hbbd```b``z " LZp0y,; &I0)&oIgAlQ 9'a3 : Its common stock is currently selling for $48\$48$48 per share. Which of the following is NOT an indicator of potential violence by a work place employee? 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? Most electrical deaths could be prevented by taking which of the following actions? "One-Time Access" for an individual to view information at a level above his authorized level, may be used during operational emergencies. Moreover, these interventions have the demonstrated potential to improve their health outcomes and prevent disease, which has only revealed the further limitations of delivery systems that are built for "sick care. Personnel may work on live electrical circuits or equipment under which of the following conditions? Midland plans to sell common stock to set up a major new production facility with a net cost of $21,120,000\$21,120,000$21,120,000. Much like the standard 20-30 kcal/kg recommendation, these estimations are based on population assumptions, not your patients personal data. 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. 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. Navy unit reporting for fraternization incidents must be reported using what method? Who is responsible for establishing Navy PFA standards and FEP guidance? a rear admiral upper half is identified by what total number of stars on one shoulder board? Instead, assume it is a prepayment of the next periods insurance protection. What program has become the Navy's most effective tool(s) for detecting and identifying illegal drug use? 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. Reserve personnel may be cleared for participation in the PRT for how long upon completion of the Annual Certificate of Physical Condition? Originating Component: Office of the Under Secretary of Defense for Personnel and Readiness Effective: April 30, 2021 (This issuance supersedes any previously published contradictory guidance). Programs that transitioned individuals from nursing home settings saved an average of $67,255 the first year and $90,239 the second year in housing.27. 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. Ramaswamy, A, Yu, M., et al. Immediate Superiors in Command (ISICs) shall ensure subordinate commands enter accurate PRIMS data for all command members within how many days of completing each PFA cycle? 19. 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. As pediatric undernutrition persists, many healthcare professionals are using body composition data to develop effective interventions to improve survivability and quality of life (Sinha et al., 2022). Physical readiness activities shall include a minimum of how many sessions per week devoted to moderate and moderately high intensity physical conditioning? Ribbons should be worn a) what specified distance and b) what pocket? Non-judicial punishment is also known by what term? Building on these efforts, NYS recognizes that, in order to further our collective ability to improve health outcomes for all patients, particularly those who are vulnerable and underserved, the State must augment existing systems and develop a nimble delivery system built for "well care," that includes the following features: This waiver proposal is a catalyst to developing this new delivery system, and will require thoughtful planning, coordination and execution to address and reduce health disparities, while minimizing disruption and limiting unintended consequences. ). The Navy assesses personal physical fitness via a semi-annual PFA (see enclosure (1)). There are several subpopulations with co-occurring conditions exacerbated by the lack of housing or unstable housing. Any sailor who commits fraudulent activity should be charged under what article of the UCMJ? He hopes to have sufficient backing from other investors in 6 months. 24. Track changes over time to ensure client progress and success . For work on a Navy installation, NAVOSH directives authorize joining what maximum number of 25-foot extension cords? There are some specific Navy fat standards which are as follows: Male - 17-40 years old = 22%. Marine C0orps, coast guard, and foreign military. 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. Who shall evaluate and/or analyze data on Physical . During emergency situations with the commanding officer's approval. How long should the command retain a copy? Body composition represents an unbreakable unity of the human body basic structure elements and involves a relative representation of the various constituent elements of the human total body weight. 10. & ?\\ \hline Federal determined that one-half of the increase in fair value was due to a decline in general interest rates. Patients in the experimental group had greater mean appendicular skeletal muscle mass improvements (0.2 kg) compared to the control group (-0.1 kg). What entity must authorize a BCA waiver? 23 The COVID-19 pandemic devastated many vulnerable populations of Medicaid recipients, with a particularly detrimental impact to populations with historical health disparities, including persons living in poverty, Black and Latino/Latinx and other underserved communities of color, older adult populations, criminal justice-involved populations, high-risk mothers and children, persons with intellectual and developmental disabilities (I/DD), persons living with severe mental illnesses, persons with substance use disorders, and persons experiencing homelessness. Briefly discuss the advantages and disadvantages of activity based costing and activity based management. 42 U.S.C. 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. To that end, this waiver seeks to build on the prior work and the States learnings during COVID-19 in designing and evaluating practical, common-sense, and actionable ways to leverage New Yorks robust Medicaid infrastructure to promote health equity for New Yorkers. All personnel striving for improved fitness. For female personnel in uniform, what is the maximum allowable length of hair? An Assistant Command Fitness Leader should be assigned what ratio of students? (Hint: Reverse the$500 wages payable accrual.). Procedures for missing ships' movement are contained what UCMJ article? For members who are unable to participate in all or a portion of how many consecutive PFAs? They also found LOFAT may be more related to food scarcity than better dietary habits. Calculate the total interest cost over 180 days for a variable-rate loan. S. Jeganathan, L. Prassannan, et al. Which of the following circumstances is NOT an example of a relationship that is contrary to good order and discipline? NYS DOH OHIP, Social Determinants of Health Standardization Guidance (April 2020). 