All personnel striving for improved fitness. When not specifically addressed by the treatment facility, what number of months are required for a command to monitor a member's aftercare plan? 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. Upper edge of the knot is even with the lowermost point of the collar opening. 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. 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. Generally, somatic protein stores are preserved at the expense of other body . The use of mandatory sanctions is intended to apply pressure on a State or entity to comply with the objectives set by the Security Council without resorting to the use of force. The PFA includes a medical screen, a body composition assessment (BCA) and physical readiness test (PRT) (see enclosure (1)). Before a covered entity may use or disclose PHI for research based on a waiver or an alteration of Authorization by an IRB, a covered entity must receive documentation showing the following: The identity of the approving IRB; The date on which the waiver or alteration was approved ", It is now widely acknowledged that SDH factors, rather than medical interventions and services, are the key driver for a large majorityup to 80 percentof health outcomes.8 Moreover, SDHs are often the direct reason for health inequities, such as differential rates of diabetes related to lack of access to healthy food. 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. 9 Even after the end of the pandemic, the issue of the safety of nursing home residents remains a critical public concern that underscores the need to accelerate the development of community-based alternatives. 30 Urological Disorders, Deutschklausur Nr. Skeletal muscle mass (SMM) is the muscle attached to bone and responsible for human movement (. Successful dietitians must understand their clients history, lifestyle, and food preferences, as well as any physical limitations or socioeconomic barriers. Adherence and acceptability of telehealth appointments for high-risk obstetrical patients during the coronavirus disease 2019 pandemic, American Journal of Obstetrics and Gynecology, September 22, 2020, available here.31, 1115 Waiver Demonstration: Conceptual Framework, Health & Safety in the Home, Workplace & Outdoors, Clinical Guidelines, Standards & Quality of Care, All Health Care Professionals & Patient Safety, 1.1 Investments in Regional Planning through HEROs, 1.2 Investments in Social Determinant of Health Networks (SDHNs) Development and Performance, 1.3 Investments in Advanced VBP Models that Fund the Coordination and Delivery of Social Care via an Equitable, Integrated Health and Social Care Delivery System, 1.4 Capacity Building and Training to Achieve Health Equity Goals, 1.5 Ensuring Access for Criminal Justice-Involved Populations, 2.1 Investing in Home and Community-Based Services as Alternatives to Institutional Settings, 2.2 Specific Supports for Individuals with Behavioral Health and Substance Use Disorder Needs, 3.2 Develop a Strong, Representative and Well-Trained Workforce, James V. McDonald, M.D., M.P.H., Acting Commissioner, Multisystem Inflammatory Syndrome in Children (MIS-C), Addressing the Opioid Epidemic in New York State, Health Care and Mental Hygiene Worker Bonus Program, Maternal Mortality & Disparate Racial Outcomes, Help Increasing the Text Size in Your Web Browser. The use of unlawful force or violence with the intent of inflicting bodily harm is best described by what term? 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. Participation in multiple campaigns or operations, multiple qualifications, and additional awards of a ribbon are indicated by what device? Similarly, for VBP arrangements involving people with I/DD, attribution may occur based on the individuals Care Coordination Organization (CCO). References (a) Body Composition Standards Program, COMDTINST 1020.8 (series) (b) Coast Guard Body Composition Screening Desk Guide, CG-1331 InBody values are even used to validate other body composition calculations, like in Moonen et al.s 2022 study which assessed the agreement between LBM calculations and InBody LBM. The ECW/TBW ratio is a tool to monitor the balance between body water compartments. utilizes patients body composition data to calculate BMR, which is why its trusted in clinical nutrition studies like. 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. 1. To create a culture of fitness to enhance a members ability to complete tasks that support the commands mission. 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. Segmental fat mass [ Time Frame: 1 day ] Fat mass provided for specific body segments (i.e., trunk/torso, arms, and legs). Board members should the applicant's handwritten statement in order to assess writing ability: 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. On the service dress blue uniform, a Construction apprentice should wear what color of the group rate mark? 8. 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. The sailor must complete a periodic health assessment at what minimum interval? Medical waivers are valid for what maximum number of Physical Fitness Assessment cycles? The informal resolution system includes all of the following means of interpersonal conflict resolutions, EXCEPT which one? a. A booklet used to record checking account transactions is known by what term? Given this experience and ongoing need, NYS proposes to build on its existing and innovative work in supportive housing and community integration. How long should the command retain a copy? The most logical time to use a credit card is in which of the following circumstances? An Assistant Command Fitness Leader should be assigned what ratio of students? On a dress blue uniform, a single service stripe should be placed in what position? Pub. Under the blended retirement system (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 what maximum percentage? When operating electrical equipment, the term "one-hand rule" is best defined by which of the following phrases? United Hospital Foundation, New York State Medicaid Health Equity Options, at 1 (March 2021). 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 (. ?\begin{array}{|c| c c c c c c c |c|}\hline Appearance that does not blend with professional appearance in uniform is defined by what term? According to the CDC, as of November 2020, despite representing less than 0.5% of the US population, nearly 30% of COVID- related deaths nationwide were residents of nursing homes.28. Racial and Ethnic Health Disparities (Sep. 18, 2020). The techniques can be split into two distinct categories of direct and indirect measures. When preparing a budget, you should plan for what expense first? 9. 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. MCOs would be required to engage in VBP contracts with an appropriately constructed network of providers for the population-specific VBP arrangement. 