Idaho Regulation Changes in Long-term Health Care Research Paper

Idaho Regulation Changes in Long-term Health Care - Research Paper Example The former president Ronald Reagan set up structures for long-term care services. This was intended to make improvements for the ultimate benefit of citizens. Regulations such as OBRA 78 provides legal requirements for the health care system to follow throughout the state as it intends that all people within the region can be able to access the healthcare services in ease. It is quite unfortunate that the regulations may fail to meet the citizen’s interest thus requiring some changes. Introduction Federal Nursing Home Reform Act Federal Nursing Home Reform Act from the Omnibus Budget Reconciliation Act of 1987 (OBRA 87) Developed by Hollis Turnham. President Ronald Reagan ascended into law the primary amendment of the federal principles for nursing home care since the 1965 establishment of both Medicaid and Medicare. The landmark legislation changed tremendously the society's legal prospects of nursing homes and their healthcare. Long-term care amenities requires Medicare or M edicaid funding are to provide services so that each resident can "attain and maintain her highest practicable physical, mental, and psychosocial well-being. The federal nursing home Reform Act creates a set of national least amount set of principles of care and rights for people living in certified nursing facilities. The split Federal Nursing Home Reform Act and several different bills was "rolled into" one bill to assure final course of all the elements. The least federal health and care requirements for nursing homes should be administered through various of established procedures within the nursing homes and the regulatory bureau. This is a major drawback in the provision of the nursing facilities. For it to be effective, the bills should clearly define to ensure that the bills and funds are adequate for the services. The federal Nursing Reform provides a set of standards for the nursing department to observe in providing health services in the entire Idaho region. It also give s the rights for all people who live with certified facilities in nursing. It is from this perspective that sets the landmark for the common features of OBRA that came in through legislative procedures. Since then, the congress normally completes a large measure of budgetary issues in one large bill. The bill provides that the function in the year 1987 came to give entity to Omnibus Reconciliation OBRA recognizes the unique and important duty that the LTCOP perform for all the home nursing citizens. The Federal Medicaid and their legislation include real source of the material, which is the National Term Care Ombudsman Resource Centre. Distinct duties of advocacy and subsequent controls together with some of the guidance provided by the LTCOPs are additional equipments to provide citizens interests at a required level (American Medical Association 15). The differences, which OBRA introduced in the home nursing care, are great. Some of them provide specific requirements to the citize ns. For example, emphasis on quality of life for residents and clear quality, new expectations that can teach residents capabilities to bathe walk and perform other responsibilities daily. More so, residential assessment procedure that leads to development of personalized plan for caring in 75 hours for testing and training paraprofessional staff (Flower 32). It also outlines the rights in the home nursing and lack of dangerous behaviors for residents in the Idaho region significantly shifting medical situations. OBRA provides a motion of forces that enabled changes in the ways in which state inspectors make their approaches to all home nursing. They never spend their precious time, to

