Incorporating principles of implicit bias and cultural sensitivity training for all member-facing staff. The COVID-19 pandemic devastated many . The proposed amended regulations, California Code of Regulations, title 5 (5 CCR), section 1040, must be adopted, on an emergency basis, in order for California to continue to fairly and properly administer the 2021-22 California Physical Fitness Test (PFT) while awaiting recommendations from a study pursuant to Senate Bill (SB) No. . Excluding a wedding ring set, what total number of additional rings may be worn while in uniform? PMK-EE Warfighting and Readiness Exam for E4, Pathophysiology: Ch. United Hospital Foundation, New York State Medicaid Health Equity Options, at 1 (March 2021). These values are provided by some, but not all, of the body composition assessment devices being tested (see list of devices in Study Description). This effort will likely require workflows and process development to integrate the work of housing navigators into SDH service delivery models through SDHNs. Male personnel are authorized to maintain hair of what maximum length, in inches? By tracking phase angle, dietitians can better assess their patients nutrition status by monitoring the cellular health for early detection of symptoms/disease progression and thus earlier nutrition interventions. Describe the financial statement changes that would result from these two assumptions. Specifically, given the focus of this larger demonstration on the long-term effects of COVID-19, it would be appropriate to recognize that local governments, public benefit hospitals, and the State have been required to make substantial commitments of capital and resources to combat COVID-19 prior to availability of any federal funding through the Family First Coronavirus Response Act (FFCRA), the CARES Act, ARPA, or other sources of federal funding that will be made available to states that are experiencing the impacts of the COVID-19 pandemic. One prevalent system of body composition assessment is the two-compartment model introduced by Brozek, Grande, Anderson . A Florida citrus grower estimates that if 60 orange trees are planted, the average yield per tree will be 400 oranges. These programs include 54 capital projects, 13 rental subsidy and supportive services programs and pilots, and one accessibility modification program. For personnel who score an overall Outstanding or Excellent on the PRT, with no single event scored below good, COs are authorized to waive BCA criteria up to the DOD maximum standard of ______ percent (males) and ______ percent (females). 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). FEP shall be conducted a minimum of ____ times per week for at least 1 hour during the workday. For example, behavioral health IPAs and/or other behavioral health provider networks would be included along with primary care providers for VBP arrangements targeting the SMI, SUD, and dually diagnosed populations. 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%. IN-SERVICE TRANSITION FOR TRANSGENDER SERVICE MEMBERS. 9 The. Funding would be distributed according to completed redesign efforts. ?\begin{array}{|c| c c c c c c c |c|}\hline 15 The DSRIP program also incorporated a Value-Based Payment Roadmap, which achieved its goals of at least 80% of the value of all Medicaid managed care contracts in shared savings (Level 1) or higher VBP arrangements, and 35% of contract value in upside and downside risk (Levels 2 and 3) arrangements. These same strategies can be equally successful in addressing racial, ethnic, disability, age, and socioeconomic disparities in care, promoting a common framework for assessing and measuring improvements in health equity, and strengthening the entire NYS health care delivery system. (q:mhs@K8P)uLij.3 Working with clinical leadership across the HEROs network of providers to standardize criteria for virtual vs. in-person care. Body Composition Screening is defined as the process of . What is the principal goal of the Physical Readiness Program? The use of unlawful force or violence with the intent of inflicting bodily harm is best described by what term? Pilots and/or reimbursement models for digital therapeutics, diagnostics, screenings (including, where appropriate, genetic testing), and other innovative products that can deliver effective interventions directly with a reduced need for clinical staff. evaluated body fat differences of inner-city Kidney Transplant Recipients in two groups (HIFAT- higher body fat and LOFAT- lower body fat) in a 2022 study. During emergency situations with the commanding officer's approval. b. 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. National Committee for Quality Assurance, Distinction in Multicultural Health Care, available here. Because of the health effects of excess body fat (e.g., increased risk of Type 2 diabetes, heart disease, cancer) and of being underweight (e.g., anorexia nervosa), and because of the deleterious effects of excess fat on athletic performance, quantifying body . \small\textbf{Paid} & & & & & & & &\small\textbf{Profit or Loss}\\ \hline What is the difference between "weigh-in" and Body Composition Screening? The Navy assesses personal physical fitness via a semi-annual PFA (see enclosure (1)). Based on historical data in New York, approximately 83 percent of incarcerated individuals are in need of substance use disorder treatment upon release, according to the New York Department of Corrections and Community Supervision (DOCCS).23 Meanwhile, the share of individuals in New York Citys jails who have mental illnesses has reached nearly 40 percent in recent years, even as the total number of incarcerated individuals has decreased.24 Incarcerated individuals with serious health and behavioral conditions use costly Medicaid services, such as inpatient hospital stays, psychiatric admissions, and emergency department visits for drug overdoses at a high rate in the weeks and months immediately after release. In a Journal published by Mediators of Inflammation, authors evaluated cytokines and body water distribution of patients with anorexia nervosa (AN) (. 