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Details about the diffusion of the intervention into current health care practices in Ontario add an important dimension to the review

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The commenters stated MDHs are rural hospitals and suggested CMS perform another study to look at the costs that MDHs incur, and opined that CMS has the authority to extend the adjustment to MDHs and urban SCHs without legislation

That assumption often leads to a lack of proper screening and patient preparation

Lancet 1968;292(7570):7102 (rsum) Aguilar Franco C

Peer group distribution as well as summary score ranges for each peer group can be found in the Quarterly Updates and Specifications Report that accompanies each Overall Hospital Quality Star Rating release