endstream endobj 133 0 obj <>/Metadata 15 0 R/Pages 130 0 R/StructTreeRoot 24 0 R/Type/Catalog/ViewerPreferences 150 0 R>> endobj 134 0 obj <>/MediaBox[0 0 612 792]/Parent 130 0 R/Resources<>/Font<>/ProcSet[/PDF/Text/ImageC]/XObject<>>>/Rotate 0/StructParents 0/Tabs/S/Type/Page>> endobj 135 0 obj <>stream Which of the following statements describes the umbrella component? 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. 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. An Assistant Command Fitness Leader should be assigned what ratio of students? You will be required to wear a tight fitting bathing suit or spandex outfit with a swim cap . Upper edge of the knot is even with the lowermost point of the collar opening. A Marine Corps captain wears what collar device? 6. endstream endobj startxref 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. This chapter focuses on body composition assessment in humans. !Q(A ei$QF2A>iU2_Kdx0_._2!P@FO!iY>0. Assign the Lautenburg Amendment to the service member. 9076 0 obj <>stream Enlisted personnel are authorized to wear gold service stripes and rating badges after completion of continuous good conduct for what minimum number of years? 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. Insert an Income Summary account as the last item in the trial balance. Aboard Navy installations, motor vehicle passengers are required to always wear which of the following items? When chipping or scrapping paint, you should wear what personal protective equipment? December 2017, available here. For optimal improvement physical activity should be conducted how many times per week? Comparing skeletal muscle mass (SMM) to body fat mass (BFM) helps to understand body balance and health risk. Which of the following items should you use for planning how to spend or manage your money? 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. . 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 Assessment. The Coast Guard will conduct Body Composition Screenings (BCS) in April, with mitigations to account for COVID-19's ongoing impact on the workforce. The use of unlawful force or violence with the intent of inflicting bodily harm is best described by what term? The informal resolution system includes all of the following means of interpersonal conflict resolutions, EXCEPT which one? 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. NO No further action required. Participation in multiple campaigns or operations, multiple qualifications, and additional awards of a ribbon are indicated by what device? 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. 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. The COVID-19 pandemic devastated many . 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. Under what situation should a command NOT process a sailor for administrative separation (ADSEP) following a treatment failure? 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. Authorization granted by Director, Department of the Navy Central Adjudication Facility. and borrowing? 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. 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). 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. 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. These programs include 54 capital projects, 13 rental subsidy and supportive services programs and pilots, and one accessibility modification program. In these instances, DOH would award the pertinent waiver funding based on differential attribution methodologies utilizing a members primary behavioral health provider (e.g., Article 31 clinic) or Health Home focusing on individuals with behavioral health diagnoses, rather than a primary care only attribution methodology. Devoid of body waiver for greater in something entirely within a period of anthropometry. Differences in SDH factors are a primary contributor to racial and disability disparities in health outcomes. To "transmit" a performance or display is to communicate it by any device or process whereby images or sounds are received beyond the place from which they are sent. Sinha and team evaluated children, ages 6-59 months, finding an association between severe acute malnutrition and Fat Free Mass and Fat Mass. With regard to grooming standards, what is the primary consideration? Ribbons should be worn a) what specified distance and b) what pocket? 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. It is well known that body composition changes under the influence of continuous physical activity, a Body composition assessment in athletes . a. TotalPaid$5925(SellingPriceperShare($5241NumberofShares100)Commission)$59.60==NetSale?AmountofProfitorLoss?. The informal resolution system includes all of the following means of interpersonal conflict resolutions, EXCEPT which one? 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. 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. The Navy neckerchief should be worn in what manner? 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. Authorized Medical Department Representative and CO. A Sailor must complete a PARFQ at what minimum interval? 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%. 