New York State (NYS or the State) requests $17 billion over five (5) years to fund a new 1115 Waiver Demonstration that addresses the inextricably linked health disparities and systemic health care delivery issues that have been both highlighted and intensified by the COVID-19 pandemic. PPSs that have shown deep experience and success with New Yorks current VBP arrangements, including through designation as "Innovators" under current, CMS- approved version of A Path toward Value-Based Payment: New York State Roadmap for Medicaid Payment Reform (VBP Roadmap),20 with the necessary infrastructure and experience serving their communities and specific populations, may be eligible for upfront VBP incentive funding to facilitate the transition to these new health equity- driven VBP arrangements. 13 167 0 obj <>stream 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. For work on a Navy installation, NAVOSH directives authorize joining what maximum number of 25-foot extension cords? 18 Insert an Income Summary account as the last item in the trial balance. These values are provided by some, but not all, of the body composition assessment devices being tested (see list of devices in Study Description). 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. a. Medical waivers are valid for what maximum number of physical fitness assessment cycles? National Committee for Quality Assurance, Distinction in Multicultural Health Care, available here. This demonstration will pursue the development of HEROs, which will be mission-based organizations that build a coalition of MCOs, hospitals and health systems, community-based providers (including primary care providers), population health vehicles such as accountable care organizations (ACOs) and independent provider associations (IPAs), behavioral health networks, providers of long-term services and supports (LTSS) including those who serve individuals with I/DD, community-based organizations (CBOs) organized through social determinants of health networks (SDHNs, as described below), Qualified Entities (QEs) (which in New York are Health Information Exchanges (HIEs) and Regional Health Information Organizations (RHIOs)), consumer representatives, and other stakeholders (See Exhibit 1). 27. 8 qC~sT~407X0pt4@%YHXAn[n,Rg2=c4Ay7iF ^ 6uN q/Ox~ @ Female - 17-39 years old = 33%. 4. Provide tenancy support services to help patients maintain their housing. Planning efforts will involve a variety of stakeholders, including government entities, labor organization, provider organizations (inclusive of former PPSs with proven workforce strategies), and CBOs. 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. 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. 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. Incorporating principles of implicit bias and cultural sensitivity training for all member-facing staff. While HIFAT patients had greater visceral fat, there was no difference in skeletal muscle mass. Verified questions. Which of the following statements describes the umbrella component? 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. Available on the Directives Division Web "Governmental Authority" means the government of the United States of America, any other nation or any political subdivision thereof, whether state or local, and any agency, authority . 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 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. ECW plays a vital role in moving nutrients and waste into and out of the cells. For female personnel in uniform, what is the maximum allowable length of hair? 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). The NYS Department of Health Office of Health Insurance Programs has found through its research and assessment of screening tools that the AHC social needs screening tool may be an appropriate tool to use statewide. Physical conditioning should be at least how many minutes in length? During emergency situations with the commanding officer's approval. Covered entities may also use statistical methods to establish de-identification instead of removing all 18 identifiers. The Segmental Lean Analysis gives information about lean mass in athletes arms, trunk, and legs, which is helpful for identifying asymmetries which may contribute to injury risk. 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 composition represents an unbreakable unity of the human body basic structure elements and involves a relative representation of the various constituent elements of the human total body weight. The term body composition relates to the proportion of the body that is made up fat mass (FM) and fat-free mass (FFM) [1]. When chipping or scrapping paint, you should wear what personal protective equipment? %%EOF 20. During emergency situations with the commanding officer's approval. No substitute methods (e.g., underwater weighing, skin fold calipers, body mass index, bio-impendence, etc.) When warranted, while wearing the Physical Training Uniform, which of the following items are authorized optional components? Pub. An ORM analysis shall be completed at least how long prior to the PRT? (Hint: Reverse the$500 wages payable accrual.). 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. With regard to grooming standards, what is the primary consideration? 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. The Physical Fitness Assessment (PFA) includes which two parts? of assessment are permitted. 2018). 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 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? Calculate the total interest cost over 180 days for a variable-rate loan. 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. The Journal of Sports Science & Medicine published a study that evaluated the impact of creatine supplementation on rehabilitation in adolescent fin swimmers with overuse injury (Juhasz, et al. Consumers report high satisfaction with telehealth options, with prominent surveys showing satisfaction levels of 86-97%, often higher than for in-person visits.29 Preliminary data also suggests that telehealth has been a critical means at reaching hard-to- engage populations with historical access issues, especially for behavioral health services.30 With the States continued push towards advanced VBP models, digital tools and telehealth will be critical means by which the health care system can adjust the mechanisms for care delivery to become more focused on outcomes than billable events, with flexibility in the frequency and duration of virtual visits and other digital modalities of care. Telehealth can also increase access to high-demand specialties, and improve use of tools such as home monitoring to anticipate and prevent acute events by extending the eyes and ears of providers into home and community settings. What entity must authorize a BCA waiver? They are disproportionately affected by behavioral health conditions, including substance use disorder. At captain's mast, what discipline cannot be awarded? Through the DSRIP experience, NYSs provider community and managed care organizations (MCOs) have learned new, more efficient ways to address individual and population health. 4. 11 FEP shall be conducted a minimum of ____ times per week for at least 1 hour during the workday. You suspect that a terrorist group is operating in your neighborhood. These initiatives include: This initial work would review the current pandemic response focusing on acute care capacity and disruption of essential healthcare services. Personnel may work on live electrical circuits or equipment under which of the following conditions? Specifically, given the focus of this larger demonstration on the long-term effects of COVID-19, it would be appropriate to recognize that local governments, public benefit hospitals, and the State have been required to make substantial commitments of capital and resources to combat COVID-19 prior to availability of any federal funding through the Family First Coronavirus Response Act (FFCRA), the CARES Act, ARPA, or other sources of federal funding that will be made available to states that are experiencing the impacts of the COVID-19 pandemic. 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%. Here are five ways to measure your body composition and learn your body fat percentage. 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. hbbd```b``$3d"l-yf,Hp7@ M 9 17 When awarded, extra duty is NOT to exceed what total number of hours daily? . Of the following statements, which one does NOT apply to Family Advocacy training requirements? Body Composition Screening is defined as the process . 1/5. When individuals were placed on a semi starvation diet, researchers found that these individuals a. became obsessed with physical exercise. height, weight and body composition data in order to facilitate analysis and policy modification, as required. Despite its extensive network of home and community-based services, NYS still has high numbers of people living in institutional settings. See Ubhayakar S, Capeless M, Owens R, Snorrason K, Zuckerman D., Anchor Mission Playbook, Rush University Medical Center and The Democracy Collaborative; August 2017, available here. To contribute to a favorable military image. Automatically remove your image background. 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.
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