Establishing policy and ensuring the Family Advocacy Program meets command, sailor, and family member needs is the responsibility of what entity? When warranted, while wearing the Physical Training Uniform, which of the following items are authorized optional components? endstream endobj startxref Welcome to the Southwest Florida Water Management District Home Page If an officer fails to meet BCA/PRT standards what happens? COs will refer members to medical after how many BCA failures. 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. The informal resolution system includes all of the following means of interpersonal conflict resolutions, EXCEPT which one? Who shall evaluate and/or analyze data on Physical . LookinBody Web Cloud Database Management Solution, Dietitians are responsible for the development and adjustment of dietary interventions specific to each clients condition and goals. Which of the following items should you use for planning how to spend or manage your money? 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. In 70 seconds, the InBody 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. In particular, using socially risk adjusted paymentwhether through accurate use of z-codes or the data collected from the uniform social care assessment tool described abovecan incentivize and appropriately reward plans and providers for caring more holistically for these vulnerable populations.19 Prepayment approaches would also be available to providers who are not the lead VBP contractor but are providing care to the lead contractors attributed members through a downstream targeted or bundled arrangement. The Navy assesses personal physical fitness via a semi-annual PFA (see enclosure (1)). Identify and/or develop local workflows to support identification of local housing resources; Provide patients with navigation services to meet their housing need based on their eligibility for housing programs (such as working through State-funded housing programs, Housing Choice Vouchers and Permanent Supportive Housing applications); and. Female - 17-39 years old = 33%. 15. In addition, you may be able to improve your body composition by focusing on lifestyle changes like a healthy diet, exercise, sleeping better, and managing stress. On the service dress blue uniform, a Construction apprentice should wear what color of the group rate mark? He hopes to have sufficient backing from other investors in 6 months. Strengthening the safety net is a top priority for the State, but NYSs own fiscal position has been undermined by the pandemic and it could not afford such funding on its own. For sailors enrolled in FEP due to BCA concerns, the emphasis shall be placed on decreasing body fat versus weight loss. . The designee's authority terminates at the time the EIN is assigned and released to the designee. Enter the adjusted trial balance in the first two columns of a six-column table. ). 21 Which of the following is an objective of the Personal Excellence Program? 17. Skeletal muscle mass (SMM) is the muscle attached to bone and responsible for human movement (Cleveland Clinic). The protection of their personnel and assets from the terrorist attacks is the ultimate responsibility of what member of the chain of command? 29. On the service dress blue uniform, an Airman apprentice should wear what color group rate mark? Visit the Preauthorization and notifications list online. Total(SellingPriceperShareNumberofSharesCommission)=NetSaleAmountofPaidProfitorLoss$5925($5214100)$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. After four weeks, both the placebo and creatine supplementation group experienced significant increases in segmental lean mass (p < 0.01), however the latter improved by 5.5% compared to 3.8%. On December 31, 2021, the fair value of the bonds was $730 million as determined by their market value in the over-the-counter market. Rather, the HEROs would receive limited planning grants under the waiver, be able to receive and ingest data from national, State, local and proprietary data sources, and assume a necessary regional planning focus in order to create collaborations, draw insights from different data sources and needs, and develop a range of VBP models or other targeted interventions suitable for the populations and needs of each region that would be funded through the mechanisms described in Section 1.3 below. The Navy do carry out a rigorous body composition analysis and take things seriously, yet the results of this analysis aren't indicative of poor health. 21. which investigated elderly patients with frailty receiving oral nutritional supplements. Members must present a professional, military appearance to be eligible for consideration. Even after the end of the pandemic, the issue of the safety of nursing home residents remains a critical public concern that underscores the need to accelerate the development of community-based alternatives. When cells are healthy, they can better resist these currents utilized by the InBody, resulting in a higher phase angle and improved nutrition status. Marine C0orps, coast guard, and foreign military. 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. 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. 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. Nutrition professionals can use the InBody to: Basing nutritional intervention off body weight alone brings about a challenge. 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. 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. Background and Context: Lessons Learned from the COVID-19 Pandemic, Relationship with Larger 1115 Waiver and DSRIP, Initiatives & Investments Proposed by Waiver Goals, Goal #1: Building a more resilient, flexible and integrated delivery system that reduces racial disparities, promotes health equity, and supports the delivery of social care, Goal #2: Developing Supportive Housing and Alternatives to Institutions for the Long-Term Care Population, Goal #3: Redesign and Strengthen Health and Behavioral Health System Capabilities to Provide Optimal Response to Future Pandemics & Natural Disasters, Goal #4: Creating Statewide Digital Health and Telehealth Infrastructure, Budget Neutrality and Sources of Financing, DefinitionsA widely used definition of health equity is the one developed and used by the Robert Wood Johnson Foundation (RWJF): Health equity means that everyone has a fair and just opportunity to be as healthy as possible. Similar to Rush University Medical Centers (RUMC) Anchor Mission Strategy. Establishing a baseline ECW/TBW and monitoring for large changes can be a critical piece in patient assessment and the development of effective interventions. Zone inspection. An ORM analysis shall be completed at least how long prior to the PRT? ", 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. ). 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. 29 As new federal and state housing funds become available, this statewide initiative will also integrate and leverage emerging opportunities to maximize all available local, state and federal funding. None of the $700 insurance expense had expired during the year. 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. 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. Of the following statements, which one does NOT apply to Family Advocacy training requirements? Working with clinical leadership across the HEROs network of providers to standardize criteria for virtual vs. in-person care. of assessment are permitted. When awarded, extra duty is NOT to exceed what total number of hours daily? 