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Change and the Regulatory environment, Case B

Changeand the Regulatory environment, Case B

Regulatorsrefers to agencies and organizations that determine the rules,standards and regulations that healthcare organizations must ascribe[ CITATION Jan15 l 1033 ].Local, State and Federal government agencies, regulators ofprofessional groups, accrediting bodies and professional groups fallunder this umbrella. A nurse leader has to use the knowledge of bothstate and federal regulations and laws affecting the position ofpatients care[ CITATION Jan15 l 1033 ].Healthcare standards and regulations are necessary for ensuring complianceto required standards of practice and provision of safe and qualityhealth care to patients who access the system.

Accordingto Dunham-Taylor and Pinczuk, there are five regulators thatdetermine the standards, rules and regulations for healthcareorganizations. An important focus for all regulators is the deliveryof quality health care. Regulation plays a significant role in thehealthcare industry as well as health care insurance coverage.Regulatory bodies protect the public from health risks and alsoprovide various programs for public welfare and health. Together,these regulator bodies regulate and protect public health at each andevery level. Let us look at how these regulatory levels would orwould not be concerned with our case.

Federalregulators.The purpose of federal regulators is to safeguard the interest andwelfare of its citizens [ CITATION Jan15 l 1033 ].The main federal regulator is the Centers for Medicare and MedicaidServices with a core function of enforcing healthcare regulationsacross the country. With regard to our case,I think federal regulators would be concerned with the situationsince they have the responsibility of safeguarding the welfare oftheir citizens and drug diversion, as revealed in our case, tend toinfringe the basic rights and welfare of the citizens whom federalregulators try to protect. Federal regulators would thus be keen onconfirming the factors that led to the occurrence of the unfortunatesituation as well as evaluating whether the organization or itsproviders are suitable for providing needed care based on set healthcare standards.

Stateregulators. Stateshave a range of regulatory authority referred to as police powers andthey are able to license and regulate several healthcareorganizations [ CITATION Jan15 l 1033 ].State regulators would be concerned with the situation since theyhave critical responsibility of protecting and promoting the healthof residents under their jurisdiction[ CITATION Jan15 l 1033 ].As a result, they would be concerned with the issue andwould focus on ensuring individuals charged with negligent acts arebrought to justice.

Credentialing.Thisoccurs through various mechanisms including registration, licensureand certification. Nurse executives can obtain licensure andcertification through either the American Organization of NurseExecutives or the Nurses Credentialing Center [ CITATION Jan15 l 1033 ].Priorto providing health care professionals with licensure, registrationor certification, the regulator has to ensure that they meet theskills and competencies required for handling patients. From ourcase, it seems that the staff lack professional competencies and duediligence expected of them. As a result, the regulators would beconcerned and might consider revoking their licensure, registrationor certification on grounds of lack of professional competence andcare.

Accreditation.Throughaccreditation, the quality of products and services provided byhealthcare organizations are voluntarily evaluated based onestablished standards. Accreditation helps in supplying data that canbe utilized by purchases of healthcare services such as patients andinsurance agencies [ CITATION Jan15 l 1033 ].Before a healthcare organization is accredited, it has to meetcertain set standards for accreditation, including possession ofadequate facilities and personnel to provide needed care and based onthe quality standards. Drug diversion through administration of wrongmedication violates the expected quality standards in the delivery ofhealth care services. Since accreditation, as a regulatory frameworkis focused on evaluation of the quality of products and servicesprovided by healthcare organizations and determination of whetherthese products and services meet the established standards, theywould be concerned with the situation.

Professionalorganizations. Thepurpose of professional organizations, as regulators in thehealthcare industry, is to examine the scope of healthcare practiceand establish standards of practice for their professions [ CITATION Jan15 l 1033 ].Professional organizations regulate the conduct of its members,healthcare professionals, by ensuring that care providers deliverservices based on the required professional standards while upholdingthe professional obligation and values of healthcare providers [ CITATION Jan15 l 1033 ].Ashealthcare regulators, professional organizations would be concernedwith the situation since drug diversion and lack of due care forpatients and members of staff violates the established standards ofpractice in the healthcare industry.

Theregulator that would be an important resource to be used in dealingwith the situation

Drugdiversion occurs in different healthcare facilities across the UnitedStates almost every single day. Drug diversion, throughadministration of wrong medications, is a multi-victim crime whichendangers patients, staff and the public [ CITATION Dia14 l 1033 ].Drug diversion can also lead to significant risk of regulatory andcivil liability, as well as negative publicity to health carefacilities[ CITATION Dia14 l 1033 ].Unfortunately, many healthcare organizations do not have properprocedures and policies in place to handle the issue. As a chiefnursing officer, I would useprofessional organizations to deal with the issue of drug diversionand negligent conduct.

Professionalorganizations advocate for ethical conduct when dealing withpatients. They also advocate for adherence to professional standardsof practice with regard to the delivery of needed health careservices. They monitor the conduct of their members to ensure thathealthcare professionals provide and promote quality care [ CITATION Mat12 l 1033 ].As a result, professional organizations would be my preferredregulator since they emphasize onnot only asking providers to account for their misconduct, but alsoinspiring positive change and adherence to set standards and bestpractice. Professional organizations also provide career developmentprograms to members to equip them with the needed skills andcompetencies for effective delivery of health care services andimprovements in quality [ CITATION Mat12 l 1033 ].Therefore, they would serve as effective regulators in our case sincethey can inspire positive change and management of the issues forenhanced efficiency.

Professionalorganizations would thus be an important resource in dealing with thesituation. Organizations such as the American Nurses Association arecritical for generating the flow of ideas, energy and proactive workrequired for maintaining a heathy profession that advocates forpatients’ and nurses’ needs as well as the trust and goodwill ofthe society [ CITATION Mat12 l 1033 ].Professional organizations’ advocacy is alsomotivated by ethical and moral principles and seeks to influencepolicies for a cause or idea that leads to decisions that promotegood professional conduct. Therefore, as a chief nursing officer, Iwould prioritize utilization of professional organizations asappropriate regulators for dealing with the situation.


Dunham-Taylor, J., &amp Pinczuk, J. Z. (2015). Financial management for nurse managers : merging the heart with the dollar. Burlington, MA: Jones &amp Bartlett Learning.

Hales, D. R. (2014). An invitation to health : build your future. Belmont, CA: Wadsworth Cengage Learning.

Matthews, J. (2012). Role of professional organizations in advocating for the nursing profession. The Online Journal of Issues in Nursing, 17.