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61. 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 - tract disease 2.8 2.4 -0.6 1.0 Liveborn (newborn infant) 2.8 2.0 -0.2 1.0 Congestive … heart failure 3.6 3.3 -0.8 1.0 Chronic obstructive pulmonary disease and bronchiectasis

62. A Comparison of All-Cause 7-Day and 30-Day Readmissions, 2014 #230
    hcup-us.ahrq.gov/reports/statbriefs/sb230-7-Day-Versus-30-Day-Readmissions.jsp
    October 01, 2017 - 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 the index … Alcohol-related disorders and congestive heart failure (CHF) were also among the diagnoses with the highest … Congestive heart failure; nonhypertensive (7-day readmission rate=7.4): 31.7%. … Congestive heart failure: Medicare: readmission rate within 7 days: 7.4; total readmission rate within

63. Facts and Figures Exhibit 5.2
    hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit5_2.jsp
    January 01, 2009 - heart failure 508 514 45 43 Spondylosis, intervertebral disc disorders, and other back … Congestive heart failure (43 and 45 stays per 10,000 female and male population, respectively). … heart failure, coronary atherosclerosis, cardiac dysrhythmias, non-specific chest pain, and acute myocardial … Congestive heart failure (Rank 10). Females: $9,600; males: $11,200. … Hospital stays for four cardiovascular conditions—congestive heart failure, acute cerebrovascular disease

64. Comoanaly2005-112904
    hcup-us.ahrq.gov/toolssoftware/comorbidity/comoanaly2005-112904.txt
    September 30, 2005 - order to work */ /* around this SAS constraint, the comorbidities for */ /* Congestive … Heart Failure and Complicated */ /* Hypertension have to be defined in this pgm … ***************/ /* Create detailed hypertension flags that */ /* cover combinations of Congestive … Heart */ /* Failure, Hypertension Complicated, and */ /* Renal Failure. … heart failure' VALVE = 'Valvular disease' PULMCIRC = 'Pulmonary circulation

65. Table 1 (pdf file)
    hcup-us.ahrq.gov/toolssoftware/comorbidityicd10/TableofChanges2018_1.pdf
    January 01, 2018 - without myopathy ARTH M3393 Dermatopolymyositis, unspecified without myopathy ARTH I50810 Right heart … failure, unspecified CHF I50811 Acute right heart failure CHF I50812 Chronic right heart failure … CHF I50813 Acute on chronic right heart failure CHF I50814 Right heart failure due to left heart … failure CHF I5082 Biventricular heart failure CHF I5083 High output heart failure CHF I5084 End … stage heart failure CHF I5089 Other heart failure CHF E1110 Type 2 diabetes mellitus with ketoacidosis

66. Readmissions to U.S. Hospitals by Diagnosis, 2010 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb153.pdf
    March 01, 2013 - heart failure, pneumonia, chronic obstructive pulmonary disease (COPD), and psychoses.6,7,8 This … For example, congestive heart failure readmission rates were 30.1 percent for Medicaid, 25.0 percent … heart failure (24.7 percent), and cardiac dysrhythmias (14.8 percent). … Among these most frequent conditions, the highest readmission rates were seen for congestive heart failure … All-cause 30-day readmission rates for congestive heart failure by age and insurance status, U.S.

67. Statistical Brief #153
    hcup-us.ahrq.gov/reports/statbriefs/sb153.jsp
    April 01, 2013 - For example, congestive heart failure readmission rates were 30.1 percent for Medicaid, 25.0 percent … heart failure (24.7 percent), and cardiac dysrhythmias (14.8 percent). … Among these most frequent conditions, the highest readmission rates were seen for congestive heart failure … Figure 1 shows that readmission rates for congestive heart failure were relatively uniform across age … All-cause 30-day readmission rates for congestive heart failure by age and insurance status, U.S. hospitals

68. HCUP Statistical Brief #38: Trends in Hospital Risk-Adjusted Mortality for Select Diagnoses and Procedures, 1994-2004 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb38.pdf
    October 01, 2007 - Mortality for three other diagnoses—congestive heart failure, pneumonia, and stroke—dropped by roughly … During this period, inpatient mortality for congestive heart failure fell from 67 to 38 deaths per 1,000 … Pneumonia, congestive heart failure, and heart attack accounted for the bulk of the reduction in deaths … heart failure 67 57* 53* 49* 47* 42* 38* Gastrointestinal hemorrhage 46 39* 36* 34* 34* 29* 25* … Heart Failure Gastrointestinal Hemorrhage Hip Fracture Pneumonia Stroke D ea th s pe r 1 ,0 00

69. 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 - 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 … heart failure. … Three circulatory conditions—nonspecific chest pain, congestive heart failure, and acute myocardial … heart failure.

70. Facts and Figures Exhibit 2.1
    hcup-us.ahrq.gov/reports/factsandfigures/2007/exhibit2_1.jsp
    January 01, 2007 - 3,898 4,701 11.2 11.9 — — 21 Pneumonia 1,232 1,172 3.6 3.0 2 1 -5 Congestive … heart failure 991 1,025‡ 2.9 2.6 3 2 3 Coronary atherosclerosis (coronary artery … Pneumonia (3.0 percent of all discharges) and congestive heart failure (2.6 percent) were the most common … Five circulatory diseases—congestive heart failure, coronary artery disease, non-specific chest pain, … Stays for congestive heart failure changed very little from 1997 to 2007.

