Individuals who reside in long-term care institutions (such as psychiatric facilities, nursing homes, congregate care facilities, and Intermediate Care Facilities for people with I/DD) and correctional facilities were also disproportionately impacted by the pandemic, experiencing increased rates of infection and the disruption of necessary habilitative or rehabilitative services. 15 They found that a reduction in energy availability resulted in lower body fat (p = 0.013). The assessment of body composition and of somatic protein stores involves the measurement of different body compartments (water, fat, bone, muscle, and visceral organs). Repeated unwanted or uninvited request for dates could be considered which of the following behaviors? 29. On the service dress blue uniform, an Airman apprentice should wear what color group rate mark? City of New York, Mayors Task Force on Behavioral Health and the Criminal Justice System: Action Plan (Dec. 2014), available here. All married personnel are required to undergo family counseling within one year of marriage. When operating electrical equipment, the term "one-hand rule" is best defined by which of the following phrases? Nutrition professionals can use the InBody to: Determine baseline body composition and identify areas needing improvement for optimal health and disease risk reduction. A Marine Corps captain wears what collar device? 11. New York State (NYS or the State) requests $17 billion over five (5) years to fund a new 1115 Waiver Demonstration that addresses the inextricably linked health disparities and systemic health care delivery issues that have been both highlighted and intensified by the COVID-19 pandemic. 1/5. The assessment of body composition involves using the most appropriate, and accessible, method possible to 'estimate' a person's body composition (an actual assessment of body composition would be by cadaver analysis). Greater use of telehealth, virtual care and other digital health tools has many other potential benefits, including expanded access to specialists and better use of statewide system capacity, improved ability to engage in follow-up care, better ability to care for patients in a comfortable home setting, and improved convenience. Comparing skeletal muscle mass (SMM) to body fat mass (BFM) helps to understand body balance and health risk. You will be required to wear a tight fitting bathing suit or spandex outfit with a swim cap . Building on longstanding investments and efforts, the Medicaid program is in an excellent position to bridge this gap based on the demographic composition and physical health, behavioral health and social needs of its beneficiaries. Critically, this type of CBO network development began to catalyze as a logical outgrowth of DSRIP, with several Performing Provider Systems (PPS) or providers within a PPS, electing to form network entities that are capable of participating meaningfully in VBP arrangements. Ensuring that proper measures are taken to keep machinery spaces, and equipment operational, clean, and in a satisfactory sate of preservation is accomplished by which of . Expenditure Reductions Associated with a Social Service Referral Program, Population Health Management, Vol. Enroll eligible individuals in Medicaid 30 days prior to discharge from a correctional facility, as mentioned in Section 1.5 above; Authorize Medicaid reimbursement for Critical Time Interventions models to help people transition across levels of care, which is a time-limited evidence-based practice that facilitates community integration and continuity of care by ensuring a person has a support system and strong ties to their community during times of transition; and. Who is responsible for establishing Navy PFA standards and FEP guidance? "One-Time Access" for an individual to view information at a level above his authorized level, may be used during operational emergencies. The bonds sold for$739,814,813 and mature on December 31, 2040 (20 years). Its common stock is currently selling for $48\$48$48 per share. b. What approximate percent of Navy's deaths are contributed to non-hostile active duty suicides? & ?\\ \hline Although New Yorks DSRIP program included some projects addressing SDH, these early attempts need to be brought to scale across the state. Review the Health and Readiness Optimization (HeRO) Body Composition Guide, which provides information and resources on achieving a healthy body composition. Prior to an actual physical readiness test, member's official body composition assessment is required to be conducted within what a) maximum and b) minimum time periods? After four weeks, both the placebo and creatine supplementation group experienced significant increases in segmental lean mass (p < 0.01), however the latter improved by 5.5% compared to 3.8%. 