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1. Exhibit 7.4. Core measures for asthma, diabetes, and congestive heart failure | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/exh7-4.html
   October 01, 2014 - Core measures for asthma, diabetes, and congestive heart failure Previous Page Next Page …   √ 12 mos   Blood Pressure Percentage of members with congestive heart failure

2. Table 15A: Outcome Indicators by County Demographics | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15.html
   February 01, 2023 - Heart Failure 5,745 5,013 5,679 4,983 Composite: Potentially Preventable Infection 9,562 … Heart Failure 6,589 5,769 6,507 5,738 Composite: Potentially Preventable Infection 10,766 … Heart Failure 2,806 2,932 2,851 2,926 Composite: Potentially Preventable Infection 5,368 … Heart Failure 684 660 628 683 Composite: Potentially Preventable Infection 4,444 4,288 … Heart Failure 3,624 3,379 3,355 3,467 Composite: Potentially Preventable Infection 8,167

3. Table 4. Percent Agreement and Kappa Statistics for Sepsis for Inter-Rater Reliability at Three Study Sites (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/pqmp/measures/acute/chipra-0231-section-6-table-4.pdf
   June 02, 2025 - heart failure 3 100% 1.00 Severe sepsis 7 86% 0.72 Septic shock 7 86% 0.70 Hospital #2 Timely … fluid bolus 3 67% 0.00 In the NICU 4 100% 1.00 Having renal failure 3 100% 1.00 Having congestive … heart failure 3 100% 1.00 Severe sepsis 4 75% 0.00 Septic shock 4 75% 0.00 Hospital #3 Timely … heart failure 4 100% 1.00 Severe sepsis 4 100% 1.00 Septic shock 4 100% 1.00 All Sites Timely … heart failure 10 100% 1.00 Severe sepsis 15 87% 0.72 Septic shock 15 87% 0.58

4. Part 2: Trends in Priorities of the Heckler Report—Care for Cardiovascular Diseases | Agency for Healthcare Research and Quality
   www.ahrq.gov/research/findings/nhqrdr/2014chartbooks/hispanichealth/part2-cvd.html
   May 01, 2018 - Hispanics and Whites had similar rates of admission for congestive heart failure. … Admissions for Congestive Heart Failure Adult admissions for congestive heart failure per 100,000 population … Importance: Racial disparities in care for congestive heart failure have been observed. … Trends: From 2002 to 2012, the rate of admission for congestive heart failure among adults decreased … From 2002 to 2007, rates of admission for congestive heart failure were higher among Hispanic patients

5. Part 2: Trends in Priorities of the Heckler Report—Care for Cardiovascular Diseases | Agency for Healthcare Research and Quality
   www.ahrq.gov/research/findings/nhqrdr/chartbooks/blackhealth/part2-cvd.html
   June 01, 2018 - Admissions for Congestive Heart Failure Adult admissions for congestive heart failure per 100,000 population … Importance: Racial disparities in care for congestive heart failure have been observed. … Trends: From 2002 to 2013, the rate of admission for congestive heart failure among adults decreased … heart failure. … Congestive heart failure. Abdominal aortic aneurysm repair.

6. Section 8: The Care Management Evidence Base (continued) | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/medicaidmgmt/mm8b.html
   October 01, 2014 - Heart Failure To evaluate the effect of care management on congestive heart failure (CHF), we reviewed … heart failure. … Disease management produces limited quality-of-life improvements in patients with congestive heart failure … Effectiveness of the clinical pathway in the management of congestive heart failure. … heart failure.