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. Using the forecast prime rate changes, answer the following questions. Navy unit reporting for fraternization incidents must be reported using what method? For each statement, indicate the term described, or answer "None" if the statement does not correctly describe any of the terms. 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. 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. Semi annually. During emergency situations with the commanding officers approval. Establishing policy and ensuring the Family Advocacy Program meets command, sailor, and family member needs is the responsibility of what entity? CMS, New York Geographic Rating Areas: Including State Specific Geographic Divisions, available here. We partner you with an InBody specialist that understands your industry and unique needs. The initiative will also be informed by planning and coordination efforts of the HEROs, which will support the blending and braiding of all funding streams needed to fund both actual housing (through other non-Medicaid sources) and housing support and tenancy sustaining services. Similarly, for VBP arrangements involving people with I/DD, attribution may occur based on the individuals Care Coordination Organization (CCO). 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. MCOs would be required to engage in VBP contracts with an appropriately constructed network of providers for the population-specific VBP arrangement. As a CFL measuring a member for BCA you should take all circumference measurements _____ times and record them to the nearest inch. Aboard Navy installations, motor vehicle passengers are required to always wear which of the following items? Body Composition Screening is defined as the process . 167 0 obj <>stream KATE SPADE 1YRU0027 KATE SPADE seaport . 1. . Sinha and team evaluated children, ages 6-59 months, finding an association between severe acute malnutrition and Fat Free Mass and Fat Mass. ). Similar to Rush University Medical Centers (RUMC) Anchor Mission Strategy. Nutrition professionals can use the InBody to: Determine baseline body composition and identify areas needing improvement for optimal health and disease risk reduction. 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 techniques can be split into two distinct categories of direct and indirect measures. 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. Gbenga Ogedegbe, M.D. 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. A determination that an individual requires access to classified information in support of the performance of their duties is represented by what term? 1 | 22 Sprache u. Kommunik, PMK EE E-4, E-4 Professional Conduct Exam, EMT chapter 10 : respiration and artificial v, Statistical Techniques in Business and Economics, Douglas A. Lind, Samuel A. Wathen, William G. Marchal, Claudia Bienias Gilbertson, Debra Gentene, Mark W Lehman, The Cultural Landscape: An Introduction to Human Geography, AP Edition. One-on-One body composition assessments are authorized by what person, if any? NYS will catalyze this process through a separate investment in coordinated networks of CBOsreferred to as Social Determinant of Health Networks (SDHNs)that take a comprehensive and outcomes-focused approach to addressing the full spectrum of social care needs offered by CBOs in a region, create a supportive IT and business processes infrastructure, and adopt interoperable standards for a social care data exchange. 1 National Quality Forum, A Roadmap for Promoting Health Equity and Eliminating Disparities: the Four Is for Health Equity (September 2017), available here. ). Body composition can be measured with tests like skinfold assessment, DEXA scan, body circumference, hydrostatic weighing, and bioimpedance analysis. 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). OPNAVINST 6110.1H. 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. When not specifically addressed by the treatment facility, what number of months are required for a command to monitor a member's aftercare plan? Although this waiver demonstrations primary focus is to address disparities in access to quality health care and social care and achieve an equitable pandemic recovery, the COVID-19 pandemic also revealed that NYS must have a ready-to-execute strategy to respond to a significant increase in demand for acute care services. When you wear the new Navy working uniform, what type of boot is authorized? The. Try it now. 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. How often shall PT sessions be conducted per week? Planning efforts will involve a variety of stakeholders, including government entities, labor organization, provider organizations (inclusive of former PPSs with proven workforce strategies), and CBOs. 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. 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. With regard to grooming standards, what is the primary consideration? This is an egg shaped structure that uses the air pressure and your body volume to determine your total body composition breakdown. Each of the following statements may (or may not) describe these technical terms. 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. This chapter focuses on body composition assessment in humans. At least one CPR-certified monitor will be present for every ______ members participating in the PRT, with a minimum of two monitors for every test. To report incidents of domestic or child abuse to Echelon 2 commands, what means should you use? 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. Midland Corporation has a net income of $19\$19$19 million and 4 million shares outstanding. body composition and aerobic and anaerobic fitness (which includes, at a minimum, components of cardiorespiratory endurance, muscular strength, and muscular endurance) to successfully perform in accordance with their Service-specific requirements, missions, and military specialties. The proposed amended regulations, California Code of Regulations, title 5 (5 CCR), section 1040, must be adopted, on an emergency basis, in order for California to continue to fairly and properly administer the 2021-22 California Physical Fitness Test (PFT) while awaiting recommendations from a study pursuant to Senate Bill (SB) No. They also found LOFAT may be more related to food scarcity than better dietary habits. 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. A booklet used to record checking account transactions is known by what term? height, weight and body composition data in order to facilitate analysis and policy modification, as required. Specifically, PRT should not be conducted outdoors when wind chill is _____ degrees Fahrenheit or lower, or when hot weather black flag conditions exist of _____ degrees Fahrenheit or higher. 