Reply to the two responses. Your replies should offer a substantive response to the posts to encourage more engagement and interaction. Include one reference for each response.
Response CB #1
I chose Food and Drug Administration as I am closely connected with their regulations throughout my healthcare career. I used to work for a device manufacturer and the FDA was always on our minds – especially during a new product release. There are many tests that are performed before a new medical device reaches market for use. The Food and Drug Administration is responsible for “protecting the public health by ensuring the safety, efficacy, and security of human and veterinary drugs, biological products, and medical devices; and by ensuring the safety of our nation’s food supply, cosmetics, and products that emit radiation.”
How does all this relate to healthcare? The FDA will make sure that each medical device (among many other products) is safe for clinical use by verifying that certain laboratory tests are performed and verified for certain criteria (Northup, 1999). The tests that will be conducted are: biocompatibility test which includes cytotoxity, sensitization, irritation, systemic toxicity, implantation compatibility, genotoxicity, hemocompatibility, carcinogenicity, reproductive toxicity, degradation, and finally sterilization and process residues.
The FDA is heavily involved with regulation of these products to make sure that the public stays safe and there are no adverse consequences to using said products. The last test, sterilization and process residues, is directly related to the department I work in as we sterilize many different instruments for surgical procedures. These must be rendered free from microorganisms to be safely used on our patients. Most of the items we sterilize are made of high-grade surgical steel, but there are many products and materials. A few are: plastics, glass, certain types of fabric, silicone, etc. Each product must meet minimum standards set up by governing bodies and the FDA will enforce these regulations (Northup, 1999). They must also have specific guidelines on how to clean and effectively sterilize these devices.
Response RP #2
For this discussion I researched the term Administration on Aging.
Having older parents this term caught my attention. Although I was aware of the Medicare, and Social Security as programs that look specifically at healthcare and sustainable (used loosely) income for the retired population I was not familiar with an agency that was formed specific for the older population.
In the 1960’s, along with President Lyndon Johnson’s Great Society reforms that included the Civil Rights Act was another law that looked to address the lack of community social services for older persons. This law signed by Congress on July 14, 1965, was known as the Older Americans Act of 1965. To administer and oversee the programs created by the law the office of Administration on Aging (AOA) was established within the Department of Health, Education and Welfare (todays Department of Health and Human Services), serving as a main agency in issues relating to older persons (Adminstration for Communituy Living, 2021).
In addition to the various offices that are maintained under the AOA there are specific programs that are beneficial the health and wellbeing of seniors, as well as healthcare providers. Specifically, the program of Aging and Disability Evidence-Based Programs and Practices educate the public on available options that best meet their needs. Behavioral health programs to offer wellbeing resources for seniors, disabled and their caregivers. Chronic Disease Self-Management (CDSMP) programs to educate the older population in managing chronic conditions such as diabetes. There are other programs that look at education in fall prevention, elder abuse, nutrition, Medicare improvements, dementia, and legal assistance (Administration for Community Living, 2017). One important area to note is that the funding used for health prevention and promotion activities is only granted to evidence-based programs. Programs like the previously mentioned CDSMP look to achieve improvement in patient experience, population health, and healthcare cost while improving individual lives (Boutaugh & Lawrence, 2015).
My opinion as how this term relates to healthcare law is as follows. By promoting evidence-based programs and education there are guidelines as to the standard of care when it comes to treating our elderly population. While the programs help to empower it also provides education for caregivers to recognize fall risks, dementia, malnourishment, and abuse. As a legal resource and federal advocate for the older population the AOA can be quite challenging when it comes to acceptable standards of care, negligence, and medical malpractice as it relates to the Older Americans Act. Any healthcare provider, caregiver, and administrator would be best served by understanding the Older Americans Act and the role of the AOA.
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