Personnel may work on live electrical circuits or equipment under which of the following conditions? 22. 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. 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. 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. Body composition refers to the physical material that makes up the body. 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. Authorization granted by Director, Department of the Navy Central Adjudication Facility. hbbd```b``$3d"l-yf,Hp7@ M No, due to COVID-19 impacts, CG-1 has issued a blanket waiver for AY21 to execution of PCS, School, and ADOS/TDY orders regardless of body composition compliance. 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. 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. Welcome to the Southwest Florida Water Management District Home Page During the assessment, you will be asked to answer questions about your health and physical activity, and we will measure your height, weight, waist and hip circumferences, body composition, blood pressure, resting metabolic rate, and your aerobic fitness. The code of conduct is based on time-honored concepts and traditions that date back to what war? 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. NYS DOH OHIP, Social Determinants of Health Standardization Guidance (April 2020). 25. 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. For female personnel in uniform, what is the maximum allowable length of hair? To contribute to a favorable military image. Male personnel are authorized to maintain hair of what maximum length, in inches? Funding would be distributed according to completed redesign efforts. Prohibited offensive conduct includes all of the following, EXCEPT which one? An appeal regarding a punishment received at Non-Judicial Punishment is required to be submitted within what maximum number of days? Continued Demand for Supportive Housing Programs Exacerbated by the COVID-19 Pandemic: During and outside of the pandemic, access to transitional and permanent housing and supports are indispensable aspects of a viable safety net and of health equity, as demonstrated by the success of the MRT investments and NYSs experience during the pandemic. a. 4. Listed below are seven technical accounting terms introduced or emphasized in this chapter. To ensure that individuals with serious mental illness and substance use disorder receive needed housing and stability as they transition from institutions and residential services, NYS will seek approval to: These investments, in its totality, would ensure benefit continuity and support for individuals transitioning to community living whose at-risk due to unstable or lack of housing. The State believes CMS shares this vision, as demonstrated through its increasing willingness to use 1115 waiver authority to permit state Medicaid programs to address SDH interventions and funding gaps. 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. 2. 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. 7 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? 19. 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. 1. The comprehensiveness, value and accessibility of the Medicaid program has never been more important than during the COVID-19 pandemic. Are they perfect substitutes? An ORM analysis shall be completed at least how long prior to the PRT? Of the following statements, which one does NOT apply to Family Advocacy training requirements? The VBP funds through this waiver proposal would encourage the evolution of the MCO- network entity agreements into more sophisticated VBP contracting arrangements that incorporate health equity design, fund the integration with social care, adjust risk to reflect both the health care and social care needs of their members, reward providers improvements in traditional health outcome measures as well as advanced or stratified health equity measures informed by the HERO, and/or use fully prepaid payment models that fortify against fluctuations in utilization based on pandemics. L. 95-95, title I, 117(a), Aug. 7 . Information that indicates ground, air, or Navy force levels or dispositions is what security classification? Reservists. It is well known that body composition changes under the influence of continuous physical activity, a Body composition assessment in athletes . v4]kLSE V(9V)`V#'6}%l. The InBody Result Sheet provides nutrition professionals valuable information to better understand the efficacy of interventions and if they need to be adjusted in order to meet those goals. When scheduling the PRT it must be at least how many months after the last PRT but not more than how many months after the last PRT? 16. Commander, Navy Personnel Command (COMNAVPERSCOM). who found that high-antioxidant dietary pattern was independently associated with decreased BMR, fat free mass, and total body water in patients with Metabolic Syndrome. 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. Semi-Annually. The breakdown of your body composition (fat, muscle, and bone,) will be measured with the Bod Pod body composition system. 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. . Sinha and team evaluated children, ages 6-59 months, finding an association between severe acute malnutrition and Fat Free Mass and Fat Mass. Marine Corps, Coast Guard, and Foreign Military. Prior to an actual physical readiness test, member's official body composition assessment is required to be conducted within what a) maximum and b) minimum time periods? Navy unit reporting for fraternization incidents must be reported using what method? Which of the following items should you use for planning how to spend or manage your money? Generally, complaints received by the SA or CMS concern specific cases or incidents that occurred in the past. 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. What entity must authorize a body composition assessment waiver? You must complete the signature area for the authorization to be valid. Maximum authorized sideburn length is defined by what point relative to the ear? Understanding that health disparities differ by population, geography, and previous community investment, calls for a tailored approach based on these factors. \small\textbf{Paid} & & & & & & & &\small\textbf{Profit or Loss}\\ \hline SOMOS, About SOMOS Innovation, available here (accessed on July 12, 2021). (Hint: Reverse the$500 wages payable accrual.). As sports professionals focus on muscle growth and performance enhancement, its important to understand how dietary protocols can impact body composition. Lau, J., Knudsen, J., et al. The current demonstration waiver request is intended to further advance the combination of the States previous DSRIP goals with the more explicit prioritization of integrating social care and health care into the NYS Medicaid program in order to increase health equity across the needs of New Yorks vulnerable and underserved populations that were revealed by the COVID-19 pandemic. Since that time, the MRT has made significant financial commitments for rental subsidies and supportive housing services. 