Module Pre-Assessments are your opportunity to practice applying module content before final submission of your Competency Assessment. Your final Competency Assessment includes a PowerPoint Presentation. Therefore, you may choose to write your Pre-Assessment responses here in the form of PowerPoint slides, as paragraphs to edit and transfer to slides, as a script, or as another type of deliverable. Consider what would be most helpful for you.

For your Module 2 Pre-Assessment, respond to the following prompts. These prompts match those in your final Assessment.

Prompts:

You are leading a staff development meeting on regulation for nursing practice at your healthcare organization or agency.

You will continue to create a PowerPoint Presentation that you could give at this meeting.

Develop an 8- to 10-slide (total for all topics) PowerPoint Presentation, including speaker notes, that addresses the following:
Explain at least one federal regulation for healthcare.
How does this regulation influence delivery, cost, and access to healthcare [e.g., Centers for Medicaid and Medicare Services (CMS), Occupational Safety and Health Administration (OSHA), Environmental Protection Agency (EPA]?
Explain whether there has been any change to the regulation within the past 2–5 years. Be specific and provide examples.
Once you submit your responses, assess yourself using the rubric provided. Use your Pre-Assessment submission and any feedback you may garner to improve and refine your responses.

FEEDBACK FROM PROFESSOR

Students need to Choose 1 specific state RN & APRN regulation from their state board of nursing – not a generic discussion. Let me know if you have any questions or cannot see the feedback.

Nursing Practice Regulation: A Closer Look at State and Federal Oversight

Slide 1: Introduction

Welcome to the staff development meeting on nursing practice regulation.
Today, we will discuss the impact of federal and state regulations on healthcare delivery, cost, and access.
We will also explore recent changes in these regulations.
Slide 2: Federal Regulation Overview

Federal regulations play a crucial role in shaping healthcare practices.
One notable federal agency involved in healthcare regulation is the Centers for Medicare & Medicaid Services (CMS).
Slide 3: Role of CMS

CMS administers programs that provide healthcare services to eligible individuals.
It influences healthcare delivery by setting standards for services covered under Medicare and Medicaid.
These standards affect healthcare access by determining who is eligible for these programs based on income and age.
Slide 4: Cost Implications

CMS regulations impact the cost of healthcare by establishing reimbursement rates for healthcare providers.
For instance, hospitals receive Medicare reimbursement rates based on compliance with CMS quality measures.
Failure to meet these measures can result in reduced reimbursements, affecting the hospital’s finances.
Slide 5: State Regulation Overview

While federal regulations provide a broad framework, state regulations offer more specific guidance.
For this presentation, we will focus on state regulations from the perspective of a registered nurse (RN) in California.
Slide 6: California State Board of Nursing

The California Board of Registered Nursing (BRN) governs RNs’ practice in the state.
It defines scope of practice, licensure requirements, and continuing education criteria.
Slide 7: Recent Changes in California RN Regulation

Over the past 2–5 years, California has seen several significant changes in RN regulation.
One notable change is the implementation of the “Future of Nursing 2020-2030” recommendations, which expanded the scope of practice for RNs in certain areas, such as telehealth services.
This change aims to improve access to healthcare services, especially in underserved communities.
Slide 8: APRN Regulation in California

California also regulates Advanced Practice Registered Nurses (APRNs).
Recent changes include the removal of physician supervision requirements for nurse practitioners (NPs), granting them more autonomy.
This change enhances the delivery of healthcare services, particularly in rural areas with a shortage of physicians.
Slide 9: Conclusion

In conclusion, federal regulations like those of CMS influence healthcare delivery and cost at a national level.
State regulations, such as those by the California Board of Registered Nursing, further shape nursing practice and healthcare access at a local level.
Staying informed about these regulations is essential for nurses to provide high-quality care.
Slide 10: Questions & Discussion

Now, I invite you to ask any questions or share your thoughts on nursing practice regulations and their impact.
References (APA format):

Centers for Medicare & Medicaid Services. (2021). About Us. https://www.cms.gov/About-CMS/About-cms
California Board of Registered Nursing. (2023). Welcome to BRN. https://www.rn.ca.gov/
Institute of Medicine. (2011). The Future of Nursing: Leading Change, Advancing Health. National Academies Press.
California Association for Nurse Practitioners. (2023). California Nurse Practitioner Practice Authority. https://canpweb.org/advocacy/scope-of-practice/

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