Licensing and Accreditation Essay Example | Topics and Well Written Essays - 750 words

Licensing and Accreditation - Essay Example Thus, long-term health facilities are defined, approved by, and maintained according to state as well as federal standards set for this purpose. Besides the two aforementioned authorities, there are other voluntary organizations which are devoted to accreditation and licensing purposes such as the Joint Commission. The Arizona state as well as Federal government embodies certain rules and regulations with respect to health care provisions. Such provisions include licensing requirements of long-term health care services too. The Arizona state rules are contained in the Arizona State Statutes, which includes all the rules concerning different facilities in the state. The law concerning the 'certification, licensure, and monitoring of long-term care facilities, facilities and services' is contained in title 36-409, whose requirements can be summarized in the following points: The Department of Health Services will perform all the essential functions regarding licensing and certification and take care to conform and implement concerned federally approved standards for this health service facility; The nursing care hospices and institutions will have to maintain financial records which they have to show to the Arizona health care cost containment system administration (Arizona State Legislature). The department further holds the right to issue quality ratings too, which help in determining whether the long-term health care facility provides quality service or not. It does so according to the results obtained out of a licensure survey. Further, the licensure granted to a nursing facility depends much on the quality rating it receives (Arizona State Legislature). However in all cases, the state law prescribes that no nursing institute shall hold a license for more than three years. The initial license application for any long-term healthcare service facility shall further require the applicant to submit the following: The application form of the Department which would include the address and other contact details of the health care institution; Tax ID number; The class or subclass as listed in R9-10-102; Owner Information; The details and particulars of governing authority; The details of the chief administrative officer; and others which vary according to the details of the plot and related documents (Arizona Department of Health Services). The Federal government details the requirements for states and long term care facilities in its PART 483 and subpart B (Title 42-Public Health). It requires healthcare facilities in states to meet certain requirements to be considered as long-term facilities such as Medicaid and Medicare. Some requirements such as the facility having a transfer agreement with certain hospital are essential for a facility to gain recognition as a long-term healthcare facility. besides the requirements are based upon other factors such as resident rights, quality of care, quality of life provided, nursing services, physician services, dietary services, and others (Title 42-Public

Literary analysis of the play The Glass Menagerie by Tennessee Essay - 1

Literary analysis of the play The Glass Menagerie by Tennessee Williams - Essay Example Toms expresses his frustrations through his drinking and attending the movies in the evenings in addition to writing and reading poetry at work. A good amount of the play centers on Laura, however. She is tremendously shy, to some extent due to her crippling disease (pleurosis). She wore a brace on her leg and walked with a limp spending a lot of her time fantasizing about her glass menagerie. One of the central concepts this story clearly projects is the notion that the memories of our youth influence our fantasies of the present which in turn protect us from the realities of the present. Tom explicitly affirms that this is memory play in his first words, the first words of the play: â€Å"The play is a memory† (I, 145). To promote that effect, Williams continues to permit Tom to detach himself out from the play from every so often to narrate particular events or ideas, bring the audience up to speed on what has occurred in the period between two of the scenes or make other remarks. In reciting how the impression of memory is achieved, Richard Vowles (1958) describes its dreamlike characteristics, â€Å"One scene dissolves into another. There is, indeed, almost a submarine quality about the play, the kind of poetic slow motion that becomes ballet and a breathless repression of feeling that belongs to everyone but Amanda† (54). Williams illustrates the way memory has functioned to form Tom’s impression of life, never allowing him the escape he sought after through the merchant marine by sustaining the concept that almost the entire play is a Tomâ €™s memory in clear focus by means of this otherworldly light. Laura lives in possibly the most evident life of illusion as she drifts through her existence ostensibly in a cloud of detachment. She connects classical music with a happier time in her life while she connects her time in school with the ‘thunder’ of her leg brace while she struggles into her music room. She â€Å"takes refuge in