26. b. were more interpersonally outgoing. For sailors enrolled in FEP due to BCA concerns, the emphasis shall be placed on decreasing body fat versus weight loss. Which of the following rates requires a light blue rating insignia? Provide tenancy support services to help patients maintain their housing. Information that indicates ground, air, or Navy force levels or dispositions is what security classification? The five goals of Antiterrorism (AT) Force Protection are defending against, deterring, mitigating, recovering, and what other action? When chipping or scrapping paint, you should wear what personal protective equipment? 25 When not specifically addressed by the treatment facility, what number of months are required for a command to monitor a member's aftercare plan? 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. 26 To evaluate the efficacy of any new supportive housing investments, NYS will undergo an evaluation of the initiative, examining metrics such as ED visits, inpatient admits and days both pre and post intervention, graduation rates to permanent, stable housing, average time to successful graduation, and average time to place a member into a supportive housing units. 6, Nov. 28, 2018, available here. Are they perfect substitutes? What is the primary goal of the physical readiness program? endstream endobj startxref e. lost int e rest in social activities. This paper gives a brief overview of common non-invasive techniques for body composition analysis and a more in-depth review of a body composition assessment method based on fat-referenced quantitative MRI. For bonds of similar risk and maturity the market yield was 12%. With this purpose in mind, NYS seeks approval for the following eligibility changes: Taken together, this series of investments would enable a statewide strategy to address SDH at scale, while maintaining the flexibility to direct resources based on specific local challenges and needs, tied to health equity goals. 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. An appeal regarding a punishment received at Non-Judicial Punishment is required to be submitted within what maximum number of days? Most electrical deaths could be prevented by taking which of the following actions? The State recognizes that there have been successes under DSRIP, especially with VBP readiness and transition, that should continue under this new waiver demonstration. 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. For each statement, indicate the term described, or answer "None" if the statement does not correctly describe any of the terms. A relationship that results in perceived preferential treatment. The Physical Fitness Assessment (PFA) includes which two parts? Through these planning efforts, NYS will develop a robust statewide initiative and a menu of supportive housing options for HEROs, SDHNs and MCOs to implement locally in partnership with other housing entities and stakeholders. To contribute to a favorable military image. Ostracizing a service member who has reported a criminal offense is an example of what term? Additionally, this component of the waiver would seek specific authorities for NYS to utilize global prepayment payment models in selected regions where these arrangements logically apply; that is, where there is a lead or dominant health system or financially integrated provider-based organizations with demonstrated ability to manage the care of targeted populations in that region. To allow for the second semi-annual screening as outlined in the pilot program lost due to COVID-19 screening suspensions. To that end, this waiver seeks to build on the prior work and the States learnings during COVID-19 in designing and evaluating practical, common-sense, and actionable ways to leverage New Yorks robust Medicaid infrastructure to promote health equity for New Yorkers. Dietitians working with eating disorder patients might concern themselves with muscle, fat, and BMR data, but what about water? Aboard Navy installations, motor vehicle passengers are required to always wear which of the following items? 21, No. Which of the following circumstances is NOT an example of a relationship that is contrary to good order and discipline? When cells are healthy, they can better resist these currents utilized by the InBody, resulting in a higher phase angle and improved nutrition status. What is the primary goal of the physical readiness program? The cornerstone of personal readiness is health and well-being and to assist in the assessment of readiness, a modified BCS will be held this April. 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. One way SMM has been used to better understand patient health status is shown in Aoyoma et als 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. c7LnFZg_M"r2j$_czhnEw3kB9FY-pX[4)---nN%& >,.