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 . whose Physical Health Assessment (PHA), Deployment Health Assessment (DHA), or NAVPERS 6110/3 (PARFQ) is overdue or incomplete. Of course, because of the simplicity to this approach, it also tends to be the most inaccurate ( r, r ). Why did the United States and Europe adopt free trade after world war 2? National Committee for Quality Assurance, Distinction in Multicultural Health Care, available here. What document charges a sailor to follow lawful orders given by his superiors? What entity must authorize a body composition assessment waiver? Nutrition professionals can use greater granularity in patient health data to evaluate or validate interventions to mitigate disease status. 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? Which of the following items should you use for planning how to spend or manage your money? 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. 12 22. 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. To "transmit" a performance or display is to communicate it by any device or process whereby images or sounds are received beyond the place from which they are sent. Who is responsible for establishing the Navys Physical Readiness Program Policy? Analysis Component 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. Commander, Navy Personnel Command (COMNAVPERSCOM). The protection of their personnel and assets from the terrorist attacks is the ultimate responsibility of what member of the chain of command? 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. Which of the following rates requires a light blue rating insignia? 9059 0 obj <> endobj Continued Demand for Supportive Housing Programs Exacerbated by the COVID-19 Pandemic: During and outside of the pandemic, access to transitional and permanent housing and supports are indispensable aspects of a viable safety net and of health equity, as demonstrated by the success of the MRT investments and NYSs experience during the pandemic. Submitting a special request chit to request a Captain's Mast. No substitute methods (e.g., underwater weighing, skin fold calipers, body mass index, bio-impendence, etc.) Result Sheet provides nutrition professionals valuable information to better understand the efficacy of interventions and if they need to be adjusted in order to meet those goals. Staying Connected in the COVID-19 Pandemic: Telehealth at the Largest Safety-Net System in the United States, Health Affairs, June 11, 2020, available here.30 20 Here are five ways to measure your body composition and learn your body fat percentage. Medical waivers are subject to whos final approval and shall be closely reviewed and evaluated upon members transfer to another command or change in CO? For example, CMS approved North Carolinas 1115 waiver in 2019, which seeks to use Medicaid to pay directly for some non-medical inventions targeting housing, food, transportation, and interpersonal violence/toxic stress supports.9. One-on-One body composition assessments are authorized by what person, if any? "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 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. In particular, using socially risk adjusted paymentwhether through accurate use of z-codes or the data collected from the uniform social care assessment tool described abovecan incentivize and appropriately reward plans and providers for caring more holistically for these vulnerable populations.19 Prepayment approaches would also be available to providers who are not the lead VBP contractor but are providing care to the lead contractors attributed members through a downstream targeted or bundled arrangement. The average yield will decrease by 444 oranges per tree for each additional tree planted on the same acreage. In 2020 discuss whether each performance indicator is strong, average, or weak. 3 hb```i, NAVHLTHRESCHCEN determined upper allowable Navy BCA limits to correspond to ____ percent for men and ____ percent for women. 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. For bonds of similar risk and maturity the market yield was 12%. 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. 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 As sports professionals focus on muscle growth and performance enhancement, its important to understand how dietary protocols can impact body composition. 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. 13 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. of assessment are permitted. For female personnel in uniform, what is the maximum allowable length of hair? Physical Fitness Assessment failures can effect a Sailor in the form of all of the following ways, EXCEPT which one? To ensure classified info is protected during a natural disaster or civil disturbance, what item should be developed? 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. 18. 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. a rear admiral upper half is identified by what total number of stars on one shoulder board? Listed below are seven technical accounting terms introduced or emphasized in this chapter. 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? 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. Information, that if disclosed, could cause serious damage to national security, should be assigned what security classification? The. COs will refer members to medical after how many BCA failures. ). 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). NYS seeks to extend this effort through additional supportive housing programming, which the State expects will be necessary to address downstream effects of the COVID-19 pandemic, such as additional instability in housing for many Medicaid-eligible individuals and families and an urgent need for supportive housing for people experiencing homelessness. 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. b. 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%. 15. NYS DOH OHIP, Social Determinants of Health Standardization Guidance (April 2020). Service members should perform strength training excercises what minimum amount of time per week? height, weight and body composition data in order to facilitate analysis and policy modification, as required. Body recomposition stresses the importance of gaining muscle while losing fat, which may decrease your risk of chronic disease and boost metabolism. 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. Procedures for missing ships' movement are contained what UCMJ article? For sailors enrolled in FEP due to BCA concerns, the emphasis shall be placed on decreasing body fat versus weight loss. 14. ECW plays a vital role in moving nutrients and waste into and out of the cells. These values are provided by some, but not all, of the body composition assessment devices being tested (see list of devices in Study Description). The Coast Guard will conduct Body Composition Screenings (BCS) in April, with mitigations to account for COVID-19's ongoing impact on the workforce. Female - 40 years old = 34%. 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. The bonds sold for$739,814,813 and mature on December 31, 2040 (20 years). Information that indicates ground, air, or Navy force levels or dispositions is what security classification? Tracking progress and adjusting those goals will lead to greater success. 42 U.S.C. Who is responsible for physical fitness of command personnel? A Marine Corps captain wears what collar device?
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