When awarded, extra duty is NOT to exceed what total number of hours daily? 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. People who are homeless with complex medical problems are one of the highest cost groups of individuals enrolled in New York Medicaid, driving a large portion of avoidable hospital costs through lack of access to care outside the emergency department. Review the Health and Readiness Optimization (HeRO) Body Composition Guide, which provides information and resources on achieving a healthy body composition. Aboard Navy installations, motor vehicle passengers are required to always wear which of the following items? Personal relationships are allowed between a Navy officer and an enlisted service member with which of the following affiliations? With this waiver demonstration proposal, NYS is incorporating lessons learned from its DSRIP experience, including the need for regional alignment on objectives, more direct investment in and involvement of CBOs and behavioral health providers in governance and VBP accountability, regional coordination of workforce initiatives to address shortage areas, administrative simplification through avoiding the creation of new intermediary entities, and an even deeper alignment of provider and payer incentivesparticularly the highest level of VBP, with symmetrical risk sharing and monthly prepayments (capitation and/or global budgets). For each statement, indicate the term described, or answer "None" if the statement does not correctly describe any of the terms. Service members should perform strength training exercises what minimum amount of time per week? Physical Fitness Assessment failures can effect a Sailor in the form of all of the following ways, EXCEPT which one? In 1992, Wang et al [2] proposed a five-level model for body composition research: Whole-body level. For work on a Navy installation, NAVOSH directives authorize joining what maximum number of 25-foot extension cords? On average, Medicaid claim costs declined by about $6,800 per person with high utilizers of the programs having an average savings of $45,600. Which of the following rates requires a light blue rating insignia? 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. 1. A silver lining of the COVID-19 pandemic has been the opportunity forand accelerated realization ofwidespread consumer and provider use of digital and telehealth care, including tools such as remote patient monitoring, innovative care management technologies, and predictive analytics. utilizes patients body composition data to calculate BMR, which is why its trusted in clinical nutrition studies like. When obtaining a temporary TOP SECRET clearance, which of the following is NOT a requirement? a. There are several subpopulations with co-occurring conditions exacerbated by the lack of housing or unstable housing. 15. National Quality Forum, A Roadmap for Promoting Health Equity and Eliminating Disparities: the Four Is for Health Equity (September 2017), available here. 20 Ensuring that proper measures are taken to keep machinery, spaces, and equipment operational, clean, and in a satisfactory, state of preservation is accomplished by which of the following types inspections conducted by a command representative? Which of the following is an objective of the Personal Excellence Program? b. "One-Time Access" for an individual to view information at a level above his authorized level, may be used during operational emergencies. Change 1 Effective: December 20, 2022 Releasability: Cleared for public release. As NYS works to build back better post- pandemic and to make significant progress toward eliminating racial disparities and promoting health equity, it is imperative to have a strong and well-trained workforce that is both representative of the populations being served and free of implicit bias. The informal resolution system includes all of the following means of interpersonal conflict resolutions, EXCEPT which one? In addition to financing the non-federal share of this 1115 demonstration through transfers from units of local government and state general revenue commitments that are compliant with section 1903(w) of the Social Security Act, New York seeks flexibility from CMS to identify other sources of matching funding. Instead, assume it is a prepayment of the next periods insurance protection. Service members should perform strength training exercises what minimum amount of time per week? Personal relationships are allowed between a navy officer and an enlisted service member with which of the following affiliations? The breakdown of your body composition (fat, muscle, and bone,) will be measured with the Bod Pod body composition system. 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 KATE SPADE 1YRU0027 KATE SPADE seaport . Automatically remove your image background. 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. How often shall PT sessions be conducted per week? What happens when personnel who cannot participate in PT sessions and PFAs due to a valid medical condition? 3. What entity must authorize a body composition assessment waiver? The Assessment of Recruit Motivation and Strength Program 2.0 allows prospective soldiers with a body fat percentage of no more than 2% above the standard to enlist in the Regular Army, Army National Guard or Army Reserve. Past waiver experiences have shown how targeted investments in effective regional coordination can create stakeholder alignment around aggressive actions to implement policies and programs that achieve delivery system reform. For members who are unable to participate in all or a portion of how many consecutive PFAs? Body Composition Assessment. Personnel may work on live electrical circuits or equipment under which of the following conditions? NAVHLTHRESCHCEN determined upper allowable Navy BCA limits to correspond to ____ percent for men and ____ percent for women. In the case of COVID-19 patients. Medical waiver recommendations from participation in BCA shall only be issued for members who? 2. PMK-EE Warfighting and Readiness Exam for E4, Pathophysiology: Ch. During emergency situations with the commanding officers approval. At the same time, because health and healthcare are local and the social service offerings may differ by region, this statewide strategy must also tie back to local gaps and needs, particularly for the health care safety net. For example, in a study of elite male endurance runners, authors Jurov, et al in a 2022 study evaluated participants energy availability, its effects on performance, and changes in body composition across a three-stage program. 