulatory agencies including an overview of the agency and its functions and at least one specific example of how each agency regulates long-term care. One of the regulatory agencies that are extremely active in the way long term care is delivered is the Center for Medicare and Medicaid services (CMS). According to (Stevenson & Grabowski (2006), these services creates and maintains federal regulations for long-term care facilities that choose to accept residents that depend on Medicare and Medicaid benefits as a form of payment. Federal regulations affecting long-term care include those rules governing the certification of nursing homes and home health organizations to receive payment under Medicare or Medicaid. These conditions of participation are established by the Centers for Medicare and Medicaid Services (CMS), and in the case of nursing homes, largely stem from the OBRA reforms. These reforms included a federally mandated uniform resident assessment form to be used in all nursing homes as a basis for planning, the creation of new conditions of participation on resident’s rights and quality of
References: Georgia Long Term Care and CNA Regulations. (2013). Retrieved from http://ltcsbooks.com/state-long-term-care-and-cna-regulations/georgia Stevenson, D. and Grabowski, D. (2006). Long-term care regulation. In The encyclopedia of aging. Retrieved from http://search.credoreference.com.ezproxy.apollolibrary.com/content/entry/spencage/long_term_care_regulation/0