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. Although the New York State Medicaid program has been actively working to improve health outcomes among Medicaid members, including through its groundbreaking and successful Delivery System Reform Incentive Payment (DSRIP) program, which began to develop and fund ways to address social determinants of health (SDH) and value-based payment (VBP), COVID-19 is evidence that significant health disparities persist. 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. PDF DOD INSTRUCTION 1300 - whs.mil c7LnFZg_M"r2j$_czhnEw3kB9FY-pX[4)---nN%& >,.|7lZ6l(uF:-O The use of unlawful force or violence with the intent of inflicting bodily harm is best described by what term? 1. 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. These programs will provide opportunities to increase the economic mobility of individuals in the community, which in turn, plays a role in achieving health equity through addressing economic stability and job creation. While HIFAT patients had greater visceral fat, there was no difference in skeletal muscle mass. Semi-Annually. The sailor must complete a periodic health assessment at what minimum interval? 11 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. The breakdown of your body composition (fat, muscle, and bone,) will be measured with the Bod Pod body composition system. The programs serve homeless individuals with HIV/AIDS, serious mental illness, I/DD and other developmental disabilities, or chronic conditions. CPR Monitors at the PRT have to be Hospital Corpsmen and shall not be test participants. 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. Furthermore, NYS recognizes that any success will reflect the regional differences and needs of our diverse state, as populations may be impacted differently and experience varying levels and types of health disparities and social care needs. Non-judicial punishment is also known by what term? Interest is paid semiannually on June 30 and December 31. What approximate percent of Navy's deaths are contributed to non-hostile active duty suicides? Acn 033/20 - Mar 2020 Update to The Coast Guard Weight and Body Fat These values are provided by some, but not all, of the body composition assessment devices being tested (see list of devices in Study Description). These recruits must meet the highest levels of cognitive and physical strength requirements, including scoring 50 or higher . This planning and redesign process will also focus on workforce training, physical and IT infrastructure, inventory planning and maintenance of essential healthcare services as outlined below. HIPAA Privacy Regulations: Uses and Disclosures For Which an Contact between service providers and the incarcerated individual needs to occur prior to release to facilitate the continuity of care after discharge and the use of medications appropriate for community-based (rather than jail or prison) settings. CFLs shall report any injuries related to Physical Readiness Program to whom? 2 hours and 30 minutes a week. With the HERO and SDHN infrastructure established, advanced VBP arrangements will support the mid- to long-term transformation and integration of the entire NYS health care and social care delivery system by funding the services needed to address SDH at scale. 2 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. 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. 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. c. Follow the requirements contained in Chapter 3 of this Instruction if determined to be non . 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. There are currently numerous methods used to assess an individuals body composition, with the most common techniques using the two-component (fat and fat-free mass) approach (Going, 1996). See Ubhayakar S, Capeless M, Owens R, Snorrason K, Zuckerman D., Anchor Mission Playbook, Rush University Medical Center and The Democracy Collaborative; August 2017, available here. iii. When you wear the new Navy working uniform, what type of boot is authorized? There are no owner investments in 2011. The official BCA is the first and only BCA authorized once the command PFA cycle has begun. Much like the standard 20-30 kcal/kg recommendation, these estimations are based on population assumptions, not your patients personal data. 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. 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. Appearance that does not blend with professional appearance in uniform is defined by what term? The loan matures in 180 days and is in the amount of $45,000. 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. To contribute to a favorable military image. Body Composition Screening is defined as the process . Male - 40 years old = 23%. 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. They also found LOFAT may be more related to food scarcity than better dietary habits. 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 achieve the four goals identified above and support the integration of social and health care into the NYS Medicaid program, this waiver demonstration proposes upfront direct investments in the following areas: As described above, the COVID-19 pandemic highlighted and, in some cases, exacerbated the impact of long-standing health disparities based on race, ethnicity, disability, age, and socioeconomic status. DOCX January 2022 Agenda Item 07 - Meeting Agendas (CA State Board of Education) 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. PRT shall not be conducted under harsh environmental conditions. When warranted, while wearing the Physical Training Uniform, which of the following items are authorized optional components? 