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? Researchers from. Which of the following is an objective of the Personal Excellence Program? Disclaimer: 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. To ensure classified information is protected during a natural disaster or civil disturbance, what item should be developed? Sports professionals use the InBody body water data to better understand their athletes, such as in a study by. a rear admiral upper half is identified by what total number of stars on one shoulder board? 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. Individual is admitted to alcohol treatment for 3rd self-referral. (4) Develop a body composition improvement action plan that outlines the strategy, resources, and counseling options the member will use and submit it to the BCM and unit commander. At duty stations that did not have an appropriated fund dining facility, enlisted personnel were authorized a monthly subsistence allowance called Regular BAS (REG . Importantly, this investment would both expand capacity through a well-trained and culturally informed workforce and recognize that training investments themselves function as an important SDH, related to job insecurity and unemployment. Non-judicial punishment is also known by what term? ALL military members must complete the April 2021 Semiannual BCS, failure to do so can result in disciplinary action. Skinfold Tests. 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. 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 Appearance that does not blend with professional appearance in uniform is defined by what term? An essential part of this design strategy will be to utilize the larger, stable, high quality systems throughout NYS in a manner that supports more vulnerable patients and their community healthcare systems during a pandemic response. Beyond sports, lean body mass data is used to better understand and guide clinical populations, like. Understanding that health disparities differ by population, geography, and previous community investment, calls for a tailored approach based on these factors. One way SMM has been used to better understand patient health status is shown in. 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. The production facility will not produce a profit for one year, and then it is expected to earn a 13 percent return on the investment. What is the primary means of organizing and documenting Physical Program information including medical screening? As required for a 1115 waiver, New York will meet budget neutrality requirements, post rebasing, but seeks additional flexibilities to support this proposal. The ECW/TBW ratio is a tool to monitor the balance between body water compartments. 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. "One-Time Access" for an individual to view information at a level above his authorized level, may be used during operational emergencies. Mission readiness and operational effectiveness are built on what? ). Always energize or turn on electrical equipment with one hand free. 17. Body Composition Screening is defined as the process . Of course, because of the simplicity to this approach, it also tends to be the most inaccurate ( r, r ). Fontinhas for six studies in body composition standards shall wear navy reading list apply sufficient numbers of. Accordingly, NYS proposes an ambitious partnership with the Federal government through an 1115 Waiver Demonstration that creates a pathway to address and rectify these historic health disparities. Identified Substance Abuse, State of New York Department of Correctional Services (Dec. 2007). (Hint: Reverse the$500 wages payable accrual.). An ORM analysis shall be completed at least how long prior to the PRT? Visit the Preauthorization and notifications list online. Prepare an income statement and a statement of owners equity for the year 2011, and a classified balance sheet at December 31, 2011. Male personnel are authorized to maintain hair of what maximum length, in inches? 22. For members who are unable to participate in all or a portion of how many consecutive PFAs? The use of mandatory sanctions is intended to apply pressure on a State or entity to comply with the objectives set by the Security Council without resorting to the use of force. NYS has identified that expanding Medicaid eligibility for the criminal justice-involved population is critical to achieving the waivers health equity goals; therefore, the State is seeking to build and strengthen the relationship between the care provided inside its jails and prisons and the care offered by Medicaid providers upon release, ensuring appropriate transition and supports during re-entry to ensure particularly vulnerable patients with comorbidities have the housing and other supports they need to stabilize in a community setting. As the Centers for Medicare and Medicaid Services (CMS) is aware, the COVID-19 crisis hit New York first and hardest. Automatically remove your image background. S. Jeganathan, L. Prassannan, et al. 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. What is the principal goal of the Physical Readiness Program? Personal relationships are allowed between a Navy officer and an enlisted service member with which of the following affiliations? Similar to Rush University Medical Centers (RUMC) Anchor Mission Strategy. Establishing policy and ensuring the Family Advocacy Program meets command, sailor, and family member needs is the responsibility of what entity? A gold oak leaf is worn on the uniform of which of the following officers? 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. 