As director of UCLA’s International Nursing Center, Akaragian leads the international outreach program for the Department of Nursing with multiple countries: She has hosted visitors from more than 20 different nations and coordinated education and training experiences for more than 2,000 international visitors. Akaragian is also director of UCLA’s Competencies, Students, Credentialing and Teaching Institute, which includes the performance-based development system for the department. As the U.S. partner representative for United States Agency for International Development/ American International Health Alliance grants from 1995 to 2004, she directed multiple health care projects and initiated reforms in Armenia. In 2004, Akaragian established The Cochlear Implant Regional Center in Yerevan, Armenia with the AIM Fund and the UCLA medical team. She is the founder and first president of the Armenian-American Nurses Association in California and in 1996 facilitated the formation of the Armenian Nurses Association in Armenia.