Reimbursement levels in Medicaid populations served by safety net providers are not sufficient to make these investments on their own, as they sometimes are in the commercial market. 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. 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. The Physical Fitness Assessment (PFA) includes which two parts? This would include: NYS will also reach out to community partners to solicit additional and innovative ideas for new types of services that can be piloted and tested for their ability to enact long-term improvements. . Which of the following statements describes the umbrella component? 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. 22. They also found LOFAT may be more related to food scarcity than better dietary habits. Ramaswamy, A, Yu, M., et al. 10 1. Which of the following is an objective of the Personal Excellence Program? 8 18 The Navy neckerchief should be worn in what manner? ). Who is responsible for establishing Navy PFA standards and FEP guidance? See VBP Roadmap, at 4. iv. Male - 40 years old = 23%. For members who are unable to participate in all or a portion of how many consecutive PFAs? 12. Body Composition Screening is defined as the process . Skinfold tests are one of the oldest and most basic ways to measure the amount of body fat you have. Expenditure Reductions Associated with a Social Service Referral Program, Population Health Management, Vol. 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. What entity must authorize a body composition assessment waiver? Which of the following statements describes the umbrella component? 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. 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. Authorized medical department representative. Unsecured sources of short-term loans John Savage has obtained a short-term loan from First Carolina Bank. For example. Semi-Annually. 17 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. Researchers from. 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. 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. a. b. 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. Marine Corps, Coast Guard, and Foreign Military. Procedures for missing ship's movement are contained what Uniform Code of Military Justice (UCMJ) article? Body Composition Assessment. 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. (Hint: Reverse the$500 wages payable accrual.). As a CFL measuring a member for BCA you should take all circumference measurements _____ times and record them to the nearest inch. How often shall PT sessions be conducted per week? 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. 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). With the proper tools, these specialists can help clients develop specific, measurable, action-orientated, time sensitive, attainable goals. . K.S. Although New Yorks DSRIP program included some projects addressing SDH, these early attempts need to be brought to scale across the state. Excluding a wedding ring set, what total number of additional rings may be worn while in uniform? Personal relationships are allowed between a Navy officer and an enlisted service member with which of the following affiliations? Suggested initial maximum for required PT is ____ sessions per week, ____ minutes duration; members who exceed this maximum are at risk of injury. 13. Gbenga Ogedegbe, M.D. Contact us with questions about "preauthorization" or "notification," and find out if the services you need are covered in your . In the case of COVID-19 patients. To ensure classified info is protected during a natural disaster or civil disturbance, what item should be developed? Individual is admitted to alcohol treatment for 3rd self-referral. Ostracizing a service member who has reported a criminal offense is an example of what term? NYS Department of Health, New York State Health Equity Report (April 2019), available here. Beyond sports, lean body mass data is used to better understand and guide clinical populations, like. Commands shall develop and implement a Fitness Enhancement Program (FEP) for whom? Repeated unwanted or uninvited request for dates could be considered which of the following behaviors? Through an 1115 demonstration, NYS can ensure that this consumer-driven wave is available equitably by building digital and telehealth infrastructure and care models to significantly expand access to care, both in underserved areas, such as rural and other communities without convenient access to primary or specialty care, and for underserved needs, such as behavioral health and the management of chronic diseases. 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. Adequate progress shall be at least ____ percent of body fat loss per month but by no means more than ______ percent of body weight in any week. There are several subpopulations with co-occurring conditions exacerbated by the lack of housing or unstable housing. b. As pediatric undernutrition persists, many healthcare professionals are using body composition data to develop effective interventions to improve survivability and quality of life (. 