The Sacrifice Essay Example for Free

The Sacrifice Essay The notion of sacrifice within most religions acts as not only a show of faith but also as form of tribute to past biblical stories. From Islam to Judaism to western Christianity, various religions, even those in conflict with each other, share the significance of certain sacrifices that are still honored and hold relevance to this day. Of the more prevalent occasions is the willingness of Abraham to sacrifice his son to show submission to God’s command. Though the details vary from one religion to the next the importance and power of the event remain strong to these communities. Each of these four religions have a different account or play a different part in the story. The Muslim community celebrates Eid al-Adha to honor Abraham’s willingness to sacrifice his first born son Ishmael. To commemorate this near sacrifice, Muslims willingly sacrifice their best domestic animals as Ishmael was spared with a goat taking his place. The meat is split into three sections with the family keeping a third and the other two thirds going to friends and family and the less fortunate, respectively. Those taking part dress in their finest clothes and have specific prayers for the event which lasts four days with a total of 23 prayers. The name Eid al-Adha translates to â€Å"festival of the sacrifice.† In Judaism the story is slightly different. The story of the Akedah, or the binding of Isaac, is relatively the same except that instead of Ishmael, the son to be sacrificed is Isaac. This is seen as a test God had placed upon Abraham to measure his faith. As Isaac was about to be sacrificed, God stepped in and stopped Abraham offering a ram in his stead. Christianity agrees with this story but adds that Abraham was willing to sacrifice his son due to his faith that God would then resurrect Isaac. Christianity also says this sacrifice either took place at the Temple Mount or at Calvary,  where Christ was crucified. As mentioned earlier, due to the fact that the Quran does not give a name to the son to be sacrificed, the Muslim religion has speculated that the son was Ishmael. Despite different takes on the episode it is clear that each of these three religions holds powerful meaning and importance for this would be sacrifice or at least for the faith Abraham had in God to be willin g to commit this sacrifice. In addition to these similarities, there is also the question of the Temple Mount in Jerusalem mentioned earlier. As stated before, the Christians believe this site as a possible backdrop to Abraham’s sacrifice as well as the site where Jesus was found as a boy by the Jews. Due to this belief, many Christian pilgrims flocked to this site to worship in the place where â€Å"Jesus walked.† This led to hostility from Muslims which sparked the crusades by the Roman Catholic Church. Christians believe the temple will be rebuilt for the second coming of Christ. The Jewish believe that the Temple Mount is the place where God rested after creating the world and gathered â€Å"dust to create Adam.† They believe this to be holiest place on Earth and all prayers should be focused in its general direction. In Islam the Temple Mount is held as the site where Muhammed made his journey to Jerusalem and ascent to Heaven. He also instructed his followers to face to face the mosqu e during prayer similar to Judaism. Due to the holy significance to so many different religions, the Temple Mount has been the scene for many conflicts throughout the ages. As early as the crusades but more notably in the Arab-Israeli conflict. Both groups see this site as belonging to their religion and are willing to sacrifice themselves in order to retain possession of it. The poem Parable of the Old Man and the Young by Wilfred Owen tells the story of Abraham’s trial. Where the poem differentiates from the story in the Bible is what takes place after God intervenes to spare Isaac. Instead of Abraham sparing the boy for the ram he sacrifices Isaac anyway thus â€Å"half the seed of Europe, one by one.† This implies that anyone with faith in God should possess the willingness to also make sacrifices to show that faith. The actual killing of one’s first born is not exactly what is implied but that one must be willing to sacrifice some important aspect of their life to prove they possess that faith. Works Cited

Should Australia Become A Republic? :: essays research papers

I believe that Australia should not become a republic. I think that there would be no point in becoming a republic, because we live without the intervention of the Queen at the moment, so becoming a republic would achieve nothing. If we were to become a republic, we would lose the support of England in times of war, famine or other disaster. I think that becoming a republic would achieve nothing, lose our links with England and waste the parliament's time when they should be concerned with more important issues.If we were to become a republic, the governor general would be replaced by a president who would have the same powers and responsibilities as our Governor General, so only the name and the person holding the position would change, wasting important parliament time and achieving absolutely nothing. At the present time, there is nothing wrong with the constitution, and if there was anything wrong with it, it could be changed by referendum, once again proving that becoming a republic is pointless. Currently, we are not tied down at all by the monarchy, and although the Queen does have the power to intervene in the running of our country, she doesn't out of tradition, and therefore, probably never will, bound by the tradition. If we become a republic, we would lose valuable ties with England and perhaps part of our heritage that goes with it. England can support us through many unfortunate events that we may face and England, being on the other side of the world may not, putting them in a position to offer us financial, military or other support. If we were to become a republic would we forget that the English were the first people to colonise our country, and instead of learning about the colonisation of our country, learn about the way in which we broke free from England and the monarchy? We owe our existence in Australia to the English and we are treated very well by them - they let us manage our own affairs and don't interrupt in the running of the country, while still offering their support if we should ever need it, and if we were to break free from this "tight rein" by the monarchy, would they still offer their support when we needed it?Becoming a republic would achieve nothing and we would lose our valuable ties with England and the monarchy.

