Which of the following is NOT an indicator of potential violence by a work place employee? Tracking progress and adjusting those goals will lead to greater success. Marine Corps, Coast Guard, and Foreign Military. With regard to grooming standards, what is the primary consideration? 18 Common Ground Health, About Us, available here. The authors strongly advise using baseline InBody LBM to guide [protein] dosing if possible.. (q:mhs@K8P)uLij.3 Since that time, the MRT has made significant financial commitments for rental subsidies and supportive housing services. A "transmission program" is a body of material that, as an aggregate, has been produced for the sole purpose of transmission to the public in sequence and as a unit. This chapter focuses on body composition assessment in humans. When operating electrical equipment, the term "one-hand rule" is best defined by which of the following phrases? 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). This approach will also allow for targeted new investments in social care and non- medical, community-based services that directly address SDH, as more fully described below. 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. Listed below are seven technical accounting terms introduced or emphasized in this chapter. Although New Yorks DSRIP program included some projects addressing SDH, these early attempts need to be brought to scale across the state. NYS DOH OHIP, Social Determinants of Health Standardization Guidance (April 2020). Generally, if there is any type of inflammation or water retention, body water accumulates in the extracellular space causing the ECW/TBW ratio to increase. height, weight and body composition data in order to facilitate analysis and policy modification, as required. As sports professionals focus on muscle growth and performance enhancement, its important to understand how dietary protocols can impact body composition. On December 31, 2021, the fair value of the bonds was $730 million as determined by their market value in the over-the-counter market. When warranted, while wearing the Physical Training Uniform, which of the following items are authorized optional components? hbbd```b``z " LZp0y,; &I0)&oIgAlQ 9'a3 : Addressing health equity and achieving an equitable recovery from the COVID-19 pandemic, while advancing other long-standing delivery system reform goals of NYS, is a complex undertaking and requires a transformational, coordinated effort across all sectors of the health care delivery system and continuum of social services. In reference to rating badges on pea coats, which of the following statements, if any, is correct? %PDF-1.7 % In certain cases, commanding officers could authorize a number of enlisted personnel to "mess separately" and receive a cash allowance (Separate Rations - SEPRATS) in lieu of RIK. Compared to the healthy control group, patients with AN had significantly lower total water volume including both ICW and ECW, finding interactions between body water and the cytokine system. What individual has the authority to grant this type of access? New York Forward, Daily Hospitalization Summary by Region, available here. Commander, Navy Personnel Command (COMNAVPERSCOM). 29. "One-Time Access" for an individual to view information at a level above his authorized level, may be used during operational emergencies. To provide members with goals to promote basic physical fitness, health, and readiness. At captain's mast, what discipline cannot be awarded? 9069 0 obj <>/Filter/FlateDecode/ID[<1980D584FBBBDA4A8584CBE45C8088D6>]/Index[9059 18]/Info 9058 0 R/Length 71/Prev 659009/Root 9060 0 R/Size 9077/Type/XRef/W[1 3 1]>>stream "b>ZxLSN.P@JLPWY(6LfT Al @P`qB0% T`P s -$>A>t4 r$8i20c:}=10$be4`T(Ad(&g@z->]x~w"g`R 2 CO approved the medical waiver? What program has become the Navy's most effective tool(s) for detecting and identifying illegal drug use? a. The sailor must complete a periodic health assessment at what minimum interval? MCOs would be required to engage in VBP contracts with an appropriately constructed network of providers for the population-specific VBP arrangement. After a member fails to meet body composition assessment and/or PRT standards and is issued a NAVPERS 1070/613 or more commonly known as a Page 13 Administrative Remarks form. 21, No. 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. Power, 2020 U.S. Telehealth Satisfaction Study, October 2020. In the case of COVID-19 patients. The Navy neckerchief should be worn in what manner? How many trees should the grower plant to maximize the total yield? Why is the Body Composition Pilot Program being extended to 30 NOV 2020? Who is responsible for establishing Navy PFA standards and FEP guidance? We partner you with an InBody specialist that understands your industry and unique needs. As a result of all these initiatives and others in the States current 1115 waiver, as well as other Medicaid redesign initiatives, NYS Medicaid spending per beneficiary in 2019 was less than in 2011. Through the DSRIP experience, NYSs provider community and managed care organizations (MCOs) have learned new, more efficient ways to address individual and population health. Navy unit reporting for fraternization incidents must be reported using what method? During emergency situations with the commanding officer's approval. During emergency situations with the commanding officer's approval. Nationally, there are an increasing number of successful attempts to scale proven SDH interventions; however, NYS believes that these interventions can scale furtherfrom helping thousands to helping millions. A relationship that results in perceived preferential treatment. "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. To achieve this overall goal of fully integrating social care and health care into the fabric of the NYS Medicaid program, while recognizing