Male - 40 years old = 23%. When cells are healthy, they can better resist these currents utilized by the InBody, resulting in a higher phase angle and improved nutrition status. The fat-free mass (mainly composed of muscle) comprises the majority of the somatic protein mass. Medical will file a copy of the NAVMED 6110/4 in member's medical record. endstream endobj startxref 29 25. 11 Excluding a wedding ring set, what total number of additional rings may be worn while in uniform? No substitute methods (e.g., underwater weighing, skin fold calipers, body mass index, bio-impendence, etc.) 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. 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. a. 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. 26 John needs the money to cover start-up costs in a new business. 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. 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. Mission readiness and operational effectiveness are built on what? 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. 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. 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. There are some specific Navy fat standards which are as follows: Male - 17-40 years old = 22%. The use of unlawful force or violence with the intent of inflicting bodily harm is best described by what term? However, CMS evaluates ASCs only for their current compliance or A Marine Corps captain wears what collar device? Prohibited offensive conduct includes all of the following, EXCEPT which one? 25 9. 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. 1. 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). The most logical time to use a credit card is in which of the following circumstances? 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. Individual is admitted to alcohol treatment for 3rd self-referral. Tracking progress and adjusting those goals will lead to greater success. e. lost int e rest in social activities. What is the difference between "weigh-in" and Body Composition Screening? The COVID-19 pandemic devastated many . Ribbons should be worn a) what specified distance and b) what pocket? b. Available on the Directives Division Web Executive Summary. 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. iv. As required for a 1115 waiver, New York will meet budget neutrality requirements, post rebasing, but seeks additional flexibilities to support this proposal. Commander, Navy Personnel Command (COMNAVPERSCOM). Skinfold Tests. Enlisted personnel are authorized to wear gold service stripes and rating badges after completion of continuous good conduct for what minimum number of years? 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. When awarded, extra duty is NOT to exceed what total number of hours daily? An appeal regarding a punishment received at Non-Judicial Punishment is required to be submitted within what maximum number of days? 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. This chapter focuses on body composition assessment in humans. 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. 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. Skeletal muscle mass (SMM) is the muscle attached to bone and responsible for human movement (Cleveland Clinic). 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 Assume the fair value of the bonds on December 31, 2022, had risen to$736 million. The adjusted trial balance of Kobe Repairs on December 31, 2011 is shown below: Required SOMOS, About SOMOS Innovation, available here (accessed on July 12, 2021). 16 For work on a Navy installation, NAVOSH directives authorize joining what maximum number of 25-foot extension cords? K.S. Moodys Analytics, Understanding Health Conditions Across the U.S. BlueCross BlueShield Association. What is an optimal number of assistant CFLs per members? AMDR physician or CO/OIC of the cognizant MTF endorses the waiver. Establishing a baseline ECW/TBW and monitoring for large changes can be a critical piece in patient assessment and the development of effective interventions. Federal determined that one-half of the increase in fair value was due to a decline in general interest rates. Significant additional planning and investment is critical to create a robust infrastructure for telehealth, telephonic, virtual and digital healthcare. 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. To provide the SDH interventions through the SDHNs, NYS will need to expand the number of community health workers, care navigators and peer support workers, particularly drawing from low-income and underserved communities to ensure the workforce reflects the community they serve. 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). Agree to body composition assessment waiver for australia and shape your twitter account for weight is important to clarify the idea that diets. \small \textbf{Total} &\small \textbf{(Selling Price per Share} & \times & \small\textbf{Number of Shares} & - & \small\textbf{Commission)}& =& \small\textbf{Net Sale} &\small \textbf{Amount of}\\ 5 Identifying patients who no longer have supports in place (e.g., day programs are closed, loss of aides or personal care assistants rendering personal care services, lack of access to needed specialty care, etc.) A determination that an individual requires access to classified information in support of the performance of their duties is represented by what term? endstream endobj 133 0 obj <>/Metadata 15 0 R/Pages 130 0 R/StructTreeRoot 24 0 R/Type/Catalog/ViewerPreferences 150 0 R>> endobj 134 0 obj <>/MediaBox[0 0 612 792]/Parent 130 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 135 0 obj <>stream Medical waiver recommendations shall not exceed how long in duration? a. 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. 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 (. 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. Any sailor who commits fraudulent activity should be charged under what article of the UCMJ? 2. 