71. 5Admiss (pdf file)
    hcup-us.ahrq.gov/reports/natstats/5admiss.pdf
    February 11, 2011 - Infant Birth (Liveborn) Coronary Atherosclerosis Pneumonia Congestive Heart Failure Heart Attack

72. Facts and Figures Exhibit 2.4
    hcup-us.ahrq.gov/reports/factsandfigures/2008/exhibit2_4.jsp
    January 01, 2008 - 337 3.5 1.4 63.3 -30 -41 Pneumonia 554 600 3.4 2.6 48.0 -7 -5 Congestive … heart failure 501 519‡ 3.0 2.2 49.1 11 -4 Cardiac dysrhythmias 392 405‡ 2.4 … Five heart-related diagnoses—coronary atherosclerosis, congestive heart failure, cardiac dysrhythmias … number of hospital stays for cardiac dysrhythmias (392,000 stays for males and 405,000 for females) and congestive … heart failure (501,000 stays for males and 519,000 for females) were similar for males and females.

73. Exhibit 4.1 Costs for the Most Frequent Diagnoses
    hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_4_1B.jsp
    January 01, 2005 - **Includes coronary artery disease, heart attacks, congestive heart failure, irregular heart beat, stroke

74. Facts and Figures Exhibit 4.1
    hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit4_1.jsp
    January 01, 2009 - Complication of device, implant or graft $5.8 $9.5 $11.4 $11,800 $16,000 $17,000 5.8% Congestive … heart failure $7.0 $11.4 $10.7‡ $7,000 $10,200 $10,400 3.6% Pneumonia $9.3 … most expensive conditions were cardiovascular: coronary atherosclerosis, acute myocardial infarction, congestive … heart failure, acute cerebrovascular disease, and cardiac dysrhythmias. … With the exception of costs of stays for congestive heart failure and cardiac dysrhythmias, the costs

75. Facts and Figures Exhibit 2.4
    hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit2_4.jsp
    January 01, 2009 - heart failure 581 507 191 149 -22% Osteoarthritis 281 494 92 146 58% … 405 243 119 -51% 85+ years, total stays 2,362 3,076 6,047 5,463 -10% Congestive … heart failure 202 244 517 433 -16% Pneumonia 197 183 504 325 -36% Septicemia … Congestive heart failure (CHF) was the most common condition for adults 65-84 and 85 and older. … Congestive heart failure decreased per 10,000 population for both 65-84 year olds and those 85 and older

76. Clinical Classifications for Health Policy Research: Hospital Inpatient Statistics, 1995
    hcup-us.ahrq.gov/reports/natstats/his95/appcb.htm
    February 11, 2011 - Cardiac arrest and ventricular 107 - fibrillation 7.2.11 Congestive … heart failure, 108 - nonhypertensive 7.2.11.1 … Congestive heart failure - 4280 7.2.11.2 Heart failure

77. Section2 3 (pdf file)
    hcup-us.ahrq.gov/reports/factsandfigures/2008/pdfs/section2_3.pdf
    January 01, 2008 - Pneumonia 199 255 3.1 2.7 28 65-84 years, total discharges 10,121 10,761‡ 100.0 100.0 6 Congestive … heart failure 581 510 5.7 4.7 -12 Osteoarthritis 281 486 2.8 4.5 73 Pneumonia … dysrhythmias 333 415 3.3 3.9 25 85+ years, total discharges 2,362 3,196 100.0 100.0 35 Congestive … heart failure 202 246 8.6 7.7 22 Pneumonia 197 199‡ 8.3 6.2 1 Septicemia 76 …  Congestive heart failure (CHF) was the most common condition for adults 65-84 and 85 and older.

78. National Inpatient Hospital Costs: The Most Expensive Conditions by Payer, 2011 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb160.pdf
    July 01, 2013 - heart failure, nonhypertensive 10,535 2.7 970 9 Coronary atherosclerosis 10,400 2.7 605 10 Respiratory … heart failure  Coronary atherosclerosis  Complication of device, implant or graft  Respiratory … heart failure, nonhypertensive 955 1.6 73 14 Complications of surgical procedures or medical … heart failure, nonhypertensive 1,429 1.3 111 16 Mood disorders 1,341 1.2 289 17 Appendicitis … heart failure, nonhypertensive 296 1.7 29 16 Appendicitis and other appendiceal conditions 293

79. 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 … Alcohol-related disorders and congestive heart failure (CHF) were also among the diagnoses with the … heart failure; nonhypertensive (7.4) Deficiency and other anemia (6.6) Chronic obstructive pulmonary … heart failure; nonhypertensive 67,683 4 6.0 1 18.7 Deficiency and other anemia 29,565 5 6.0 2 17.6

80. Comoanaly2008
    hcup-us.ahrq.gov/toolssoftware/comorbidity/comoanaly2008.txt
    September 30, 2008 - order to work */ /* around this SAS constraint, the comorbidities for */ /* Congestive … Heart Failure and Complicated */ /* Hypertension have to be defined in this pgm … ***************/ /* Create detailed hypertension flags that */ /* cover combinations of Congestive … Heart */ /* Failure, Hypertension Complicated, and */ /* Renal Failure. … heart failure' VALVE = 'Valvular disease' PULMCIRC = 'Pulmonary circulation