the complexity of addressing varying levels of social care needs impacting the Medicaid population, this waiver proposal is structured around four subsidiary goals: Since the inception of New Yorks 1115 waiver in 1997, New York has invested in and fortified one of the most comprehensive Medicaid programs in the country, and has frequently been among the first states to expand eligibility or incorporate enhanced benefits. This impact is reflected by the pandemics disproportionate impacts to low-wage workers and people of color, putting them at higher risk of getting sick and dying from COVID-19.3 Additionally, as CMS is aware, Black and Latino/Latinx populations accounted for higher levels of COVID-19 related hospitalizations and mortality than white populations.4 Critically, these studies have found that structural determinants and socioeconomic factors resulted in an increased likelihood of out-of-hospital deaths and infections than with other populations, and were a prime causal factor resulting in vastly higher mortality rates in these populations.5 The higher rates of COVID-19 cases, hospitalizations, and deaths among people of colordue to their higher prevalence of chronic illness, overrepresentation in frontline and essential jobs, increased likelihood of living in multi- family or multi-generational housing, and other factorshave illustrated how pervasive health inequities remain. 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. 1. Information, that if disclosed, could cause serious damage to national security, should be assigned what security classification? Much like the standard 20-30 kcal/kg recommendation, these estimations are based on population assumptions, not your patients personal data. The use of unlawful force or violence with the intent of inflicting bodily harm is best described by what term? An appeal regarding a punishment received at Non-Judicial Punishment is required to be submitted within what maximum number of days? The bonds sold for$739,814,813 and mature on December 31, 2040 (20 years). 2. EngageWell IPA, About Us, available here (accessed on July 6, 2021). In addition, New York State committed to a $20 billion, five-year capital plan in 2017 to build or preserve more than 100,000 affordable and 6,000 supportive housing units, and also funds supportive housing programs directed at specific populations, including individuals with I/DD or physical disabilities, those individuals with serious behavioral health needs and addiction needs, and older adults. b. %PDF-1.6 % At captain's mast, what discipline cannot be awarded? utilizes patients body composition data to calculate BMR, which is why its trusted in clinical nutrition studies like. The breakdown of your body composition (fat, muscle, and bone,) will be measured with the Bod Pod body composition system. The ECW/TBW ratio is a tool to monitor the balance between body water compartments. hSkO0+q^R:CMh5m4^'.msg|NBFY Ac4$ 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~{ Female - 40 years old = 34%. 29 6, Nov. 28, 2018, available here. Prepare an income statement and a statement of owners equity for the year 2011, and a classified balance sheet at December 31, 2011. In 2020 discuss whether each performance indicator is strong, average, or weak. This population can then be more effectively served as part of the health equity-informed VBP arrangements described above. NYS must continue and expand efforts to facilitate access to alternative environments for individuals requiring long-term care. (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%. Digital health and telehealth capabilities for safety net providers need to expand beyond simple, siloed solutions thrown into service during an emergency into thoughtfully designed platforms integrated with EHRs, care management programs, social care services, the statewide health information exchange, and professionals and non-professionals trained to maximize the use of such technology. To ensure classified information is protected during a natural disaster or civil disturbance, what item should be developed? The Navy sometimes assists financially irresponsible personnel by taking which of the following actions? Of the following statements, which one does NOT apply to Family Advocacy training requirements? DSRIP had an overall goal of reducing avoidable hospitalizations by 25 percent and achieving savings while transforming the health system to use VBP. The medical screening includes the annual periodic health assessment (PHA), a semi-annual NAVPERS . To report incidents of domestic or child abuse to echelon 2 commands, what means should you use? Similar to the Accountable Health Communities model in states such as Hawaii, or Washingtons Accountable Communities of Health bodies, HEROs would focus on collaboration and coordination, and facilitation of activities that best address the needs of the communities they serve (with the goal of raising the overall health of these communities).The HEROs would not receive and distribute waiver funds similar to intermediary entities in other waiver demonstrations approved by CMS. Repeated unwanted or uninvited request for dates could be considered which of the following behaviors? Which of the following circumstances is NOT an example of a relationship that is contrary to good order and discipline? John needs the money to cover start-up costs in a new business. Excluding a wedding ring set, what total number of additional rings may be worn while in uniform? Currently, the prime rate of interest is 6.5%, and the consensus interest rate forecast of a group of economists is as follows: Sixty days from today the prime rate will rise by 0.5%; 90 days from today the prime rate will rise another 1%; 180 days 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. Assume the fair value of the bonds on December 31, 2022, had risen to$736 million. 