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101. Exhibit 4.2 Cost Factors Accounting for Growth by Diagnosis
     hcup-us.ahrq.gov/reports/factsandfigures/2009/figures/2009_4_2.jsp
     January 01, 2009 - 2.4 -0.6 1.0 Liveborn (newborn infant) 2.8 2.0 -0.2 1.0 Congestive heart failure … medical care 5.9 2.7 2.2 1.1 Cardiac dysrhythmias 6.1 3.2 1.9 1.1 Respiratory failure

102. All-Cause Readmissions Following Hospital Stays for Patients With Malnutrition, 2013 #218
     hcup-us.ahrq.gov/reports/statbriefs/sb218-Malnutrition-Readmissions-2013.jsp
     December 01, 2016 - other types of malnutrition, including postsurgical nonabsorption, nutritional neglect, weight loss or failure … 300): 15.0; cachexia (N=31,300): 24.0; protein-calorie malnutrition (N=245,700): 24.2; weight loss, failure … for patients with a diagnosis of cachexia (24.0), protein-calorie malnutrition (24.2), weight loss or failure … Congestive heart failure and pneumonia were common principal diagnoses at readmission among patients … to thrive [child] 783.7 Adult failure to thrive Underweight 783.22 Underweight

103. A Comparison of All-Cause 7-Day and 30-Day Readmissions, 2014 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb230-7-Day-Versus-30-Day-Readmissions.pdf
     December 01, 2016 - Schizophrenia, alcohol-related disorders, and congestive heart failure were among the leading diagnoses … ■ Among Medicaid patients who were discharged with congestive heart failure or schizophrenia at … 14 18.4 Hypertension with complications, secondary hypertension 223,396 5 7.2 6 20.9 Respiratory failure … Alcohol-related disorders and congestive heart failure (CHF) were also among the diagnoses with the … ; insufficiency; arrest (adult) (7.2) Congestive heart failure; nonhypertensive (7.4) Deficiency and

104. Ff 2009 Exhibit5 2 (pdf file)
     hcup-us.ahrq.gov/reports/factsandfigures/2009/pdfs/FF_2009_exhibit5_2.pdf
     January 01, 2009 - different from male rates Septicemia 389 426 34 36 Cardiac dysrhythmias 397 405 35 34 Congestive heart failure …  Congestive heart failure (43 and 45 stays per 10,000 female and male population, respectively) … twenty most common principal inpatient diagnoses for both males and females:  Congestive heart failure … Complication of surgical procedures or medical care (Rank 8) Biliary tract disease (Rank 9) Congestive heart failure …  Hospital stays for four cardiovascular conditions—congestive heart failure, acute cerebrovascular

105. Facts and Figures Exhibit 5.8
     hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit5_8.jsp
     January 01, 2008 - bronchiectasis: 196,200; non-specific chest pain: 174,700; osteoarthritis: 145,700; congestive heart failure … These conditions included congestive heart failure (133,300 stays), cardiac dysrhythmias (111,200 stays … tissue infections: 45,700; pneumonia: 44,600; gastrointestinal hemorrhage: 38,900; congestive heart failure … skin and subcutaneous tissue infections (45,700 stays), pneumonia (44,600 stays), congestive heart failure

106. Facts and Figures Exhibit 4.2
     hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit4_2.jsp
     January 01, 2007 - spinal column (back problems) 3.5 8.5 9.3 4.1 33.2 Genitourinary Acute renal failure … surgical procedures or medical care 2.9 5.4 6.2 2.0 17.1 Respiratory Respiratory failure … Liveborn (newborn infant) 8.1 12.7 4.6 3.8 80.3 Circulatory Congestive heart failure … Costs of hospitalizations for acute renal failure increased from $1 billion in 1997 to $4 billion in

107. Facts and Figures Exhibit 5.10
     hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit5_10.jsp
     January 01, 2007 - Asthma 181 126 20.5 16.8 -31 Pneumonia 281 249 31.8 33.3 -11 Respiratory failure … 117 311 22.0 40.7 167 Genitourinary 700 635 100.0 100.0 -9 Acute renal failure … for some conditions billed to private insurance more than doubled from 1997 to 2007: Acute renal failure … Hospital stays for several conditions grew at least 50 percent: Respiratory failure rose 80 percent

108. Facts and Figures Exhibit 4.2
     hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit4_2.jsp
     January 01, 2008 - per person made up more than half the growth in costs for discharges for osteoarthritis, respiratory failure … , mood disorders, and acute renal failure. … dampened increases in the net cost of hospital stays for coronary atherosclerosis, congestive heart failure

109. Enhanced State Data for Analysis and Tracking of Comparative Effectiveness Impact
     hcup-us.ahrq.gov/datainnovations/mn.jsp
     October 01, 2010 - Minnesota Title: Using Clinically Enhanced Claims Data to Guide Treatment of Acute Heart Failure … analysis of alternative drug regimens used to treat patients hospitalized with acute decompensated heart failure … Because of the complexity of heart failure and the therapies used to manage it, this study will be an

110. Microsoft Word - Table1-FY2009-V3_4.doc (pdf file)
     hcup-us.ahrq.gov/toolssoftware/comorbidity/Table1-FY2009-V3_4.pdf
     April 01, 2009 - complication, uncontrolled Diabetes with chronic complications V45.11 Renal dialysis status Renal Failure … V45.12 Noncompliance with renal dialysis Renal Failure 203.02 Multiple myeloma, in relapse Lymphoma … MS-DRG Label Comorbidity Exclusion Assignment 265 AICD Lead Procedures Added to Congestive Heart Failure