30. Prohibited offensive conduct includes all of the following, EXCEPT which one? The disparate impact of COVID-19 on disadvantaged populations demands a comprehensive response that addresses underlying SDH as an inherent part of addressing health disparities and achieving health equity. What document charges a sailor to follow lawful orders given by his superiors? CFL will design a rehabilitative program in conjunction with medical personnel and place personnel in program. Body composition can be measured with tests like skinfold assessment, DEXA scan, body circumference, hydrostatic weighing, and bioimpedance analysis. ECW plays a vital role in moving nutrients and waste into and out of the cells. Reimbursement levels in Medicaid populations served by safety net providers are not sufficient to make these investments on their own, as they sometimes are in the commercial market. Incorporating principles of implicit bias and cultural sensitivity training for all member-facing staff. Recouping from a medical or surgical condition that interferes with accurate and valid measurement. In a global model, the lead health system VBP entitywhether part of an integrated delivery system or clinically and financially integrated IPA or ACOwould extend successes and performance across payor types, including Medicaid fee-for-service (FFS), Medicaid managed care, Medicare FFS, Medicare Advantage, and/or commercial plans. NYS must continue and expand efforts to facilitate access to alternative environments for individuals requiring long-term care. 9069 0 obj <>/Filter/FlateDecode/ID[<1980D584FBBBDA4A8584CBE45C8088D6>]/Index[9059 18]/Info 9058 0 R/Length 71/Prev 659009/Root 9060 0 R/Size 9077/Type/XRef/W[1 3 1]>>stream The protection of their personnel and assets from the terrorist attacks is the ultimate responsibility of what member of the chain of command? What program has become the Navy's most effective tool(s) for detecting and identifying illegal drug use? Unsecured sources of short-term loans John Savage has obtained a short-term loan from First Carolina Bank. For each statement, indicate the term described, or answer "None" if the statement does not correctly describe any of the terms. Physical Fitness Assessment failures can effect a Sailor in the form of all of the following ways, EXCEPT which one? What is the primary goal of the physical readiness program? Injuries, disease, aging, high sodium diets, low muscle mass, and a variety of other factors may cause the ECW/TBW to increase (Park et al., 2021). An article of clothing purchased at the owner's expense and authorized for wear with the uniform is known as what part of a uniform? SOMOS, About SOMOS Innovation, available here (accessed on July 12, 2021). In the case of COVID-19 patients. 13 8 1. We partner you with an InBody specialist that understands your industry and unique needs. The five goals of Antiterrorism (AT) Force Protection are defending against, deterring, mitigating, recovering, and what other action? Procedures for missing ships' movement are contained what UCMJ article? When you wear the new Navy working uniform, what type of boot is authorized? 4. Which of the following is NOT an indicator of potential violence by a work place employee? Individual is admitted to alcohol treatment for 3rd self-referral. MCOs would be required to engage in VBP contracts with an appropriately constructed network of providers for the population-specific VBP arrangement. CMS Location must authorize the State Survey Agency to conduct a substantial allegation validation survey and will specify the CfCs to be assessed. This demonstration will pursue the development of HEROs, which will be mission-based organizations that build a coalition of MCOs, hospitals and health systems, community-based providers (including primary care providers), population health vehicles such as accountable care organizations (ACOs) and independent provider associations (IPAs), behavioral health networks, providers of long-term services and supports (LTSS) including those who serve individuals with I/DD, community-based organizations (CBOs) organized through social determinants of health networks (SDHNs, as described below), Qualified Entities (QEs) (which in New York are Health Information Exchanges (HIEs) and Regional Health Information Organizations (RHIOs)), consumer representatives, and other stakeholders (See Exhibit 1). Of the following statements, which one does NOT apply to Family Advocacy training requirements? The Physical Fitness Assessment (PFA) includes which two parts? In 2020 discuss whether each performance indicator is strong, average, or weak. 1 April 2022 1 Entering a Member's Weigh-In Data Introduction This guide provides the procedures for a Personnel and Administration (P&A) office or Command User to enter a member's Weigh-In data in Direct Access (DA). . 13. Patient Satisfaction with Telemedicine During the COVID-19 Pandemic: Retrospective Cohort Study, Journal of Medical Internet Research 2020; 22(9) and J.D. New York State (NYS or the State) requests $17 billion over five (5) years to fund a new 1115 Waiver Demonstration that addresses the inextricably linked health disparities and systemic health care delivery issues that have been both highlighted and intensified by the COVID-19 pandemic. The comprehensiveness, value and accessibility of the Medicaid program has never been more important than during the COVID-19 pandemic. 2) single site abdominal circumference (AC) measurement 3) body composition assessment (BCA) measurements. PMK-EE Warfighting and Readiness Exam for E4, Professional Military Knowledge Eligibility E, PMK EE E-4, E-4 Professional Conduct Exam, Alexander Holmes, Barbara Illowsky, Susan Dean. Through the DSRIP experience, NYSs provider community and managed care organizations (MCOs) have learned new, more efficient ways to address individual and population health. This initiative would make new investments that align with existing efforts (such as the States Olmstead plan to transition people to the least restrictive possible environment) to reduce institutionalization and institutional capacity of all kinds and to promote integration of currently institutionalized populations. 