Mental Models Essay

Mental models are how the mind stores memories and ideas relating to reality. These include opinions, attitudes, prejudices, and approaches to different objects, events, and situations. The manner in which one’s mental models work can limit one’s ability to succeed or improve his or her environment. Sometimes managers’ mental models limit a business because they choose to ignore certain factors. Sometimes people only see what they desire to perceive or deliberately ignore pertinent data (Crook & Wind, 2006). For large, vast, and fast-paced companies like Verizon Wireless, mental models and mindsets, especially in management, do more than shape the company culture; they drive the company to success or failure. The company’s rapid growth and enormous shares of the wireless communications market are evidence of beneficial mental models and positive mindsets, but there are a few weaknesses. Mental Models that Enable Verizon Wireless’ Decision Making Pro cess Verizon Wireless employs several strategies survive and maintain a competitive advantage over its competitors. One of the company’s most influential mental models is that scrutinizing data to gain insights into the most potentially successful business models is key to thriving in a competitive market. Verizon Wireless collects information about various wireless providers, individual clients, and client businesses to glean important insights. This mental model helps the company envision many important improvements, like programs to help grow small businesses into corporate enterprises and where to put the next set of communication towers (Verizon Wireless, 2013). This mental model helps Verizon Wireless to attract customers and maintain its client base (Bouncken & Sungspoo, 2002). Mental models are important in the understanding of various aspects of topics. Verizon wireless uses mental models to strategize and process, hence their success in business. Verizon Wirelessâ⠂¬â„¢ Mental Model of Employment One of the strategies that Verizon Wireless uses is a mental model of attractive employment conditions in the company, as a key to success. The belief is that happy employees help keep customers happy (Dean, 2013). For instance, the company provides support for working mothers and supports them in their endeavors to advance their careers, with offerings like tuition assistance. The mental model emphasizes positive inter-office interrelations, thus building trust within the workplace. Verizon Wireless is listed as one of the best companies for workers to seek employment because of this strong model of positive interrelations with its employees, flexible working schedules, and incentives for employees to further their careers (â€Å"Working Mothers names Verizon Wireless among 100 best firms,† 2008). By appreciating and encouraging individual interests within the company, Verizon Wireless builds a collective mental model of every worker’s success is a company achievement and, vice-versa, the company’s success contributes to the success of every individual (Computerworld, 2011). Mental Models Adopted From Mergers Verizon wireless is regularly involved in mergers with other companies within the communications industry. The mental model that drives this desire to purchase other successful enterprises is a vision of a company that grows ever-stronger by combining the best characteristics of each company into a better Verizon Wireless. In fact, the company started from the merger of two former Bell spin-offs, Bell Atlantic and GTE, along with a British company, Vodafone, deciding to merge Vodafone Wireless and GTE Wireless into a separate entity. The profitability and market leverage provided through the merger made Verizon Wireless a formidable contender, from its very beginning (Verizon Communications, 2013). Later, the company merged with Alltel Wireless to form the nation’s largest and strongest wireless communications provider (Verizon Wireless, 2009). Future mergers with established companies in foreign markets are likely to replicate the company’s successful â€Å"bigger is better† philosophy (FierceBroadbandWireless, 2012). The role of mental models is to aid in reasoning and problem solving, within the organization. Mental models provide imagery that aids in constructing and interpreting of issues (Rickheit, 1999). Mental models are how people’s minds represent reality and guide people’s decision-making processes, along with logical reasoning. The ideals and vision that Verizon Wireless embraces, in terms of latest technology as well merging with others, shapes strategy formulation and implementation. Mental Models that Disable Verizon Wireless’ Decision Making Process Every wireless phone company provides mental models and mindsets that disable the organization’s decision-making progress. One common mindset that hinders wireless providers and angers customers is the notion that a company must put attracting new customers before keeping current subscribers happy. Negative side effects of this mindset include reductions in renewal perks and adding charges without prior notification, as well as the addition of a $30 upgrade fee for each time the client switches to a new device. Already disgruntled customers are further enraged, when they call the customer service lines and discover the company’s unwillingness to compromise over fees and price hikes. Such a negative mindset encourages customers to look elsewhere for service; and, those whom terminate their business with Verizon Wireless are customers that the company