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. Provide tenancy support services to help patients maintain their housing. A Palin, solid black, collapsible umbrella. 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. All married personnel are required to undergo family counseling within one year of marriage. 24. 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. 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). 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. Disclaimer: Please be aware that your actual monthly payment liability is subject to change based on the amount financed, which is at the financer's discretion and that the amount shown here is merely an estimate and does not include applicable federal and sales tax. An appeal regarding a punishment received at Non-Judicial Punishment is required to be submitted within what maximum number of days? As sports professionals focus on muscle growth and performance enhancement, its important to understand how dietary protocols can impact body composition. COs will refer members to medical after how many BCA failures. hb```f7A1G ###!3(00lM;%XtzE 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. 2. The COVID-19 pandemic devastated many . 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 . 8 PDF Body Composition Assessment Waiver tooth 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. Service members should perform strength training exercises what minimum amount of time per week? Each level has different compartments and can be separated into two, three or four compartments. The techniques can be split into two distinct categories of direct and indirect measures. When chipping or scrapping paint, you should wear what personal protective equipment? Which of the following statements describes the umbrella component? 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. What entity must authorize a BCA waiver? endstream endobj startxref Information, that if disclosed, could cause serious damage to national security, should be assigned what security classification? The disparate impact of COVID-19 on disadvantaged populations demands a comprehensive response that addresses underlying SDH as an inherent part of addressing health disparities and achieving health equity. 10 United Nations Security Council A sailor must complete a periodic health assessment t what minimum interval? 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. If . 10. 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. Markings on CLASSIFIED documents should be placed in what position on the page? PDF Health and Fitness Assessment INFORMED CONSENT AND WAIVER Even prior to the COVID-19 pandemic, areas of NYS were experiencing workforce shortages across the health care continuum. Form SSA-827 - Social Security Administration Personal relationships are allowed between a navy officer and an enlisted service member with which of the following affiliations? Tracking progress and adjusting those goals will lead to greater success. ). Although New Yorks DSRIP program included some projects addressing SDH, these early attempts need to be brought to scale across the state. 23. IN-SERVICE TRANSITION FOR TRANSGENDER SERVICE MEMBERS. Federal determines interest at the effective rate. Alliance for Better Health, Healthy Alliance Independent Practice Association, Innovative Health Alliance of New York, and Fidelis Care Join Forces to Improve Health by Addressing Social Determinants of Health CISION PR Newswire, (Sept. 23, 2019), available here. Who shall evaluate and/or analyze data on Physical . Personnel may work on live electrical circuits or equipment under which of the following conditions? Most electrical deaths could be prevented by taking which of the following actions? Jaffrey, J. and Safran, D., Addressing Social Risk Factors in Value-Based Payment: Adjusting Payment Not Performance to Optimize Outcomes and Fairness, Health Affairs, April 19, 2021, available here. 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. The Navy sometimes assists financially irresponsible personnel by taking which of the following actions? What program has become the Navy's most effective tool(s) for detecting and identifying illegal drug use? 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. When costly auto or home emergency repairs are needed. Information, that if disclosed, could cause serious damage to national security, should be assigned what security classification? Maximum authorized sideburn length is defined by what point relative to the ear? c. became more energetic. Examples of these developing SDHNs include the Healthy Alliance Independent Practice Association (IPA), which described itself as "the first IPA in the nation entirely devoted to addressing social determinants of health;"15 the EngageWell IPA, which "was created by New York City not-for-profit organizations working together to offer coordinated, integrated treatment options that include addressing social determinants of healthhousing, nutrition, economic security;"16 and SOMOS Innovation "a full implementation of the holistic care model" and "the next step on the path to culturally competent Value-Based [H]ealthcare."17. 