|7lZ6l(uF:-O Responding to COVID-19 taught NYS critical lessons about coordinating an effective and massive response within the existing health care system, from ramping up the availability of testing to bringing hospital resources and staff to high-priority regions. At captain's mast, what discipline cannot be awarded? Procedures for missing ships' movement are contained what UCMJ article? Dietitians are responsible for the development and adjustment of dietary interventions specific to each clients condition and goals. who found that high-antioxidant dietary pattern was independently associated with decreased BMR, fat free mass, and total body water in patients with Metabolic Syndrome. et al., Assessment of Racial/Ethnic Disparities in Hospitalization and Mortality in Patients with COVID in New York City, JAMA (Dec. 4, 2020). To create a culture of fitness to enhance a members ability to complete tasks that support the commands mission. (c) Serve as waiver authority for the Body Composition Program 1/5. However, CMS evaluates ASCs only for their current compliance or Marine C0orps, coast guard, and foreign military. All personnel must complete what in PRIMS 10 weeks prior to each PFA cycle and present to CFL for review? "One-Time Access" for an individual to view information at a level above his authorized level, may be used during operational emergencies. Power, 2020 U.S. Telehealth Satisfaction Study, October 2020. You suspect that a terrorist group is operating in your neighborhood. What is the primary means of organizing and documenting Physical Program information including medical screening? endstream endobj 9060 0 obj <>/Metadata 270 0 R/Outlines 331 0 R/Pages 9046 0 R/StructTreeRoot 363 0 R/Type/Catalog>> endobj 9061 0 obj <>/Font<>/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 9062 0 obj <>stream 12 Under what situation should a command NOT process a sailor for administrative separation (ADSEP) following a treatment failure? a rear admiral upper half is identified by what total number of stars on one shoulder board? When awarded, extra duty is NOT to exceed what total number of hours daily? 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. %%EOF 24. {`EqWS6'h0BCZ=@]6O HJ Midland plans to sell common stock to set up a major new production facility with a net cost of $21,120,000\$21,120,000$21,120,000. Governor Cuomo, Amid Ongoing COVID-19 Pandemic, Governor Cuomo Announces Five New COVID-19 Testing Facilities in Minority Communities Downstate Press Briefing Transcript, April 9, 2020, available here. 31. A summary court-martial can award confinement for what total number of days? In 70 seconds, the InBody Test provides easy-to-understand, accurate and objective measurements to evaluate a clients current body composition as well as monitor the success of dietary interventions. (3) Review the Health and Readiness Optimization (HeRO) Body Composition Guide, which provides information and resources on achieving a healthy body composition. What entity must authorize a body composition assessment waiver? 2. Earlier published studies of this method are summarized, and a previously unpublished validation study, based on 4753 subjects from the UK Biobank imaging cohort, comparing the quantitative . A relationship that results in perceived preferential treatment. Differences in SDH factors are a primary contributor to racial and disability disparities in health outcomes. Commands will report results of how many PFAs per person per calendar year via the Physical Readiness Information Management System (PRIMS) website? On the service dress blue uniform, a Construction apprentice should wear what color of the group rate mark? In turn, these efforts have begun to create the collective recognition that theability of MCOs and providers to coordinate effectively to address SDH directly influence how and if Medicaid members remain stable and healthy in community settings. Phase angle, a measure of how the cells respond to the electrical currents used to measure body composition, reflects cell membrane integrity and has been linked to malnutrition. Medical waivers are valid for what maximum number of physical fitness assessment cycles? To ensure classified information is protected during a natural disaster or civil disturbance, what item should be developed? With regard to grooming standards, what is the primary consideration? . Medical respite models of care for post-hospitalization discharges and transitional housing; Case management and care coordination, including tenancy assistance, rental assistance, transitional support services, and referrals and linkages to care; Behavioral health supports, including substance use disorder services; Environmental supports and accessibility modifications; Additional SSI state supplemental funding for high needs populations. Sports professionals use the InBody body water data to better understand their athletes, such as in a study by Okano et al (2022) who found the combined effects of body fat ratio (p = 0.001), body water content (p=0.035), and skeletal muscle mass index on peak salivary lactate levels was 31.2%. Building on NYS Supporting Housing Programs: Supportive housing was a major initiative of the Medicaid Redesign Team (MRT) in 2011. Through an 1115 demonstration, NYS can ensure that this consumer-driven wave is available equitably by building digital and telehealth infrastructure and care models to significantly expand access to care, both in underserved areas, such as rural and other communities without convenient access to primary or specialty care, and for underserved needs, such as behavioral health and the management of chronic diseases. Racial and Ethnic Health Disparities (Sep. 18, 2020). 