2022 study where authors recorded recipients SMM after hematopoietic stem cell transplantation to understand patients survivability, finding that pre-treatment SMM was a predictive variable for reduced 2-year survival. Calculate the total interest cost over 180 days for a variable-rate loan. endstream endobj 9063 0 obj <>stream The Journal of Sports Science & Medicine published a study that evaluated the impact of creatine supplementation on rehabilitation in adolescent fin swimmers with overuse injury (. The Physical Fitness Assessment (PFA) includes which two parts? A summary court-martial can award confinement for what total number of days? The protection of their personnel and assets from the terrorist attacks is the ultimate responsibility of what member of the chain of command? Maximum authorized sideburn length is defined by what point relative to the ear? When scheduling the PRT it must be at least how many months after the last PRT but not more than how many months after the last PRT? What approximate percent of Navy's deaths are contributed to non-hostile active duty suicides? NYS DOH OHIP, Social Determinants of Health Standardization Guidance (April 2020). Documentation of Authorization Waiver or Alteration Determinations. Any sailor who commits fraudulent activity should be charged under what article of the UCMJ? 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. In fact, absent federal support in the American Rescue Plan Act of 2021 (ARPA), the State would have been forced to reduce safety net expenditures immediately, as originally proposed in the State Fiscal Year 2021-22 Executive Budget. Identifying housing solutions, including increasing the Supplemental Security Income (SSI) state supplement for high needs populations, addressing the supportive housing needs of individuals with serious mental illness (SMI) and other conditions requiring support to maintain housing, and other general housing solutions. How often should the CFLs confer with the CO to discuss current and impeding referrals for Ship-Shape, progress of personnel in FEP, or other items of mutual concern? PRT shall not be conducted under harsh environmental conditions. hbbd```b``$3d"l-yf,Hp7@ M ). 0 December 2017, available here. Adequate progress shall be at least ____ percent of body fat loss per month but by no means more than ______ percent of body weight in any week. Particularly due to the same injury or illness (not to include pregnancy), may COs refer them to Medical for reevalutation and recommendation for assignment to Limited Duty (LIMDU) and/or Medical Board Review. Medical will file a copy of the NAVMED 6110/4 in member's medical record. Authorized medical department representative. In reference to rating badges on pea coats, which of the following statements, if any, is correct? It would also lay the groundwork for reducing long standing racial, disability-related and socioeconomic health disparities, increase health equity through measurable improvement of clinical quality and outcomes, and keep overall Medicaid program expenditures budget neutral to the federal government. The authors strongly advise using baseline InBody LBM to guide [protein] dosing if possible., Body fat mass is the sum of all the fat in the body including subcutaneous and visceral fat and is important to monitor and tailor dietary patterns to promote decreased disease risk. When chipping or scrapping paint, you should wear what personal protective equipment? Establishing policy and ensuring the Family Advocacy Program meets command, sailor, and family member needs is the responsibility of what entity? Chen, T. Robertson, M. Wu, et al., The Impact of the PCMH Model on Poststroke Follow-up Visits and Hospital Readmissions, Health Services Research, 2020. 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. Under the BRS sailors should receive a 1% contribution from their service component automatically, but are eligible for an additional matching contribution from the service component at hat maximum percentage? With the proper tools, these specialists can help clients develop specific, measurable, action-orientated, time sensitive, attainable goals. iii. NYS and CMS could also work to identify federal savings that would accrue outside the Medicaid program, such as savings to the Medicare program due to reduced spending on the dual eligible population. Assessing and identify local needs and health inequities by population, and service gaps; Establishing regional priorities based on local needs and specific populations; Ensuring racial, ethnic and gender concordance between patients and providers, so that providers resemble the patient population in order to facilitate patients desire to seek care; Developing other ways to address racial barriers that impact access to care; Ensuring that implicit bias training and awareness, as well as trauma-informed care is part of workforce training; Centralized data collection and exchange among a variety of sources, including national, State, local and proprietary (e.g., criminal justice, foster care, census data, etc. Specifically, the COVID-19 pandemic and its higher rates of cases, hospitalizations, and deaths among people of color and other minority populations and people with disabilities due, their higher burdens of disease, over representation in low-wage essential jobs, increased likelihood of living in multi-family or multi-generational housing or institutions, and other factors demonstrated how pervasive health inequities are in NYS.6 Additionally, based upon existing measurement sets and data collection efforts, including the biennial New York State Health Equity Report, the quality of and access to health care services in low-income communities and among racially and ethnically diverse population groups reflects a health care delivery system that is not designed to meet community needs and eradicate health disparities.7, These findings are a reflection of a health care delivery system that has been historically structured to address illness and disease-burden with patients presenting in hospitals or clinics when care is needed. Procedures for missing ships' movement are contained what UCMJ article? When operating electrical equipment, the term "one-hand rule" is best defined by which of the following phrases? The Navy neckerchief should be worn in what manner? Skinfold Tests. Nutrition professionals can use greater granularity in patient health data to evaluate or validate interventions to mitigate disease status. As sports professionals focus on muscle growth and performance enhancement, its important to understand how dietary protocols can impact body composition. The bonds sold for$739,814,813 and mature on December 31, 2040 (20 years). 