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. A summary court-martial can award confinement for what total number of days? Agree to body composition assessment waiver for australia and shape your twitter account for weight is important to clarify the idea that diets. As dietitians work with patients who are critically ill or suffering from catabolic illnesses, lean body mass (LBM) can be used to determine adequacy of diet and serve as a guideline for determining protein requirements. When chipping or scrapping paint, you should wear what personal protective equipment? The most logical time to use a credit card is in which of the following circumstances? Assessing and identify local needs and health inequities by population, and service gaps; Establishing regional priorities based on local needs and specific populations; Ensuring racial, ethnic and gender concordance between patients and providers, so that providers resemble the patient population in order to facilitate patients desire to seek care; Developing other ways to address racial barriers that impact access to care; Ensuring that implicit bias training and awareness, as well as trauma-informed care is part of workforce training; Centralized data collection and exchange among a variety of sources, including national, State, local and proprietary (e.g., criminal justice, foster care, census data, etc. 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. Of course, because of the simplicity to this approach, it also tends to be the most inaccurate ( r, r ). Female - 17-39 years old = 33%. When questionable or unfavorable information arises for a command member with access to classified information, what program should commands utilize to report the incident(s) to DON CAF? The COVID-19 pandemic devastated many . When awarded, extra duty is NOT to exceed what total number of hours daily? When individuals were placed on a semi starvation diet, researchers found that these individuals a. became obsessed with physical exercise. Male personnel are authorized to maintain hair of what maximum length, in inches? On the service dress blue uniform, a Construction apprentice should wear what color of the group rate mark? What type of authority emanates from assignment to specific billets within the organization? What entity must authorize a body composition assessment waiver? H\@}&uoA\tcb\S'Gz`nhr>T~>utxnlY},O)^?iMs8=]~ xnvM}%|e!b$x:UwYH+?k{{\vxHo)+"2"W[-y =K@Y90d. National Quality Forum, A Roadmap for Promoting Health Equity and Eliminating Disparities: the Four Is for Health Equity, September 2017, available here. Adequate progress shall be at least ____ percent of body fat loss per month but by no means more than ______ percent of body weight in any week. To create a culture of fitness to enhance a members ability to complete tasks that support the commands mission. v4]kLSE V(9V)`V#'6}%l. The MRT supportive housing initiative has undergone a rigorous 5-year evaluation. The informal resolution system includes all of the following means of interpersonal conflict resolutions, EXCEPT which one? This requires removing obstacles to health such as poverty, discrimination, and their consequences, including powerlessness and lack of access to good jobs with fair pay, quality education and housing, safe environments, and health care.The Centers for Disease Control and Prevention (CDC) defines health disparities as: "preventable differences in the burden of disease, injury, violence, or in opportunities to achieve optimal health experienced by socially disadvantaged racial, ethnic, and other population groups, and communities.". A Marine Corps captain wears what collar device? Female - 40 years old = 34%. Which of the following is NOT an indicator of potential violence by a work place employee? 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? 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. Service members should perform strength training exercises what minimum amount of time per week? 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. Redesigning payment models to support health equity (Sections 1.3, 1.4 and 1.5). ). When preparing a budget, you should plan for what expense first? For work on a Navy installation, NAVOSH directives authorize joining what maximum number of 25-foot extension cords? Specifically, the COVID-19 pandemic and its higher rates of cases, hospitalizations, and deaths among people of color and other minority populations and people with disabilities due, their higher burdens of disease, over representation in low-wage essential jobs, increased likelihood of living in multi-family or multi-generational housing or institutions, and other factors demonstrated how pervasive health inequities are in NYS.6 Additionally, based upon existing measurement sets and data collection efforts, including the biennial New York State Health Equity Report, the quality of and access to health care services in low-income communities and among racially and ethnically diverse population groups reflects a health care delivery system that is not designed to meet community needs and eradicate health disparities.7, These findings are a reflection of a health care delivery system that has been historically structured to address illness and disease-burden with patients presenting in hospitals or clinics when care is needed. 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. Which of the following is NOT a requirement for Commanding Officers to address in regards to Family Advocacy cases? whose Physical Health Assessment (PHA), Deployment Health Assessment (DHA), or NAVPERS 6110/3 (PARFQ) is overdue or incomplete. Pilots and/or reimbursement models for digital therapeutics, diagnostics, screenings (including, where appropriate, genetic testing), and other innovative products that can deliver effective interventions directly with a reduced need for clinical staff. 9076 0 obj <>stream Similarly, for VBP arrangements involving people with I/DD, attribution may occur based on the individuals Care Coordination Organization (CCO). e. lost int e rest in social activities. \$5925 & (\small \$52 \frac{1}{4} & \times & 100) & - & \$59.60 &=& ? 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. \end{array} To contribute to a favorable military image. Personal relationships are allowed between a Navy officer and an enlisted service member with which of the following affiliations? 