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. In the case of COVID-19 patients. ). As HEROs, SDHNs and MCOs work through local programming to bridge the gap between local needs and goals and to execute on a specific housing strategy, critical aspects of their work will be to: These services and supports could be funded through VBP arrangements articulated in Goal #1, as well as through direct payments via the HEROs. Particularly due to the same injury or illness (not to include pregnancy), may COs refer them to Medical for reevalutation and recommendation for assignment to Limited Duty (LIMDU) and/or Medical Board Review. Which of the following is an objective of the Personal Excellence Program? Given this experience and ongoing need, NYS proposes to build on its existing and innovative work in supportive housing and community integration. Waiver requests must be submitted to the enlisted community manager of the Sailor's current rating. As humans age, there is a natural increase in fat mass coupled with a gradual decline in lean mass, specifically in bone and muscle mass. 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. Calculate the total interest cost over 180 days for a variable-rate loan. 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. Navy unit reporting for fraternization incidents must be reported using what method? who need to be linked to other network supports (e.g., Health Home, telehealth support, replacement personal care services support, etc. 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. To report incidents of domestic or child abuse to Echelon 2 commands, what means should you use? Maximum authorized side burn length is defined by what point relative to the ear? 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 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. City of New York, Mayors Task Force on Behavioral Health and the Criminal Justice System: Action Plan (Dec. 2014), available here. Information, that if disclosed, could cause serious damage to national security, should be assigned what security classification? Nutrition professionals can use the InBody to: Basing nutritional intervention off body weight alone brings about a challenge. of assessment are permitted. What is the principal goal of the Physical Readiness Program? 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. Are they perfect substitutes? You suspect that a terrorist group is operating in your neighborhood. 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. The sailor must complete a periodic health assessment at what minimum interval? H\@}&uoA\tcb\S'Gz`nhr>T~>utxnlY},O)^?iMs8=]~ xnvM}%|e!b$x:UwYH+?k{{\vxHo)+"2"W[-y =K@Y90d. Hey sailor must complete a physical activity risk factor questionnaire at what minimum interval? Chen, T. Robertson, M. Wu, et al., The Impact of the PCMH Model on Poststroke Follow-up Visits and Hospital Readmissions, Health Services Research, 2020. The protection of their personnel and assets from the terrorist attacks is the ultimate responsibility of what member of the chain of command? What program has become the Navy's most effective tool(s) for detecting and identifying illegal drug use? (Hint: Reverse the$500 wages payable accrual.). 24. On the day of the PRT tobacco use at the site is prohibited at least how many minutes before and how many minutes after the PRT? 6 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. Physical Fitness Assessment failures can effect a Sailor in the form of all of the following ways, EXCEPT which one? When operating electrical equipment, the term "one-hand rule" is best defined by which of the following phrases? At scale remote patient monitoring programs and other advanced care management and coordination solutions for high-prevalence chronic conditions, such as hypertension, diabetes, COPD, and heart failure, tailored for communities identified as high-priority; Predictive analytics and other data platformsincluding establishing data system interoperabilityto support the delivery of comprehensive and integrated physical and virtual care; Patient-facing tools and devices to support the delivery of comprehensive and integrated physical and virtual care; Regional specialty e-consult programs so that patients at safety net facilities can access specialty consult services (e.g., in neurology, psychiatry, pediatrics) from remote specialists, creating efficiencies an expanding access to specialty services; Virtual platforms that connect nursing homes, skilled nursing facilities and other long-term care facilities to health system partners for virtual visits, virtual consults and remote monitoring; School-based telehealth and school-based care coordination programs with a focus on expanding access to preventive services, primary care and behavioral health; Payments for tablets and remote monitoring devices where it is clinically and financially effective to do so; Programs that enable safety net providers to hire community health workers and others to help bridge the digital divide and address barriers to participation (e.g., digital literacy, technology support, internet and device access and usability); Specialty virtual care models expressly designed to serve people who face accessibility barriers, such as people with long-term care needs and/or people with I/DD, and prevent avoidable hospitalizations; Remote or digital-only day habilitation or social day care services for individuals with long-term care needs; Infrastructure and virtual care models that increase access to novel treatments and/or clinical trials for underserved populations; and. Personnel may work on live electrical circuits or equipment under which of the following conditions? Medical waivers are valid for what maximum number of Physical Fitness Assessment cycles? Information that indicates ground, air, or Navy force levels or dispositions is what security classification? Skinfold tests are one of the oldest and most basic ways to measure the amount of body fat you have. The use of unlawful force or violence with the intent of inflicting bodily harm is best described by what term? 18. %%EOF With this waiver demonstration proposal, NYS is incorporating lessons learned from its DSRIP experience, including the need for regional alignment on objectives, more direct investment in and involvement of CBOs and behavioral health providers in governance and VBP accountability, regional coordination of workforce initiatives to address shortage areas, administrative simplification through avoiding the creation of new intermediary entities, and an even deeper alignment of provider and payer incentivesparticularly the highest level of VBP, with symmetrical risk sharing and monthly prepayments (capitation and/or global budgets). Are you wondering if a professional InBody device is right for you? Physical readiness activities shall include a minimum of how many sessions per week devoted to moderate and moderately high intensity physical conditioning? 