must replace by enticing a new client with benefits and discounts. Furthermore, angry customers are not shy to tell their friends and acquaintances about their terrible experiences with Verizon Wireless, thus scaring off potential customers (Delsoft, 2012). Based upon revenues, Verizon Wireless is the most profitable wireless communications carrier in the United States, and poised to be the most profitable in the world. The company provides high-quality service and works endlessly to expand and improve upon its infrastructure. The model is very successful and creates the mindset that an ever-improving network is the only way to succeed. The limitation this mental model poses is that the company does not use the advantages of economies of scale to pass savings onto customers. Most customers would be happier to know that their bills were reduced than to know th at their phones will receive full 3G service on nearly every square foot of the North American continent. Five Forces Influencing Mental Models at Verizon Wireless Similar to other wireless companies, Verizon has five forces to conduct success against its competitors. The five forces illustrate a representation of the five powers to rise in a low economic environment. These forces, also known as Michael Porter’s Five Forces Analysis, consist of buyer power, supplier power, threat of substitute product and services, threats of new entrants, and finally, rivalry of existing competitors such as T-Mobile, AT&T, etc. Following Michael Porter’s analysis may give the company big accomplishment, there is also other forces that impose limitations to the decision-making process. Imposed forces obligate a company to switch gages from success to immediate failure, such as the Customer Relationship Management (CRM) services. A CRM service is a strategy that reduces any negative interactions that the customers pertain. Exploiting is a major discomfort for Verizon Wireless. Verizon Wireless does not like to bring undependable service upon its customers. One of the five forces that impose limitation to administrative decision process is threats of entrants. Threats of new entrants become an imposition because it conveys hard places to expand access of new entrants, creating threat of competition of which wireless company is highe r quality. Creative Intelligence at Verizon Wireless Verizon Wireless has become the leading cellular provider by creating a leadership team that allows integration within the company’s decision making process. Verizon Wireless recognizes that not all good ideas will be created within the company or marketed successfully internally. In the business community, network- related issues such as call quality and performance reliability, particularly among small and midsize companies, are important elements that impact the daily decision-making process. Verizon Wireless adapted a strategy known as crowd sourcing. Crowd sourcing became the decision making process for everything from product development to engaging customers in marketing decisions. As crowd sourcing succeeds and grows in popularity, innovators and businesses are taking more provocative and bold steps to drive innovation. The company’s most creative development for decisions is its open innovation strategy. According to Nine Sigma (2013), open Innovation, also kno wn as external or networked innovation, is focused on uncovering new ideas, reducing risk, increasing speed and leveraging scarce resources. With a better understanding of collaboration, a company is able to lower risk by combining external capabilities with internal innovation resources. Verizon Wireless created a program to collaborate with entrepreneurs and established companies. Through open innovation, Verizon Wireless will be able to form partnerships and generate the creative ideas that will keep them competitive in the future. Conclusion Mental models manipulate the mind to have imagery on several issues. Knowledge is crucial in creating a mental model in a business. When the mental model is one that promotes interrelations such as new ideas through support of advancement and education, new ideas then emerge that enable a company such as Verizon wireless to thrive. The management implements the ideas as the new ideas of the mental picture resonates with their personal goal. Thus, the importance of mental models in Verizon wireless decision making processes as it facilitates fast reasoning towards shared goals. References AT&T. (2013). Investor relations. Retrieved from http://www.att.com Bouncken, R. B., & Sungspoo, P. (2002). Knowledge management in hospitality and tourism. Binghamton, NY: The Haworth Hospitality Press. Computerworld. (2011). 100 best places to work in it 2012: Employer profile NO. 6: Verizon Wireless. Retrieved from http://www.computerworld.com/ Consumerist.com. (2007, October 15). Verizon’s Plan to Share Your Call Data Generates Blog Scrutiny. Consumerist. Retrieved from http://consumerist.com Crook C., Wind J., (2006, March 1). Changing Mental Models in an uncontrollable world. Retrieved from The Financial Times 2012 Dean, J. (2013, April 29). 10 of the Happiest Big Companies to work for. Career Alley. Retrieved from http://www.careeralley.com Delsoft. (2012, October 3). Why does Verizon not value loyal long term customers? Verizon Wireless Services. Retrieved from https://community.verizonwireless.com FierceBroadbandWireless. (2012). Global LTE: Verizon dominates today, but which operators will lead in 2016? Retrieved from http://www.fiercebroadbandwireless.com