167 0 obj <>stream Why did the United States and Europe adopt free trade after world war 2? The initiative also targets those individuals who are living in institutional settings who can safely live in community-based settings. Any sailor who commits fraudulent activity should be charged under what article of the UCMJ? 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. Tracking progress and adjusting those goals will lead to greater success. Hey sailor must complete a physical activity risk factor questionnaire at what minimum interval? To provide navy core value workshops for e-3 and below personnel. For certain medical procedures, services, or medications, your doctor or hospital needs advanced approval before your plan covers any of the costs. Female - 17-39 years old = 33%. Assume for this part only that OPNAVINST 6110.1H. Which of the following is NOT a good practice in the situation of an active shooter? Working with clinical leadership across the HEROs network of providers to standardize criteria for virtual vs. in-person care. 13. 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? Review the Health and Readiness Optimization (HeRO) Body Composition Guide, which provides information and resources on achieving a healthy body composition. What happens when personnel who cannot participate in PT sessions and PFAs due to a valid medical condition? Excluding a wedding ring set, what total number of additional rings may be worn while in uniform? Physical Fitness Assessment failures can effect a Sailor in the form of all of the following ways, EXCEPT which one? A determination that an individual requires access to classified information in support of the performance of their duties is represented by what term? The protection of their personnel and assets from the terrorist attacks is the ultimate responsibility of what member of the chain of command? 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. All BCA measurements are to be conducted in the blue and gold Navy Physical Training Uniform (PTU). 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. What type of authority emanates from assignment to specific billets within the organization? Medical will file a copy of the NAVMED 6110/4 in member's medical record. 7 When costly auto or home emergency repairs are needed. The five goals of Antiterrorism (AT) Force Protection are defending against, deterring, mitigating, recovering, and what other action? MCOs would be required to engage in VBP contracts with an appropriately constructed network of providers for the population-specific VBP arrangement. Male personnel are authorized to maintain hair of what maximum length, in inches? All married personnel are required to undergo family counseling within one year of marriage. On the day of the PRT tobacco use at the site is prohibited at least how many minutes before and how many minutes after the PRT? 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. PMK: PHYSICAL READINESS OPNAVINST 6110.1. 10. 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. One prevalent system of body composition assessment is the two-compartment model introduced by Brozek, Grande, Anderson . 1/5. Use columns three and four for closing entry information and the last two columns for a post-closing trial balance. 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. John needs the money to cover start-up costs in a new business. Markings on CLASSIFIED documents should be placed in what position on the page? 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. Who shall evaluate and/or analyze data on Physical . Wachino, V. and Artiga, S., How Connecting Justice-Involved Individuals to Medicaid Can Help Address the Opioid Epidemic, Kaiser Family Foundation (June 17, 2019), available here. 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. They also found LOFAT may be more related to food scarcity than better dietary habits. An Assistant Command Fitness Leader should be assigned what ratio of students? 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. Nationally, there are an increasing number of successful attempts to scale proven SDH interventions; however, NYS believes that these interventions can scale furtherfrom helping thousands to helping millions. PMK-EE Warfighting and Readiness Exam for E4, Pathophysiology: Ch. Personnel may work on live electrical circuits or equipment under which of the following conditions? 12 The cornerstone of personal readiness is health and well-being and to assist in the assessment of readiness, a modified BCS will be held this April. When awarded, extra duty is NOT to exceed what total number of hours daily? CPR Monitors at the PRT have to be Hospital Corpsmen and shall not be test participants. 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? Body recomposition stresses the importance of gaining muscle while losing fat, which may decrease your risk of chronic disease and boost metabolism. Understands and accounts for all the health and social factors impacting a patient, meeting them where they are and serving the whole-person; Extends the capabilities of clinicians beyond the four walls of health care settings to understand all of the factors impacting patients health outcomes; Scales an integrated approach to addressing the SDH that impact individual patients and their ability to stabilize and thrive in community settings, effectively integrating social care and health care; and. Which of the following rates requires a light blue rating insignia?
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