5. Nutrition professionals can use the InBody to: Basing nutritional intervention off body weight alone brings about a challenge. Differences in SDH factors are a primary contributor to racial and disability disparities in health outcomes. 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. 26. COs will refer members to medical after how many BCA failures. A Marine Corps captain wears what collar device? 17 Submitting a special request chit to request a Captain's Mast. Reserve personnel may be cleared for participation in the PRT for how long upon completion of the Annual Certificate of Physical Condition? Much like the standard 20-30 kcal/kg recommendation, these estimations are based on population assumptions, not your patients personal data. All BCA measurements are to be conducted in the blue and gold Navy Physical Training Uniform (PTU). Semi annually. Oftentimes, nutrition professionals use calculations to find BMR, but did you know they skew your patients data to the norm? Body composition refers to the physical material that makes up the body. Individuals who reside in institutional settings (such as psychiatric facilities, nursing homes, congregate care facilities, and Intermediate Care Facilities for People with I/DD) or correctional facilities were not only disproportionately impacted by the pandemic through increased rates of infection, but also experienced disruption of necessary habilitative or rehabilitative services. Tracking progress and adjusting those goals will lead to greater success. Enlisted personnel are authorized to wear gold service stripes and rating badges after completion of continuous good conduct for what minimum number of years? Planning efforts will involve a variety of stakeholders, including government entities, labor organization, provider organizations (inclusive of former PPSs with proven workforce strategies), and CBOs. For certain medical procedures, services, or medications, your doctor or hospital needs advanced approval before your plan covers any of the costs. The authors strongly advise using baseline InBody LBM to guide [protein] dosing if possible.. To ensure that individuals with serious mental illness and substance use disorder receive needed housing and stability as they transition from institutions and residential services, NYS will seek approval to: These investments, in its totality, would ensure benefit continuity and support for individuals transitioning to community living whose at-risk due to unstable or lack of housing. Accordingly, if approved, this waiver reflects that achieving an equitable recovery from COVID-19 is a process, not just an outcome, and would be just one part of NYSs intertwined Reimagine, Rebuild, Renew initiatives that collectively form a unified statewide strategy for equitable COVID-19 recovery. The first confirmed COVID-19 case in New York occurred on March 1, 2020. Programs that transitioned individuals from nursing home settings saved an average of $67,255 the first year and $90,239 the second year in housing.27. What program has become the Navy's most effective tool(s) for detecting and identifying illegal drug use? All personnel striving for improved fitness. Housing investments, if supported by innovative services and VBP, can produce a great return on investment. Upper edge of the knot is even with the lowermost point of the collar opening. Stanley Morgan and Co., an investment banking firm, plans to sell the issue to the public for $44\$44$44 per share with a spread of 4 percent. Building on these efforts, NYS recognizes that, in order to further our collective ability to improve health outcomes for all patients, particularly those who are vulnerable and underserved, the State must augment existing systems and develop a nimble delivery system built for "well care," that includes the following features: This waiver proposal is a catalyst to developing this new delivery system, and will require thoughtful planning, coordination and execution to address and reduce health disparities, while minimizing disruption and limiting unintended consequences. Try increasing your protein intake to at least . The Coast Guard will conduct Body Composition Screenings (BCS) in April, with mitigations to account for COVID-19's ongoing impact on the workforce. Generally, somatic protein stores are preserved at the expense of other body . Reservists. 2. While planning and coordination needs will be addressed by HEROs, there is an urgent need to organize CBOs and social service providers and develop the programming and workflows necessary for them to coordinate and work with health care delivery systems. Body Composition Screening is defined as the process . 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. Individual is admitted to alcohol treatment for 3rd self-referral. One prevalent system of body composition assessment is the two-compartment model introduced by Brozek, Grande, Anderson . et al., Assessment of Racial/Ethnic Disparities in Hospitalization and Mortality in Patients with COVID in New York City, JAMA (Dec. 4, 2020). 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. Body Composition Assessment completed during conversion screening process: 17. The ECW/TBW ratio is a tool to monitor the balance between body water compartments. 13 The assessment of body composition and of somatic protein stores involves the measurement of different body compartments (water, fat, bone, muscle, and visceral organs). Male personnel are authorized to maintain hair of what maximum length, in inches? Form SSA-827 is designed specifically to: ensure the claimant has all the information necessary to make an informed consent; make it more obvious to sources that the form contains all the elements and statements legally required to be on an authorization form; ensure claimants are clearly advised of the specifics of the disclosure; and. United Hospital Foundation, New York State Medicaid Health Equity Options, at 1 (March 2021). 8. The BCA must be completed within 45 days of, but not less than 24 hours prior to, participation in the PRT. Moodys Analytics, Understanding Health Conditions Across the U.S. BlueCross BlueShield Association. On the service dress blue uniform, an Airman apprentice should wear what color group rate mark?
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