7. Table 16A: Outcome Indicators by County Socioeconomic Status | Agency for Healthcare Research and Quality
   www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16.html
   December 01, 2012 - Heart Failure 4,679 6,719 5,696 4,473 6,179 4,927 Composite: Potentially Preventable … Heart Failure 5,354 7,772 6,519 5,219 7,133 5,658 Composite: Potentially Preventable … Heart Failure 2,795 3,305 3,391 2,224 3,040 2,880 Composite: Potentially Preventable … Heart Failure 603 911 867 511 847 628 Composite: Potentially Preventable Infection … Heart Failure 3,179 4,333 4,052 2,750 3,972 3,325 Composite: Potentially Preventable

8. Table A.4.1. Verisk condition classifications | Agency for Healthcare Research and Quality
   www.ahrq.gov/practiceimprovement/delivery-initiative/ihs/taba.4.1.html
   December 01, 2017 - Anxiety States Major Depression and Depression    Depression:    Major Depression Congestive … Heart Failure (CHF) and Other Heart Disease Other Diseases of Pulmonary Circulation Heart Infection … complications   liver transplant status   Other Organ Transplant/Replacement Congestive … Heart Failure (CHF) and Other Heart Disease Congestive Heart Failure Cardiomyopathy / Myocarditis

9. 30-Day Readmission Rates to U.S. Hospitals, 2010 (pdf file)
   www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/readmission-rates.pdf
   June 02, 2025 - Debridement of a wound, infection, or burn patients with these common diagnoses was readmitted: 25% Congestive … heart failure 22% Schizophrenia 22% Acute and unspecified renal failure patients with these less … higher percentage of readmissions than other payers Procedure: Amputation of lower extremity Diagnosis: Congestive … heart failure By Diagnosis Nearly one in fourNearly one in five Nearly one in threeNearly one in

10. Table 14B: Outcome Indicators by State Supply of Health Care Providers | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14b.html
    February 01, 2023 - Heart Failure 5,732 4,583 5,600 4,672 Composite: Potentially Preventable Infection 8,842 … Heart Failure 6,659 5,212 6,476 5,350 Composite: Potentially Preventable Infection 10,083 … Heart Failure 3,005 2,791 3,113 2,669 Composite: Potentially Preventable Infection 5,192 … Heart Failure 724 575 674 631 Composite: Potentially Preventable Infection 4,522 4,295 … Heart Failure 3,522 3,221 3,411 3,373 Composite: Potentially Preventable Infection 7,420

11. Table 16B: Outcome Indicators by State Socioeconomic Status | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab16b.html
    February 01, 2023 - Heart Failure 4,446 6,193 5,180 4,999 Composite: Potentially Preventable Infection 6,854 … Heart Failure 5,048 7,180 5,970 5,729 Composite: Potentially Preventable Infection 7,704 … Heart Failure 2,805 3,043 2,926 2,797 Composite: Potentially Preventable Infection 4,539 … Heart Failure 573 788 743 505 Composite: Potentially Preventable Infection 4,200 4,766 … Heart Failure 2,921 4,142 3,580 2,959 Composite: Potentially Preventable Infection 6,330

12. Table 15B: Outcome Indicators by State Demographics | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab15b.html
    February 01, 2023 - Heart Failure 5,674 4,707 5,505 4,764 Composite: Potentially Preventable Infection 8,714 … Heart Failure 6,552 5,374 6,347 5,461 Composite: Potentially Preventable Infection 9,879 … Heart Failure 2,847 2,923 2,970 2,820 Composite: Potentially Preventable Infection 4,963 … Heart Failure 662 649 632 688 Composite: Potentially Preventable Infection 4,415 4,421 … Heart Failure 3,601 3,179 3,407 3,380 Composite: Potentially Preventable Infection 7,559

13. Table 14A: Outcome Indicators by County Supply of Health Care Providers | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab14.html
    February 01, 2023 - Heart Failure 5,267 4,978 5,915 4,816 5,374 4,996 Composite: Potentially Preventable … Heart Failure 6,010 5,851 6,797 5,551 6,168 5,774 Composite: Potentially Preventable … Heart Failure 3,165 2,343 3,329 2,709 3,140 2,695 Composite: Potentially Preventable … Heart Failure 729 553 668 664 697 640 Composite: Potentially Preventable Infection … Heart Failure 3,550 3,172 3,622 3,315 3,790 3,162 Composite: Potentially Preventable

