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Another commenter recommended that cost metrics account for the influence of primary care or consider exclusion criteria for patients not primarily managed by specialists, to ensure fair attribution and avoid penalizing specialists for outcomes beyond their control

Electrolyte balance matters alongside hydration

In the Stage 1 final rule, we noted that, while CEHRT provides tools for protecting health information, processes and possibly tools outside the scope of CEHRT are required (75 FR 44369)

That's the basic reasoning behind stacking them

The integrity of your entire project hinges on this initial step

Each one wastes product, compromises results, or creates safety risks