27. Semi annually. If an officer fails to meet BCA/PRT standards what happens? The protection of their personnel and assets from the terrorist attacks is the ultimate responsibility of what member of the chain of command? The total of all direct labor, direct materials, and manufacturing overhead transferred from work in process to finished goods. Federal elected the option to report these bonds at their fair value. United States Code, 2021 Edition Title 42 - THE PUBLIC HEALTH AND WELFARE CHAPTER 85 - AIR POLLUTION PREVENTION AND CONTROL SUBCHAPTER I - PROGRAMS AND ACTIVITIES Part A - Air Quality and Emission Limitations From the U.S. Government Publishing Office, www.gpo.gov Part AAir Quality and Emission Limitations Editorial Notes Codification. Sports professionals use the InBody body water data to better understand their athletes, such as in a study by. A Florida citrus grower estimates that if 60 orange trees are planted, the average yield per tree will be 400 oranges. Enter closing entry information in the six-column table and prepare journal entries for it. A gold oak leaf is worn on the uniform of which of the following officers? 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. 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. On the service dress blue uniform, a Construction apprentice should wear what color of the group rate mark? e. lost int e rest in social activities. When chipping or scrapping paint, you should wear what personal protective equipment? Notwithstanding these successes in the mobilization of New Yorks pandemic response and the ability of the States Medicaid program to absorb a tremendous influx of new enrollees, the pandemic revealed that even an immediate, effective emergency response was insufficient to overcome a long history of policies and practices in the U.S. that have contributed to inequity in health care and significant health disparities. %%EOF NYS seeks the following investments to support Medicaid patients who are particularly vulnerable due to the lack of or unstable housing: Across the nation, the COVID-19 mortality rate has been highest in nursing homes and among the long-term care (LTC) population (the frail elderly and people with complex chronic conditions, including people with I/DD). An Assistant Command Fitness Leader should be assigned what ratio of students? 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. While it is critical for this redesign process to ensure the necessary flexibility in the hospital system for a coordinated and sufficient increase in staffed operating beds above what is needed in non-emergent times, it is equally important that such design provides a model that optimizes the role of every healthcare resource to create the proper balance between efficiency and redundancy to support a pandemic response. 3. With regard to grooming standards, what is the primary consideration? ). A relationship that results in perceived preferential treatment. 1. 4. Procedures for missing ships' movement are contained what UCMJ article? CFLs shall report any injuries related to Physical Readiness Program to whom? AMDR physician or CO/OIC of the cognizant MTF endorses the waiver. In a Journal published by Mediators of Inflammation, authors evaluated cytokines and body water distribution of patients with anorexia nervosa (AN) (Himmerich, et al., 2021). Which of the following items should you use for planning how to spend or manage your money? Are you wondering if a professional InBody device is right for you? They are disproportionately affected by behavioral health conditions, including substance use disorder. NYS Department of Health, New York State Health Equity Report (April 2019), available here. ); Tracking service capacity across the continuum of care; and/or. As pediatric undernutrition persists, many healthcare professionals are using body composition data to develop effective interventions to improve survivability and quality of life (. For work on a Navy installation, NAVOSH directives authorize joining what maximum number of 25-foot extension cords? 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. 30 Urological Disorders, Deutschklausur Nr. who need to be linked to other network supports (e.g., Health Home, telehealth support, replacement personal care services support, etc. A determination that an individual requires access to classified information in support of the performance of their duties is represented by what term? Skeletal muscle mass (SMM) is the muscle attached to bone and responsible for human movement (Cleveland Clinic). Taken together, these initiatives create synergies that reinforce and support the overarching goals of this waiver proposal and our collective ability to stabilize and better serve all of our Medicaid population, particularly those most impacted due to longstanding racial and health disparities. Ramaswamy, A, Yu, M., et al. Semiconductors issued 11% bonds, dated January 1, with a face amount of $800 million on January 1, 2021. December 2017, available here. Analysis Component 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. Information, that if disclosed, could cause serious damage to national security, should be assigned what security classification? and borrowing? 13. 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? 1 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. To reinforce these efforts and address sustainability, NYS will integrate health equity as a fundamental standard for the investments in advanced VBP arrangements, providing support through the development of SDH networks of care and Health Equity Regional Organizations (HEROs). An ORM analysis shall be completed at least how long prior to the PRT? ?\begin{array}{|c| c c c c c c c |c|}\hline Enlisted personnel are authorized to wear gold service stripes and rating badges after completion of continuous good conduct for what minimum number of years? 