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. They are disproportionately affected by behavioral health conditions, including substance use disorder. 8. et al., Assessment of Racial/Ethnic Disparities in Hospitalization and Mortality in Patients with COVID in New York City, JAMA (Dec. 4, 2020). Skeletal muscle mass (SMM) is the muscle attached to bone and responsible for human movement (Cleveland Clinic). What individual has the authority to grant this type of access? 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. Ostracizing a service member who has reported a criminal offense is an example of what term? During emergency situations with the commanding officer's approval. b. Of course, because of the simplicity to this approach, it also tends to be the most inaccurate ( r, r ). "One-Time Access" for an individual to view information at a level above his authorized level, may be used during operational emergencies. In 1992, Wang et al [2] proposed a five-level model for body composition research: Whole-body level. 29. In a global model, the lead health system VBP entitywhether part of an integrated delivery system or clinically and financially integrated IPA or ACOwould extend successes and performance across payor types, including Medicaid fee-for-service (FFS), Medicaid managed care, Medicare FFS, Medicare Advantage, and/or commercial plans. 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. 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 When operating electrical equipment, the term "one-hand rule" is best defined by which of the following phrases? 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. For a Commanding Officer of a unit command, which of the following situations is NOT a reason for mandatory Administrative Separation (ADSEP)? Who is responsible for establishing Navy PFA standards and FEP guidance? 0p@2|0 H height, weight and body composition data in order to facilitate analysis and policy modification, as required. NYS Department of Health, New York State Health Equity Report (April 2019), available here. 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. A silver lining of the COVID-19 pandemic has been the opportunity forand accelerated realization ofwidespread consumer and provider use of digital and telehealth care, including tools such as remote patient monitoring, innovative care management technologies, and predictive analytics. A Florida citrus grower estimates that if 60 orange trees are planted, the average yield per tree will be 400 oranges. 20 As sports professionals focus on muscle growth and performance enhancement, its important to understand how dietary protocols can impact body composition. Using the forecast prime rate changes, answer the following questions. Maintain compliance with body composition standards at all times, unless specifically stated otherwise by this Instruction. Sports professionals use the InBody body water data to better understand their athletes, such as in a study by Okano et al (2022) who found the combined effects of body fat ratio (p = 0.001), body water content (p=0.035), and skeletal muscle mass index on peak salivary lactate levels was 31.2%. 31. North Carolinas Medicaid Reform Demonstration, approved October 19, 2018, see Attachment G a, available here. 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. The PFA includes a medical screen, a body composition assessment (BCA) and physical readiness test (PRT) (see enclosure (1)). 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. What is the primary goal of the physical readiness program? 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. Addresses patient and population level needs during normal times, while also capable of flex and surge capacity during pandemics, public health crises and natural disasters. Complete the Third Party Designee section only if you want to authorize the named individual to receive the entity's EIN and answer questions about the completion of Form SS-4. The components of this overall framework are firmly rooted in the recommendations from the National Quality Forum in how states should promote health equity and eliminate health disparities: Transitioning individuals to community-based settings from institutional care and connecting people to stable housing have long been priorities of New York State, and the COVID-19 pandemic has exacerbated this concern. For certain medical procedures, services, or medications, your doctor or hospital needs advanced approval before your plan covers any of the costs. (2022) who found the combined effects of body fat ratio (p = 0.001), body water content (p=0.035), and skeletal muscle mass index on peak salivary lactate levels was 31.2%. Any sailor who commits fraudulent activity should be charged under what article of the UCMJ? Marine Corps, Coast Guard, and Foreign Military. Expand available services to support reintegration into the community and getting and keeping individuals housed, including housing navigation support services, landlord tenancy support services, and funds to address one-time barriers to housing, such as first and last months rent, deposits, application fees, and other rental assistance supports. Compute the EPS and the price (P/E stays constant) after the new production facility begins to produce a profit. 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. Federal determined that one-half of the increase in fair value was due to a decline in general interest rates. Skeletal muscle mass (SMM) is the muscle attached to bone and responsible for human movement (. In reference to rating badges on pea coats, which of the following statements, if any, is correct? In a Journal published by Mediators of Inflammation, authors evaluated cytokines and body water distribution of patients with anorexia nervosa (AN) (. 20. As NYS works to build back better post- pandemic and to make significant progress toward eliminating racial disparities and promoting health equity, it is imperative to have a strong and well-trained workforce that is both representative of the populations being served and free of implicit bias. Commands will report results of how many PFAs per person per calendar year via the Physical Readiness Information Management System (PRIMS) website? What type of authority emanates from assignment to specific billets within the organization? When preparing a budget, you should plan for what expense first? When warranted, while wearing the Physical Training Uniform, which of the following items are authorized optional components? What happens to members who are unable to meet PFA standards? They also found LOFAT may be more related to food scarcity than better dietary habits. 21 The MRT supportive housing initiative has undergone a rigorous 5-year evaluation. 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. In the case of COVID-19 patients, Galluzzo et al (2022) evaluated the impact of a nutritional supplement on their fatigue, finding significant improvements in muscle strength, physical performance, and phase angle (p=0.016) after intervention. 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.