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. Incorporating principles of implicit bias and cultural sensitivity training for all member-facing staff. Each level has different compartments and can be separated into two, three or four compartments. 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. Each of the following statements may (or may not) describe these technical terms. Available on the Directives Division Web 0p@2|0 H Overall, the initiative has shown a reduction in the number of emergency department visits and inpatient hospital stays. 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. Taken together, these initiatives create synergies that reinforce and support the overarching goals of this waiver proposal and our collective ability to stabilize and better serve all of our Medicaid population, particularly those most impacted due to longstanding racial and health disparities. Physical Fitness Assessment failures can effect a Sailor in the form of all of the following ways, EXCEPT which one? 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. Which of the following is NOT a requirement for Commanding Officers to address in regards to Family Advocacy cases? Which of the following is NOT a requirement for Commanding Officers to address in regards to Family Advocacy cases? Funding would be distributed according to completed redesign efforts. Medical waivers are valid for what maximum number of Physical Fitness Assessment cycles? 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. 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. The Navy neckerchief should be worn in what manner? Male personnel are authorized to maintain hair of what maximum length, in inches? Despite its extensive network of home and community-based services, NYS still has high numbers of people living in institutional settings. Oftentimes, nutrition professionals use calculations to find BMR, but did you know they skew your patients data to the norm? NYS achieved many of its goals with DSRIP, including a 26 percent reduction in Potentially Preventable Admissions (PPAs) and an 18 percent reduction in Potentially Preventable Readmissions (PPRs) through Measurement Year 5; facilitated a significant increase in Patient Centered Medical Home (PCMH) certification; made major progress in integrating physical and behavioral health care; and improved care transitions that directly reduced readmissions. 1. Federal determined that none of the change in fair value was due to a decline in general interest rates. Excluding a wedding ring set, what total number of additional rings may be worn while in uniform? On the service dress blue uniform, a Construction apprentice should wear what color of the group rate mark? Nutrition professionals can use the InBody to: Determine baseline body composition and identify areas needing improvement for optimal health and disease risk reduction. Similarly, for VBP arrangements involving people with I/DD, attribution may occur based on the individuals Care Coordination Organization (CCO). 1. Describe the financial statement changes that would result from these two assumptions. 26. 2 19. "b>ZxLSN.P@JLPWY(6LfT Al @P`qB0% T`P s -$>A>t4 r$8i20c:}=10$be4`T(Ad(&g@z->]x~w"g`R 2 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. Power, 2020 U.S. Telehealth Satisfaction Study, October 2020. Physical Fitness Assessment failures can effect a Sailor in the form of all of the following ways, EXCEPT which one? Dietitians are responsible for the development and adjustment of dietary interventions specific to each clients condition and goals. 2. A gold oak leaf is worn on the uniform of which of the following officers? During emergency situations with the commanding officers approval. The BCA must be completed within 45 days of, but not less than 24 hours prior to, participation in the PRT. 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. A Florida citrus grower estimates that if 60 orange trees are planted, the average yield per tree will be 400 oranges. 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 ?\begin{array}{|c| c c c c c c c |c|}\hline 10 Establishing policy and ensuring the Family Advocacy Program meets command, sailor, and family member needs is the responsibility of what entity? During the pandemic, individuals and families experiencing homelessness are at significant risk of infection in congregate settings, such as homeless shelters, and may have also lost access to other supports, such as services and food provided through schools. The medical screening includes the annual periodic health assessment (PHA), a semi-annual NAVPERS . 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. When you wear the new Navy working uniform, what type of boot is authorized? . The State will therefore use waiver funding to create an Equitable Virtual Care Access Fund to assist such providers with these human capital investments, resources, and support. Personnel may work on live electrical circuits or equipment under which of the following conditions? With this purpose in mind, NYS seeks approval for the following eligibility changes: Taken together, this series of investments would enable a statewide strategy to address SDH at scale, while maintaining the flexibility to direct resources based on specific local challenges and needs, tied to health equity goals. 3 24 Try increasing your protein intake to at least . 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). When you wear the new Navy working uniform, what type of boot is authorized? 19 dBMu3|rw8(9(? The total of all direct labor, direct materials, and manufacturing overhead transferred from work in process to finished goods. On a dress blue uniform, a single service stripe should be placed in what position? Benjamin D. Renelus et al., Racial Disparities in COVID-19 Hospitalization and In-Hospital Mortality at the Height of the New York City Pandemic, J. 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. Medical will file a copy of the NAVMED 6110/4 in member's medical record. 15 a. 6, Nov. 28, 2018, available here. For female personnel in uniform, what is the maximum allowable length of hair? Service members should perform strength training excercises what minimum amount of time per week? 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. Procedures for missing ships' movement are contained what UCMJ article? 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. SOMOS, About SOMOS Innovation, available here (accessed on July 12, 2021). On an ongoing basis, the State may choose to engage in other population health activities that are supported by virtual care, including: Funding and technical assistance through the Equitable Virtual Care Access Fund will bolster the ability of safety net providers to provide telehealth through various modalities. a. 2) single site abdominal circumference (AC) measurement 3) body composition assessment (BCA) measurements. Why is the Body Composition Pilot Program being extended to 30 NOV 2020? Who is responsible for establishing Navy PFA standards and FEP guidance? FEP shall be conducted a minimum of ____ times per week for at least 1 hour during the workday. When individuals were placed on a semi starvation diet, researchers found that these individuals a. became obsessed with physical exercise. Workforce and training are critical foundations to achieving the health equity goals under this proposal and to developing delivery systems of "well care" capable of serving the whole-person. The informal resolution system includes all of the following means of interpersonal conflict resolutions, EXCEPT which one? A summary court-martial can award confinement for what total number of days? Marine Corps, Coast Guard, and Foreign Military.