3. Please be aware that your actual monthly payment liability is subject to change based on the amount financed, which is at the financers discretion and that the amount shown here is merely an estimate and does not include applicable federal and sales tax. 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. What approximate percent of Navy's deaths are contributed to non-hostile active duty suicides? Nutrition professionals can use the InBody to: Determine baseline body composition and identify areas needing improvement for optimal health and disease risk reduction. 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. What is the primary goal of the physical readiness program? For example, behavioral health IPAs and/or other behavioral health provider networks would be included along with primary care providers for VBP arrangements targeting the SMI, SUD, and dually diagnosed populations. ). Form SSA-827 is designed specifically to: ensure the claimant has all the information necessary to make an informed consent; make it more obvious to sources that the form contains all the elements and statements legally required to be on an authorization form; ensure claimants are clearly advised of the specifics of the disclosure; and. 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. If the member exceeds MAW and taping measurements, the member will complete a medical screening form prior to the conclusion of the drill period in which their screening was conducted. Notwithstanding these successes in the mobilization of New Yorks pandemic response and the ability of the States Medicaid program to absorb a tremendous influx of new enrollees, the pandemic revealed that even an immediate, effective emergency response was insufficient to overcome a long history of policies and practices in the U.S. that have contributed to inequity in health care and significant health disparities. The first confirmed COVID-19 case in New York occurred on March 1, 2020. Building on the promise of DSRIP, the integration of social care through meaningful reward incentives and member risk adjustment will be the vehicle through which NYS can achieve and sustain the benefits of this demonstration. Navy unit reporting for fraternization incidents must be reported using what method? Review the Health and Readiness Optimization (HeRO) Body Composition Guide, which provides information and resources on achieving a healthy body composition. Who shall evaluate and/or analyze data on Physical Readiness Program injuries and deaths? National Quality Forum, A Roadmap for Promoting Health Equity and Eliminating Disparities: the Four Is for Health Equity (September 2017), available here. You suspect that a terrorist group is operating in your neighborhood. 148 0 obj <>/Filter/FlateDecode/ID[<54DC1AFFBE396C4F88589D0A8DEFC5DA><62D60885126E3248B3A9E762FDB71E58>]/Index[132 36]/Info 131 0 R/Length 86/Prev 116522/Root 133 0 R/Size 168/Type/XRef/W[1 3 1]>>stream If a covered entity decides to be a hybrid entity, it must define and designate as its health care component(s) those parts of the entity that engage in covered functions. . All personnel striving for improved fitness. 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. A growing number of innovative CBOs are employing interventions in SDH areas, such as community health worker support, healthy behaviors, nutrition, social isolation, education, transportation, and the organization of benefits and employment. The use of unlawful force or violence with the intent of inflicting bodily harm is best described by what term? Racial and Ethnic Health Disparities (Sep. 18, 2020). How many trees should the grower plant to maximize the total yield? Submitting a special request chit to request a Captain's Mast. As sports professionals focus on muscle growth and performance enhancement, its important to understand how dietary protocols can impact body composition. Individuals who reside in institutional settings (such as psychiatric facilities, nursing homes, congregate care facilities, and Intermediate Care Facilities for People with I/DD) or correctional facilities were not only disproportionately impacted by the pandemic through increased rates of infection, but also experienced disruption of necessary habilitative or rehabilitative services. Interpret the results of Problem 59 59 with both a graph and a description of the graph. 8. DOD INSTRUCTION 1300.28 . Medical waiver recommendations shall not exceed how long in duration? Assume the fair value of the bonds on December 31, 2022, had risen to$736 million. Researchers from SUNY Health Sciences lead by Dr. Markell 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. (3) Review the Health and Readiness Optimization (HeRO) Body Composition Guide, which provides information and resources on achieving a healthy body composition. 6 OPNAVINST 6110.1H. Common Ground Health, About Us, available here. ", 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. Most electrical deaths could be prevented by taking which of the following actions? 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). 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. ECW plays a vital role in moving nutrients and waste into and out of the cells. NO No further action required. 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. An ORM analysis shall be completed at least how long prior to the PRT? 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. During emergency situations with the commanding officer's approval. 16. 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. 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? 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? 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.
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