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. NO No further action required. Try it now. 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). Appearance that does not blend with professional appearance in uniform is defined by what term? 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 Beyond sports, lean body mass data is used to better understand and guide clinical populations, like Na et al.s 2021 study which investigated elderly patients with frailty receiving oral nutritional supplements. Who is responsible for establishing the Navys Physical Readiness Program Policy? Using the forecast prime rate changes, answer the following questions. All DoD components shall measure body fat using only the circumference-based method with one set of measurements Male: neck and abdomen Female: neck, waist, and hips DoN received waiver from OASD (HA) to deviate from DODI 1308.3 and include the AC as step 2 of BCA process 6 This partnership is critical to addressing health disparities exacerbated by COVID-19, promoting health equity, and fulfilling the promise of the Medicaid program to provide comprehensive health benefits to those who need them. Analysis Component At captain's mast, what discipline cannot be awarded? Develop a body composition improvement action plan that outlines the strategy, resources, and counseling options the member will use and submit it to the BCM and unit commander. NYS must continue and expand efforts to facilitate access to alternative environments for individuals requiring long-term care. PMK-EE Warfighting and Readiness Exam for E4, Lecture 7 & 8: The Clinical Approach to a Vom, Professional Military Knowledge Eligibility E, HM2 Advancement Exam Mock Test [w/ answers], Marketing Essentials: The Deca Connection, Carl A. Woloszyk, Grady Kimbrell, Lois Schneider Farese, Operations Management: Sustainability and Supply Chain Management. Assess Basal Metabolic Rate to guide estimated daily nutrient needs for the most effective nutrition programs. It would also lay the groundwork for reducing long standing racial, disability-related and socioeconomic health disparities, increase health equity through measurable improvement of clinical quality and outcomes, and keep overall Medicaid program expenditures budget neutral to the federal government. The HIPAA Breach Notification Rule, 45 CFR 164.400-414, requires HIPAA covered entities and their business associates to provide notification following a breach of unsecured protected health information. Any sailor who commits fraudulent activity should be charged under what article of the UCMJ? Authorization granted by Director, Department of the Navy Central Adjudication Facility. Upper edge of the knot is even with the lowermost point of the collar opening. To the extent CMS and the State are able to identify state and local financial commitments, similar to the State Designated Health Programs that have been used to fund health care services and have replaced traditional Medicaid-covered services or programmatic administrative activities, NYS asks to revisit prior administrative guidance issued by CMS and allow these expenditures to be counted towards New Yorks non-federal share under this 1115 waiver. Workforce training will also support regional collaboration under the HEROs, the SDHNs, and the move to advanced VBP models, including: This waiver component also expands workforce investments, including creating additional career pathways for these community health occupations so that entry level workers such as home health aides and dietary aides with strong community ties can advance in their career, and expanding on current apprenticeship programs and cohort training programs for community health occupations. Who shall evaluate and/or analyze data on Physical Readiness Program injuries and deaths? Building on NYS Supporting Housing Programs: Supportive housing was a major initiative of the Medicaid Redesign Team (MRT) in 2011. Which of the following is NOT a good practice in the situation of an active shooter? Specifically, funds would support initiatives targeted at addressing workforce needs and the specific projects outlined for this waiver demonstration, and would include: In sum, these investments will strengthen delivery systems in New York to more nimbly respond to future pandemics and natural disasters, while leveraging available resources to build the workforce needed for a 21st century delivery system that is reflective of the populations it serves and creating an economic jobs engine that develops the workforce needed to support patients in community settings and deliver SDH services at scale. Researchers from. Always energize or turn on electrical equipment with one hand free. The informal resolution system includes all of the following means of interpersonal conflict resolutions, EXCEPT which one? When awarded, extra duty is NOT to exceed what total number of hours daily? 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 . which investigated elderly patients with frailty receiving oral nutritional supplements. Zone inspection. As a CFL measuring a member for BCA you should take all circumference measurements _____ times and record them to the nearest inch. All BCA measurements are to be conducted in the blue and gold Navy Physical Training Uniform (PTU). Instead, assume it is a prepayment of the next periods insurance protection. The Assessment of Recruit Motivation and Strength Program 2.0 allows prospective soldiers with a body fat percentage of no more than 2% above the standard to enlist in the Regular Army, Army National Guard or Army Reserve. 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. For sailors enrolled in FEP due to BCA concerns, the emphasis shall be placed on decreasing body fat versus weight loss. c7LnFZg_M"r2j$_czhnEw3kB9FY-pX[4)---nN%& >,.|7lZ6l(uF:-O On the service dress blue uniform, a Construction apprentice should wear what color of the group rate mark? Medical waivers are valid for what maximum number of Physical Fitness Assessment cycles? The programs serve homeless individuals with HIV/AIDS, serious mental illness, I/DD and other developmental disabilities, or chronic conditions. With regard to grooming standards, what is the primary consideration? 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.
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