24. Studies have shown significantly reduced rates of cancelled appointments when telehealth was utilized, compared to in-person visits only.31 In approving plans and distributing funds for flexibility in health system capacity, the State will take into consideration appropriate payment mechanisms to promote virtual encounters to improve services to vulnerable populations and to address ongoing workflow disruptions and/or staffing shifts due to the COVID-19 emergency. Who is required to participate in the PFA? Information that indicates ground, air, or Navy force levels or dispositions is what security classification? Aboard Navy installations, motor vehicle passengers are required to always wear which of the following items? Male personnel are authorized to maintain hair of what maximum length, in inches? endstream endobj 133 0 obj <>/Metadata 15 0 R/Pages 130 0 R/StructTreeRoot 24 0 R/Type/Catalog/ViewerPreferences 150 0 R>> endobj 134 0 obj <>/MediaBox[0 0 612 792]/Parent 130 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 135 0 obj <>stream As a CFL measuring a member for BCA you should take all circumference measurements _____ times and record them to the nearest inch. Total(SellingPriceperShareNumberofSharesCommission)=NetSaleAmountofPaidProfitorLoss$5925($5214100)$59.60=? DQPp EE=(6h%CR~w'Q'u@@A0=f:4zoXHhxJXu4Sg1LV7ox4>.kNytoE?F\n,X&s%QS^n:; 3/X $|&ywvY-9zpp~ojb$m7}lMq|2Ij+[;&wkXfl'6|m5=Bts}Lj#% \Vt cAtE(Io:->Ng4oB&X%tZuQqO`^~V)+s_&^D->Jpzx%*)q415> clt6PnC[:ug"UxqID?h!4WRY*N7Gs&0tTfp`d50jk>Acze During emergency situations with the commanding officer's approval. Please be aware that your actual monthly payment liability is subject to change based on the amount financed, which is at the financers discretion and that the amount shown here is merely an estimate and does not include applicable federal and sales tax. The State will therefore use waiver funding to create an Equitable Virtual Care Access Fund to assist such providers with these human capital investments, resources, and support. Much like the standard 20-30 kcal/kg recommendation, these estimations are based on population assumptions, not your patients personal data. 6 Sinha and team evaluated children, ages 6-59 months, finding an association between severe acute malnutrition and Fat Free Mass and Fat Mass. 18. The Innovator Program is a voluntary program for VBP contractors prepared for participation in Level 2 (full risk or near full risk) and Level 3 value-based arrangements. iv. Commands will report results of how many PFAs per person per calendar year via the Physical Readiness Information Management System (PRIMS) website? e. lost int e rest in social activities. From sports nutrition dosing to complex dietary interventions in clinical populations, InBody data can help guide nutrition prescription to improve performance enhancement and patient outcomes. Beyond interventional studies, researchers have used the device to consider socioeconomic factors like patients access to nutrition and body composition. Procedures for missing ship's movement are contained what Uniform Code of Military Justice (UCMJ) article? 17. First Carolina Bank offers John two financing options for the$45,000 loan: a fixed-rate loan at 2.5% above prime rate or a variable-rate loan at 1.5% above prime. In 1992, Wang et al [2] proposed a five-level model for body composition research: Whole-body level. ). When warranted, while wearing the Physical Training Uniform, which of the following items are authorized optional components? Mission readiness and operational effectiveness are built on what? The Navy assesses personal physical fitness via a semi-annual PFA (see enclosure (1)). The State believes CMS shares this vision, as demonstrated through its increasing willingness to use 1115 waiver authority to permit state Medicaid programs to address SDH interventions and funding gaps. The Commonwealth Fund, Review of Evidence for Health-Related Social Needs Interventions, July 2019, available here; Pruitt, Z et al. PPSs that have shown deep experience and success with New Yorks current VBP arrangements, including through designation as "Innovators" under current, CMS- approved version of A Path toward Value-Based Payment: New York State Roadmap for Medicaid Payment Reform (VBP Roadmap),20 with the necessary infrastructure and experience serving their communities and specific populations, may be eligible for upfront VBP incentive funding to facilitate the transition to these new health equity- driven VBP arrangements. "b>ZxLSN.P@JLPWY(6LfT Al @P`qB0% T`P s -$>A>t4 r$8i20c:}=10$be4`T(Ad(&g@z->]x~w"g`R 2 c. became more energetic. Documentation of Authorization Waiver or Alteration Determinations. Covered entities may also use statistical methods to establish de-identification instead of removing all 18 identifiers. Who is responsible for physical fitness of command personnel? Enlisted personnel are authorized to wear gold service stripes and rating badges after completion of continuous good conduct for what minimum number of years? 20 The NYS Department of Health Office of Health Insurance Programs has found through its research and assessment of screening tools that the AHC social needs screening tool may be an appropriate tool to use statewide. 