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. Importantly, this investment would both expand capacity through a well-trained and culturally informed workforce and recognize that training investments themselves function as an important SDH, related to job insecurity and unemployment. These programs include 54 capital projects, 13 rental subsidy and supportive services programs and pilots, and one accessibility modification program. During these efforts, losses in employer-sponsored coverage or changes in economic status resulted in the Medicaid program extending health coverage to more than 888,000 additional New Yorkers, growing from over six million enrollees in March 2020 to approximately seven million in March 2021. Maximum authorized sideburn length is defined by what point relative to the ear? Differences in SDH factors are a primary contributor to racial and disability disparities in health outcomes. whose Physical Health Assessment (PHA), Deployment Health Assessment (DHA), or NAVPERS 6110/3 (PARFQ) is overdue or incomplete. Body composition can be measured with tests like skinfold assessment, DEXA scan, body circumference, hydrostatic weighing, and bioimpedance analysis. However, CMS evaluates ASCs only for their current compliance or The BCA must be completed within 45 days of, but not less than 24 hours prior to, participation in the PRT. Medical waivers are valid for what maximum number of Physical Fitness Assessment cycles? \$5925 & (\small \$52 \frac{1}{4} & \times & 100) & - & \$59.60 &=& ? 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. 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. When chipping or scrapping paint, you should wear what personal protective equipment? The State had to implement an emergency pause of the economy, enact immediate regulatory relief to facilitate care, and coordinate an operational response, all in real-time. All personnel striving for improved fitness. As dietitians work with patients who are critically ill or suffering from catabolic illnesses, lean body mass (LBM) can be used to determine adequacy of diet and serve as a guideline for determining protein requirements. To achieve its health equity goals, NYS recognizes this is a particularly vulnerable population, especially individuals with co-occurring conditions, who must maintain connectivity and access to critical services and medications as they transition back to community settings. 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. 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. The code of conduct is based on time-honored concepts and traditions that date back to what war? Insert an Income Summary account as the last item in the trial balance. Suicide prevention resources can be found at all of the following website, EXCEPT which one? What is an optimal number of assistant CFLs per members? 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. National Quality Forum, A Roadmap for Promoting Health Equity and Eliminating Disparities: the Four Is for Health Equity, September 2017, available here. Medical waiver recommendations shall not exceed how long in duration? Information that indicates ground, air, or Navy force levels or dispositions is what security classification? Compute the EPS and the price (P/E stays constant) after the new production facility begins to produce a profit. For example, in a study of elite male endurance runners, authors, in a 2022 study evaluated participants energy availability, its effects on performance, and changes in body composition across a three-stage program. endstream endobj startxref 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? Even under the best of circumstances, when a person is discharged without prior contact with a future care manager/provider or without long-acting depot medications or other addiction/mental health medications as indicated, there is a high likelihood they will not engage with critical service providers when they re-enter the community. Establishing a baseline ECW/TBW and monitoring for large changes can be a critical piece in patient assessment and the development of effective interventions. HEROS may be led by a variety of existing and new corporate entities (e.g., LLC, not-for-profit) including but not limited to local departments of health or social services, behavioral health IPAs and other structures formed by regional participants. 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. ECW plays a vital role in moving nutrients and waste into and out of the cells. Physical readiness activities shall include a minimum of how many sessions per week devoted to moderate and moderately high intensity physical conditioning? Change 1 Effective: December 20, 2022 Releasability: Cleared for public release. Centers for Disease Control and Prevention, Health Equity Considerations and Racial and Ethnic Minority Groups, Updated April 19, 2021 and available here. 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. However, where a covered entity wants to disclose an individual's information to a third party for purposes of recruitment in a research study, the covered entity first must obtain either authorization from that individual as required at 164.508, or a waiver of authorization as permitted at 164.512(i). When awarded, extra duty is NOT to exceed what total number of hours daily? The current demonstration waiver request is intended to further advance the combination of the States previous DSRIP goals with the more explicit prioritization of integrating social care and health care into the NYS Medicaid program in order to increase health equity across the needs of New Yorks vulnerable and underserved populations that were revealed by the COVID-19 pandemic.
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