14. Library of PCOR Resources | Agency for Healthcare Research and Quality
    www.ahrq.gov/pcor/library-of-resources/index.html
    April 01, 2021 - heart failure" OR "statin"). … An exact word or phrase in relation to another such phrase (e.g., "congestive heart failure" AND "statins … heart failure" AND "statin use" AND "2015"). … An exact word or phrase and the author's name (e.g., "congestive heart failure" AND "statins" AND "John … An exact word or phrase and the institution name (e.g., "congestive heart failure" AND "statins" AND

15. NICU Family Information Packet, Appendix B, Patent Ductus Arteriosus (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/professionals/systems/hospital/nicu_toolkit/nicupacket-apb-pda.pdf
    June 02, 2025 - ■ An open ductus may lead to: – Congestive heart failure. – Pulmonary hypertension. … cardiologist should occur within 2 months of discharge to assess well-being and the presence/absence of congestive … heart failure

16. Fundamental Concepts for Understanding Cognitive Load | Agency for Healthcare Research and Quality
    www.ahrq.gov/diagnostic-safety/resources/issue-briefs/dxsafety-cognitive-load2.html
    August 01, 2024 - A hospitalist is admitting a patient with presumed new heart failure from a busy emergency department … They also begin to recall from their long-term memory the pathophysiology of congestive heart failure … Finally, they use germane cognitive load to pull in congestive heart failure diagnostic schemas to compare … this patient’s clinical presentation with their typical representation of a patient with heart failure … failure, the complexity of cognition needed for this relatively simple clinical task becomes clear.

17. Table 10: Outcome Indicators by Selected Home and Community-Based Services 1915(c) Waiver Services Offered, 2005 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab10.html
    February 01, 2023 - Obstructive Pulmonary Disease Yes 4,378 3,949 5,218 No 3,688 3,849 3,506 Congestive … Heart Failure Yes 6,003 5,320 7,095 No 4,829 5,095 4,609 Composite: Potentially … or Chronic Obstructive Pulmonary Disease 3,467 3,916 3,020 3,915 3,852 4,098 Congestive … Heart Failure 5,331 5,109 3,825 5,105 5,136 5,491 Composite: Potentially Preventable

18. Table 12: Outcome Indicators by Use of Selected Home and Community-Based Services 1915(c) Waiver Services, 2005 | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/tab12.html
    February 01, 2023 - Chronic Obstructive Pulmonary Disease Yes 5,230 3,549 920 No 3,793 3,878 4,079 Congestive … Heart Failure Yes 6,886 4,334 1,335 No 5,038 5,163 5,407 Composite: Potentially … Asthma or Chronic Obstructive Pulmonary Disease 743 6,626 1,445 4,219 3,418 3,921 Congestive … Heart Failure 1,070 9,162 1,641 5,592 4,478 5,211 Composite: Potentially Preventable

19. Table A: Indicator Rates for the HCBS and Full Medicaid Populations (Rates of Admission per 100,000 Persons) | Agency for Healthcare Research and Quality
    www.ahrq.gov/patient-safety/settings/long-term-care/resource/hcbs/findings/oirtab.html
    December 01, 2012 - Diabetes 285 188 Asthma or Chronic Obstructive Pulmonary Disease (COPD) 3,689 1,424 Congestive … Heart Failure (CHF) 4,814 1,790 Composite: Potentially Preventable Infection 7,477 3,181

20. Hospital Readmissions: Not Just a Problem for Medicare (pdf file)
    www.ahrq.gov/sites/default/files/wysiwyg/data/infographics/hospital-readmission-problem.pdf
    June 02, 2025 - 15% 20% 25% 30% Medicare Medicaid Knee Arthroplasty Hip Replacement PneumoniaCongestive Heart … Failure Acute Myocardial Infarction 18.417.8 8.99.0 5.2 7.5 18.1 13.9 24.4 29.4 Pe rc en … compares 30-day readmission rates for Medicare and Medicaid patients for acute myocardial infarction, congestive … heart failure, pneumonia, and hip and knee replacement.