21 9076 0 obj <>stream Who is responsible for establishing Navy PFA standards and FEP guidance? These providers enter into Total Care for General Population and/or Subpopulation arrangements and are eligible for up to 95% of the total dollars that have been traditionally paid from the State to the MCO. 1 | 22 Sprache u. Kommunik, PMK EE E-4, E-4 Professional Conduct Exam, EMT chapter 10 : respiration and artificial v, Statistical Techniques in Business and Economics, Douglas A. Lind, Samuel A. Wathen, William G. Marchal, Claudia Bienias Gilbertson, Debra Gentene, Mark W Lehman, The Cultural Landscape: An Introduction to Human Geography, AP Edition. This includes a greater volume of hospitalizations, higher intensity of care services, and the need to replace disrupted acute and chronic healthcare services that are attributable to a pandemic. Any sailor who commits fraudulent activity should be charged under what article of the UCMJ? Which of the following is NOT an indicator of potential violence by a work place employee? Of the following statements, which one does NOT apply to Family Advocacy training requirements? 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. endstream endobj startxref Establishing policy and ensuring the Family Advocacy Program meets command, sailor, and family member needs is the responsibility of what entity? Successful dietitians must understand their clients history, lifestyle, and food preferences, as well as any physical limitations or socioeconomic barriers. 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 . Pub. 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. You suspect that a terrorist group is operating in your neighborhood. hSkO0+q^R:CMh5m4^'.msg|NBFY Ac4$ pzGcAioi1+Y s; ^ q~Ym` zwtt>on;pMSrZjrzEF4M4MOGjtl\nLp&=Q3-=@Gi?WxNO7G~Y~l[*JdIRae?GCt8]t0-xt)F,)&F~5+QekSVNUF+WYugUmN"+0 PM4;M"tg6MCY7G<=OGPOma3NB!C hUrHwX,%Elvn"|LzvV7e!WeGY@veq{Oyy-xUS($BWnse~{ The covered entity may obtain certification by "a person with appropriate knowledge of and experience with generally accepted statistical and scientific principles and methods for rendering information not individually identifiable" that there is a "very small" risk that the . SOMOS, About SOMOS Innovation, available here (accessed on July 12, 2021). Reserve personnel may be cleared for participation in the PRT for how long upon completion of the Annual Certificate of Physical Condition? Body composition refers to the physical material that makes up the body. This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.The Centers for Disease Control and Prevention (CDC) defines health disparities as: "preventable differences in the burden of disease, injury, violence, or in opportunities to achieve optimal health experienced by socially disadvantaged racial, ethnic, and other population groups, and communities.". 820, Statutes 2020, chapter 10, section 68, due on or before . The housing needs of these individuals are likely to be ongoing and escalate as the public health emergency order is lifted and the end of eviction moratoria results in greater housing instability and homelessness. ). Accordingly, NYS proposes an ambitious partnership with the Federal government through an 1115 Waiver Demonstration that creates a pathway to address and rectify these historic health disparities. Suggested initial maximum for required PT is ____ sessions per week, ____ minutes duration; members who exceed this maximum are at risk of injury. A summary court-martial can award confinement for what total number of days? Prohibited offensive conduct includes all of the following, EXCEPT which one? Of course, because of the simplicity to this approach, it also tends to be the most inaccurate ( r, r ). Sports professionals use the InBody body water data to better understand their athletes, such as in a study by. Most electrical deaths could be prevented by taking which of the following actions? AMDR physician or CO/OIC of the cognizant MTF endorses the waiver. In the case of COVID-19 patients, Galluzzo et al (2022) evaluated the impact of a nutritional supplement on their fatigue, finding significant improvements in muscle strength, physical performance, and phase angle (p=0.016) after intervention. Submitting a special request chit to request a Captain's Mast. 2 hours and 30 minutes a week. 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 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. How often shall PT sessions be conducted per week? There are no earned and unpaid wages at the end of the year. "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. Repeated unwanted or uninvited request for dates could be considered which of the following behaviors? 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. . When questionable or unfavorable information arises for a command member with access to classified information, what program should commands utilize to report the incident(s) to DON CAF? Repeated unwanted or uninvited request for dates could be considered which of the following behaviors? What entity must authorize a BCA waiver? The Segmental Lean Analysis gives information about lean mass in athletes arms, trunk, and legs, which is helpful for identifying asymmetries which may contribute to injury risk. With regard to grooming standards, what is the primary consideration? Appearance that does not blend with professional appearance in uniform is defined by what term? The VBP funds through this waiver proposal would encourage the evolution of the MCO- network entity agreements into more sophisticated VBP contracting arrangements that incorporate health equity design, fund the integration with social care, adjust risk to reflect both the health care and social care needs of their members, reward providers improvements in traditional health outcome measures as well as advanced or stratified health equity measures informed by the HERO, and/or use fully prepaid payment models that fortify against fluctuations in utilization based on pandemics. While HIFAT patients had greater visceral fat, there was no difference in skeletal muscle mass. 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.
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