An organization that providers oversight of the health care delivery system is Medicare and Medicaid. This federal agency in the United States assist with health insurance standards. Other administrative responsibilities include but not limited to Health Insurance Portability and Accountability Act (HIPPA), and health standards in long term care facilities. Another regulatory agency is Center for Disease Control and Prevention and Public Health. Their role is addressing health inequities and its cause (Hacker & Houry 2022). The framework to address social determinants of health include six pillars which include policy and law, data and surveillance, evaluation and evidence building, partnership and collaborations, community engagement, infrastructure, and capacity. When in contrast with neighboring countries who do not have these agencies, it is noticeable that health inequities are greater than those in the US. Access to health care in these countries are also evident. During the COVID 19 pandemic specific populations had a disproportionate burden of morbidity and mortality. This data was used to distribute vaccinations. The deficiency of these organizations in other countries caused a loss of vaccines, unfair distribution, and a delayed in process. Medicare and Medicaid have a significant impact on the direct practice improvement. Currently, advance care planning is recognized as a quality measure. In 1990 the congressed passed the Patient Self- Determination Act (PSDA) with a goal to encourage end of life planning to increase autonomy (Inoue et al., 2021). Despite the PSDA their currently does not exist a specific form that is recommended to use. The learner has identified a form called Five Wishes to be use as it has been proven to be a feasible tool when compared to other methods that exist. Therefore, it can be hypothesized that the support that Medicare and Medicaid services and PSDA it cannot be argued the importance of implementing Five Wishes in the primary care setting. For the organization itself it is also a tool that can assist in future revenue. For providers documentation of advanced directives can improve the patients to provider relationship and the patient’s involvement. Autonomy is a great tool in making patients responsible for their own care. Lastly, the initiation of this in a non-urgent setting makes it even more ideal and is a great place to initiate the education and need of this document.
DNP 840 Discuss two regulatory organizations that provide oversight within the health care delivery system