820, Statutes 2020, chapter 10, section 68, due on or before . \end{array} When warranted, while wearing the Physical Training Uniform, which of the following items are authorized optional components? These values are provided by some, but not all, of the body composition . Skinfold tests are one of the oldest and most basic ways to measure the amount of body fat you have. When awarded, extra duty is NOT to exceed what total number of hours daily? Information that indicates ground, air, or Navy force levels or dispositions is what security classification? These recruits must meet the highest levels of cognitive and physical strength requirements, including scoring 50 or higher . Suggested initial maximum for required PT is ____ sessions per week, ____ minutes duration; members who exceed this maximum are at risk of injury. Which of the following items should you use for planning how to spend or manage your money? Although the New York State Medicaid program has been actively working to improve health outcomes among Medicaid members, including through its groundbreaking and successful Delivery System Reform Incentive Payment (DSRIP) program, which began to develop and fund ways to address social determinants of health (SDH) and value-based payment (VBP), COVID-19 is evidence that significant health disparities persist. Semi-Annually. "Covered functions" are those functions of a covered entity that make the entity a health plan, a health care provider, or a health care clearinghouse. Skeletal muscle mass (SMM) is the muscle attached to bone and responsible for human movement (Cleveland Clinic). Tracking progress and adjusting those goals will lead to greater success. InBody values are even used to validate other body composition calculations, like in, which assessed the agreement between LBM calculations and InBody LBM. Which of the following rates requires a light blue rating insignia? NYS DOH, VBP Roadmap 56 (September 2019), available here. The City of Alma has captured the following trend indicator information for five years. While HIFAT patients had greater visceral fat, there was no difference in skeletal muscle mass. These may include: Each of these goals and their associated initiatives and investments address key challenges identified during the pandemic, as well as health disparities and racial inequities that hamper the State, MCOs and providers to collectively meet the needs of some of the most at-risk and underserved populations within our Medicaid population. Procedures for missing ships' movement are contained what UCMJ article? Describe the financial statement changes that would result from these two assumptions. At least one CPR-certified monitor will be present for every ______ members participating in the PRT, with a minimum of two monitors for every test. The use of unlawful force or violence with the intent of inflicting bodily harm is best described by what term? Background and Context: Lessons Learned from the COVID-19 Pandemic, Relationship with Larger 1115 Waiver and DSRIP, Initiatives & Investments Proposed by Waiver Goals, Goal #1: Building a more resilient, flexible and integrated delivery system that reduces racial disparities, promotes health equity, and supports the delivery of social care, Goal #2: Developing Supportive Housing and Alternatives to Institutions for the Long-Term Care Population, Goal #3: Redesign and Strengthen Health and Behavioral Health System Capabilities to Provide Optimal Response to Future Pandemics & Natural Disasters, Goal #4: Creating Statewide Digital Health and Telehealth Infrastructure, Budget Neutrality and Sources of Financing, DefinitionsA widely used definition of health equity is the one developed and used by the Robert Wood Johnson Foundation (RWJF): Health equity means that everyone has a fair and just opportunity to be as healthy as possible. Which of the following is NOT a requirement for Commanding Officers to address in regards to Family Advocacy cases? The BCA must be completed within 45 days of, but not less than 24 hours prior to, participation in the PRT. Male personnel are authorized to maintain hair of what maximum length, in inches? v4]kLSE V(9V)`V#'6}%l. John needs the money to cover start-up costs in a new business. Beyond sports, lean body mass data is used to better understand and guide clinical populations, like. A sailor must complete a periodic health assessment t what minimum interval? This partnership is critical to addressing health disparities exacerbated by COVID-19, promoting health equity, and fulfilling the promise of the Medicaid program to provide comprehensive health benefits to those who need them. b. CFLs shall report any injuries related to Physical Readiness Program to whom? The first confirmed COVID-19 case in New York occurred on March 1, 2020. When you wear the new Navy working uniform, what type of boot is authorized? BODY COMPOSITION ASSESSMENT (BCA) MEDICAL WAIVER CHART * This diagram depicts the Navy's BCA medical waiver and PFA MEB process. Ostracizing a service member who has reported a criminal offense is an example of what term? hbbd```b``z " LZp0y,; &I0)&oIgAlQ 9'a3 : 6, Nov. 28, 2018, available here. For example, Huang et al (2022) found that when supplementing whey protein versus placebo, elite track athletes had significant improvements in muscle mass (p = 0.005) and physiological adaptation compared to the control group. If approved, this 1115 Waiver Demonstration would utilize an array of multi-faceted and linked initiatives in order to change the way the Medicaid program integrates and pays for social care and health care in NYS.
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