111. 30-Day Readmission Rates to U.S. Hospitals
     hcup-us.ahrq.gov/reports/infographics/30dayreadmission.jsp
     June 01, 2013 - Nearly one in four patients with these common diagnoses was readmitted: 25% Congestive heart failure … 22% Schizophrenia 22% Acute and unspecified renal failure (Picture of a person with the brain … : 26% Medicaid: 22% Privately Insured: 17% Uninsured: 13% Diagnosis: Congestive heart failure

112. Analysis of Emergency Department Visits During the October 2017 Wildfires in Northern California (pdf file)
     hcup-us.ahrq.gov/reports/ataglance/HCUPanalysisCA2017Wildfires.pdf
     August 19, 2019 - J95822 Acute and chronic postprocedural respiratory failure J95851 Ventilator associated pneumonia … failure with hypoxia J9602 Acute respiratory failure with hypercapnia J9610 Chronic respiratory failure … Chronic respiratory failure with hypercapnia J9620 Acute and chronic respiratory failure, unspecified … whether with hypoxia or hypercapnia J9621 Acute and chronic respiratory failure with hypoxia J9622 … Acute and chronic respiratory failure with hypercapnia J9690 Respiratory failure, unspecified, unspecified

113. Changes in Hospitalizations and In-Hospital Deaths in the Initial Period of the COVID-19 Pandemic (April–December 2020), 38 States and DC (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb300-COVID-19-AllHospital.pdf
     September 01, 2022 - The number of hospitalizations principally for pneumonia, COPD, and respiratory failure decreased by … The number of hospitalizations principally for respiratory failure decreased by 96,000 from 278,000 to … However, the number of hospitalizations with any diagnosis of respiratory failure increased by 325,000 … Respiratory failure decreased by 15.9 percent, acute myocardial infarction decreased by 12.6 percent … , and heart failure decreased by 10.6 percent during April–December 2020 compared with the same months

114. Section5 (pdf file)
     hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5.pdf
     January 01, 2007 - CCS conditions contributed to body system growth:  There was rapid growth in stays for acute renal failure … Medicaid hospital stays for some conditions more than doubled from 1997 to 2007:  Acute renal failure …  Respiratory failure (up 125 percent).  Anemia (up 118 percent). … Hospital stays for several conditions grew at least 50 percent:  Respiratory failure rose 80 percent …  Several conditions more than doubled:  Respiratory failure (up 175 percent).

115. Section2 5 (pdf file)
     hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section2_5.pdf
     January 01, 2008 - discharges* 34,679 39,885 15% Medicare 12,618 14,917 100.0% 100.0% 36.4% 37.4% 18 Congestive heart failure … Medicare:  Congestive heart failure was the most common principal diagnosis among discharges with … Medicare was responsible for payment for nearly 75 percent of all congestive heart failure discharges

116. Conditions With the Largest Number of Adult Hospital Readmissions by Payer, 2011 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb172-Conditions-Readmissions-Payer.pdf
     November 01, 2013 - Services (CMS) Hospital Readmissions Reduction Program has selected acute myocardial infarction, heart failure … three conditions with the largest number of 30-day all-cause readmissions were congestive heart failure … These include congestive heart failure (134,500 readmissions; $1.7 billion in total costs), pneumonia … Readmission rates among these conditions ranged from 14.5 for stroke to 24.5 for congestive heart failure … Three circulatory conditions—nonspecific chest pain, congestive heart failure, and acute myocardial

117. Facts and Figures Exhibit 2.1
     hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit2_1.jsp
     January 01, 2008 - 11.0 — — 13 Pneumonia 1,232 1,156 3.6 2.9 2 1 -6 Congestive heart failure … Pneumonia (2.9 percent of all discharges) and congestive heart failure (2.6 percent) were the most common … Four circulatory diseases—congestive heart failure, coronary artery disease, non-specific chest pain, … Stays for congestive heart failure changed very little from 1997 to 2008.

118. Facts and Figures Exhibit 4.1
     hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit4_1.jsp
     January 01, 2009 - implant or graft $5.8 $9.5 $11.4 $11,800 $16,000 $17,000 5.8% Congestive heart failure … and other back problems $3.6 $7.1 $9.9 $6,700 $10,900 $15,100 8.8% Respiratory failure … conditions were cardiovascular: coronary atherosclerosis, acute myocardial infarction, congestive heart failure … With the exception of costs of stays for congestive heart failure and cardiac dysrhythmias, the costs

119. Overview of Hospitalizations among Patients with COPD, 2008 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb106.pdf
     February 14, 2011 - pneumonia was the primary reason for hospitalization for 22.3 percent of admissions and respiratory failure … Diabetes without complication and congestive heart failure (CHF) each occurred in about one-quarter of … ) 9 Esophageal disorders 166,500 (20.2%) 9 100,000 (19.5%) 11 66,500 (21.6%) 7 Respiratory failure … Respiratory failure was the principal diagnosis for 21.4 percent of patients with acute exacerbation … 310,200 (8.1%) 2 80,300 (13.0%) 3 229,900 (7.2%) 2 Respiratory failure 245,100 (6.4%) 3 132,600

120. Most Frequent Conditions in U.S. Hospitals, 2011 (pdf file)
     hcup-us.ahrq.gov/reports/statbriefs/sb162.pdf
     March 01, 2013 - ■ Between 1997 and 2011, the hospitalization rate for acute renal failure had the steepest growth … ■ Congestive heart failure was the most common reason for hospitalization for adults aged 85 years … Two circulatory conditions—congestive heart failure (CHF) and cardiac dysrhythmias—together accounted … Among the most common conditions for hospitalization, stays for acute renal failure experienced the … Congestive heart failure (CHF) and septicemia were the most common principal diagnoses, each accounting