Word of Thanks

Ambitions could not be fulfilled without determination; goals cannot be achieved without sacrifices, and success could not be acquired without rising above Intrigues. Our honored guest and speaker, distinguished visitors, our respected school administrator, Madam Mercy L. Sales, beloved teachers, dear parents, fellow graduates, friends, ladies and gentlemen, good morning. As students, we often complained about our difficulties and adversities. However, you all would agree with me that this difficulties and challenges made us better individuals ready to face whatever disappointments in the future.Thus, we are all here today, standing before everyone else, able to proclaim to the world that we have survived the battles we have fought for all the years we have stayed in this institution. But we would never be here today, without the help and support of the people who In one way or another are part of what we are now. This Is the right moment and occasion we can express our gratitude and give them honor. First of all, we are very much grateful to ours Almighty God, the ultimate source of our strength and courage to face life.Everything we are now and everything we will be, we offer to the honor and glory of God. Our heartfelt gratitude goes to our dearly beloved parents, who consoled us, sweated for us and guided us like a kite gliding higher into the skies. Especially, I would like to acknowledge my parents, Mr.. Remnant Mobil and Ms. Angelina Appellation whose efforts and sacrifices have nourished me colorful and beautifully. Ma, Pa, even though we don't live under the same roof, I know and I believe that you've done your part to me as my guardians.Maybe not perfectly but In a way everyone would be proud of. For me, you're the best parents in the world. To my beloved Lass, loss, uncles, mommies and daddies, thank you for the time and efforts you've given In order to help me fulfill my ambitions In life. You are all so special to me. Our sincerest thanks also go t o our wonderful teachers, who patiently taught us not only the concepts of different subjects but most especially the values of life. Teachers, thank you for helping us discover what we are able to become. Truly, you've done great help in bringing out the best in us.And of course, our profound gratitude and appreciation to our respected school principal, Madam Mercy L. Sales, for making Mulligan National High School our friendly and conducive second home. Our triumphs would not be completed without the guidance and support of our beloved Alma Matter, Mulligan National High School who nourished, built and armored us to become worthy individuals dressed In Impregnable armor of knowledge to face the more complicated, spiritual, social and political confrontations of the future. My fellow graduates, graduation carries with it the marks of success in our s not everything.We must remember that this day is not the end our struggles. Rather, it is the beginning of a serious and responsible life ahead. As we separate our ways to another chapter of our lives, let us always be reminded that we should have deep and abiding commitment to participate and dedicate ourselves to the task of building a community equals under an environment of shared community. We bring change where it is needed, expertise where it is missing and leadership where it is wanting. As Mulligan Nationalists, this is our commitment. Thank you and again, good morning.