6. Individuals experiencing homelessness are also more likely to have underlying conditions, behavioral health issues, substance use disorders, and limited access to health services. 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. Assess Basal Metabolic Rate to guide estimated daily nutrient needs for the most effective nutrition programs. 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. Semiconductors issued 11% bonds, dated January 1, with a face amount of $800 million on January 1, 2021. With the proper tools, these specialists can help clients develop specific, measurable, action-orientated, time sensitive, attainable goals. During emergency situations with the commanding officer's approval. 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? These programs include 54 capital projects, 13 rental subsidy and supportive services programs and pilots, and one accessibility modification program. Validity and Reliability of Commercially Available Bioelectrical Which of the following statements describes the umbrella component? Body Composition: Definition, Examples, and Measurements - Verywell Health Human body water makes up 55-65% of an individuals weight and can be further compartmentalized as extracellular (ECW, interstitial fluid) and intracellular water (ICW, muscle mass fluid). Interpret the results of Problem 59 59 with both a graph and a description of the graph. Enter closing entry information in the six-column table and prepare journal entries for it. Prepare the journal entry to adjust the bonds to their fair value for presentation in the December 31, 2022, balance sheet. Aaron McKinney is a cost accountant for Majik Systems Inc. Martin Dodd, the vice president of marketing, has asked Aaron to meet with representatives of Majik Systems' major competitor to discuss product cost data. 20 Consumers report high satisfaction with telehealth options, with prominent surveys showing satisfaction levels of 86-97%, often higher than for in-person visits.29 Preliminary data also suggests that telehealth has been a critical means at reaching hard-to- engage populations with historical access issues, especially for behavioral health services.30 With the States continued push towards advanced VBP models, digital tools and telehealth will be critical means by which the health care system can adjust the mechanisms for care delivery to become more focused on outcomes than billable events, with flexibility in the frequency and duration of virtual visits and other digital modalities of care. S. Jeganathan, L. Prassannan, et al. The rapidity with which COVID-19 spread in the earliest months of the pandemic, when insufficient supplies of PPE, ventilators, testing, and other countermeasures were available, resulted in a tragic toll of serious illness and death among these individuals. 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. H\@}&uoA\tcb\S'Gz`nhr>T~>utxnlY},O)^?iMs8=]~ xnvM}%|e!b$x:UwYH+?k{{\vxHo)+"2"W[-y =K@Y90d. The maximum weight for height screening and body fat percentage estimation based on circumference measurements. ECW plays a vital role in moving nutrients and waste into and out of the cells. 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. of assessment are permitted. In reference to rating badges on pea coats, which of the following statements, if any, is correct? For sailors enrolled in FEP due to BCA concerns, the emphasis shall be placed on decreasing body fat versus weight loss. They also found LOFAT may be more related to food scarcity than better dietary habits. PDF DOD INSTRUCTION 1308 - whs.mil Hey sailor must complete a physical activity risk factor questionnaire at what minimum interval? Of the following statements, which one does NOT apply to Family Advocacy training requirements? 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? Participation in multiple campaigns or operations, multiple qualifications, and additional awards of a ribbon are indicated by what device? Similar breach notification provisions implemented and enforced by the Federal Trade Commission (FTC), apply to vendors of personal . References (a) Body Composition Standards Program, COMDTINST 1020.8 (series) (b) Coast Guard Body Composition Screening Desk Guide, CG-1331 For the last decade, through its current 1115 waiver, NYS has engaged in efforts to redesign Medicaid using managed care and its recently ended DSRIP program. 3. 6, Nov. 28, 2018, available here. Executive Summary. 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. Midland Corporation has a net income of $19\$19$19 million and 4 million shares outstanding. PDF Department of The Air Force Headquarters United States Air Force 3 Which of the following circumstances is NOT an example of a relationship that is contrary to good order and discipline? Through a statewide collaborative group, the State will identify local strategies/solutions for mutual assistance and to also inform statewide standardization of technical requirements, workflows, as well as training and technical assistance to further build the necessary infrastructure to meet the immediate and long-term needs.