30. Members must present a professional, military appearance to be eligible for consideration. They will be regionally focused in order to align with the health equity needs that differ by community and future value- based payment contracting structures. 16 Similar breach notification provisions implemented and enforced by the Federal Trade Commission (FTC), apply to vendors of personal . 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. No less than how many weeks prior to the scheduled date of the PRT must the CFLs release official directives to command announcing official test dates and schedule PFA cycle in PRIMS? . 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). Under what situation should a command NOT process a sailor for administrative separation (ADSEP) following a treatment failure? 11. c7LnFZg_M"r2j$_czhnEw3kB9FY-pX[4)---nN%& >,.|7lZ6l(uF:-O At the same time, because health and healthcare are local and the social service offerings may differ by region, this statewide strategy must also tie back to local gaps and needs, particularly for the health care safety net. 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? Documentation of Authorization Waiver or Alteration Determinations. Although New Yorks DSRIP program included some projects addressing SDH, these early attempts need to be brought to scale across the state. Automatically remove your image background. A sailor must complete a periodic health assessment t what minimum interval? CMS Location must authorize the State Survey Agency to conduct a substantial allegation validation survey and will specify the CfCs to be assessed. Which of the following is NOT a requirement for Commanding Officers to address in regards to Family Advocacy cases? 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. What program has become the Navy's most effective tool(s) for detecting and identifying illegal drug use? Skinfold tests are one of the oldest and most basic ways to measure the amount of body fat you have. 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? City of New York, Mayors Task Force on Behavioral Health and the Criminal Justice System: Action Plan (Dec. 2014), available here. 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 the following types inspections conducted by a command representative? COs will refer members to medical after how many BCA failures. 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. Even prior to the COVID-19 pandemic, areas of NYS were experiencing workforce shortages across the health care continuum. 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 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. ", 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. What is the primary goal of the physical readiness program? December 2017, available here. 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. Why did the United States and Europe adopt free trade after world war 2? PMK-EE Warfighting and Readiness Exam for E4, Pathophysiology: Ch. To provide navy core value workshops for e-3 and below personnel. The total of all direct labor, direct materials, and manufacturing overhead transferred from work in process to finished goods. 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. Under this structure, incentive awards would be made available to MCOs (that have participated meaningfully in HEROs) providers and organizations in qualifying VBP contracts approved by DOH. 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. 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. a. The Medicaid program, combined with other state-supported health insurance options offered through the widely recognized NY State of Health Marketplace such as the Essential Plan and Child Health Plus, provides comprehensive coverage to nearly all low-income New Yorkers. 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. Direct analysis involves dissolving a . What is the primary means of organizing and documenting Physical Program information including medical screening? On the service dress blue uniform, an Airman apprentice should wear what color group rate mark? 17 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? 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. Service members should perform strength training excercises what minimum amount of time per week? 3. 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. %PDF-1.6 % 8 In addition to financing the non-federal share of this 1115 demonstration through transfers from units of local government and state general revenue commitments that are compliant with section 1903(w) of the Social Security Act, New York seeks flexibility from CMS to identify other sources of matching funding. A sailor must complete a periodic health assessment t what minimum interval? Overall, the initiative has shown a reduction in the number of emergency department visits and inpatient hospital stays. 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. Any sailor who commits fraudulent activity should be charged under what article of the UCMJ? 1/5. Appearance that does not blend with professional appearance in uniform is defined by what term? On the service dress blue uniform, an Airman apprentice should wear what color group rate mark? Indeed, to address the full breadth of factors contributing to health disparities, NYS will not only pursue reforms and investment in the health care delivery system, but also in training, housing, job creation, and many other areas. When operating electrical equipment, the term "one-hand rule" is best defined by which of the following phrases? 29. What entity must authorize a body composition assessment waiver? An article of clothing purchased at the owner's expense and authorized for wear with the uniform is known as what part of a uniform? Commander, Naval Safety Center (COMNAVSAFECEN), Commands shall prohibit participation in PRT of members who do not participate in a physical conditioning program that requires members to consistently achieve exercise intensity comparable to the physical demand required of PRT. Which of the following is an objective of the Personal Excellence Program? No substitute methods (e.g., underwater weighing, skin fold calipers, body mass index, bio-impendence, etc.) When chipping or scrapping paint, you should wear what personal protective equipment? Who is responsible for establishing the Navys Physical Readiness Program Policy? 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.