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1. Exhibit 2.7. Pressure Sores
   hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_7.jsp
   January 01, 2005 - Pressure Sores Exhibit 2.7. … Pressure Sores Number of Discharges for Pressure Sores, 1993-2005 All-listed Diagnoses Number

2. Statistical Brief #64: Hospitalizations Related to Pressure Ulcers among Adults 18 Years and Older, 2006 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb64.pdf
   December 01, 2008 - In contrast, 56.5 percent of adult patients with a principal diagnosis of pressures ulcers were 65 … Introduction Pressure ulcers typically result from prolonged periods of uninterrupted pressure on … of a pressure is more ambiguous. … In-hospital death occurred in 11.6 percent of stays with pressures ulcers noted as a secondary diagnosis … Patients 65 and older accounted for 56.5 percent of adult patients with a principal diagnosis of pressures

3. HCUP Statistical Brief #3: Hospitalizations Related to Pressure Sores, 2003 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb3.pdf
   April 01, 2006 - HCUP Statistical Brief #3: Hospitalizations Related to Pressure Sores, 2003 HEALTHCARE … prolonged periods of un- interrupted pressure on the skin, soft tissue, muscle, and bone. … or use other preventive measures, such as pressure-reducing mattresses. … ean charge for hospital principally for pressures was $37,800, but charges by payer; e.g., the aver … burden of hospitalizations related to pressure sores (figure 1).

4. HCUP-US Statistical Briefs
   hcup-us.ahrq.gov/reports/statbriefs/sb_skin.jsp
   December 01, 2013 - Topics include burns and pressure ulcers. …   #64 Hospitalizations Related to Pressure Ulcers among Adults 18 Years … News Brief #3 Hospitalizations Related to Pressure Sores, 2003 ( PDF file, 319 KB; HTML )

5. DXCCSR-ChangeLog-v20191-v20201 (xls file)
   hcup-us.ahrq.gov/toolssoftware/ccsr/DXCCSR-ChangeLog-v20191-v20201.xlsx
   October 01, 2019 - Pressure-induced deep tissue damage of left elbow SKN003 Pressure ulcer of skin L89106 Pressure-induced … Pressure ulcer of skin L89216 Pressure-induced deep tissue damage of right hip SKN003 Pressure ulcer … Pressure-induced deep tissue damage of unspecified buttock SKN003 Pressure ulcer of skin L89316 Pressure-induced … Pressure ulcer of skin L89606 Pressure-induced deep tissue damage of unspecified heel SKN003 Pressure … L89626 Pressure-induced deep tissue damage of left heel SKN003 Pressure ulcer of skin L89816 Pressure-induced

6. Statistical Brief #3
   hcup-us.ahrq.gov/reports/statbriefs/sb3.jsp
   April 01, 2006 - prolonged periods of uninterrupted pressure on the skin, soft tissue, muscle, and bone. … or use other preventive measures, such as pressure-reducing mattresses. … burden of hospitalizations related to pressure sores (figure 1). … The mean charge for hospital stays principally for pressures sores was $37,800, but charges varied by … The ICD-9-CM code defining pressure sore is 707.0, Decubitus Ulcer.

7. Statistical Brief #96: Potentially Preventable Hospitalizations among Medicare-Medicaid Dual Eligibles, 2008 (pdf file)
   hcup-us.ahrq.gov/reports/statbriefs/sb96.pdf
   September 01, 2010 - eligibles accounted for about one-third of all Medicare hospital stays with a principal diagnosis of pressure … other Medicare beneficiaries, dual eligibles were more than twice as likely to be hospitalized for pressure … ■ Among the nine selected potentially preventable hospitalizations, stays for pressure ulcers had … Data are also presented on injurious falls and pressure ulcers, two conditions that are highly relevant … Pressure ulcers are a condition that typically results from prolonged periods of uninterrupted pressure

8. Hospitalizations for Circulatory System Disorders, 2004 (pdf file)
   hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.pdf
   July 01, 2011 - trauma (75 percent), catheter- associated urinary tract infections (72 percent), and stage III and IV pressure … Medicaid represented 12 percent of the population at risk, but 18 percent of the stage III and IV pressure … 71.7% 8.0% 16.0% Manifestations of poor glycemic control 100.0% 51.6% 17.5% 23.3% Stage III and IV pressure … Relative to young adults, older adults had higher rates for the CMS HACs for stage III and IV pressure … Ulcers are: • 707.23, pressure ulcer, stage III • 707.24, pressure ulcer, stage IV The ICD-9-CM

9. HCUP-US Statistical Briefs
   hcup-us.ahrq.gov/reports/statbriefs/sb_adverse.jsp
   February 01, 2018 - News Brief #64 Hospitalizations Related to Pressure Ulcers among Adults 18 Years and Older, … News Brief #3 Hospitalizations Related to Pressure Sores, 2003 ( PDF file, 319 KB; HTML )

10. An Example of Using Present on Admission Data: CMS-Defined Hospital-Acquired Conditions in All-Payer Data
    hcup-us.ahrq.gov/datainnovations/clinicaldata/ExampleofUsingPOA-CMSHACsusingall-payerdata.jsp
    August 01, 2011 - Medicaid represented 12 percent of the population at risk, but 18 percent of the stage III and IV pressure … Stage 3 and 4 pressure ulcers: private insurance: 0.32; Medicaid: 1.25. … Relative to young adults, older adults had higher rates for the CMS HACs for stage III and IV pressure … Stage 3 and 4 pressure ulcers: 45-64 year olds: 1.44; 65-84 year olds: 2.18; 85 years and older: 2.57 … Ulcers are: 707.23, pressure ulcer, stage III 707.24, pressure ulcer, stage IV The ICD-9-

11. Exhibit 2.5 Circulatory Conditions
    hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_5b.jsp
    January 01, 2005 - 282.6 7.176 187.9 99 Hypertension with complications and secondary hypertension (high blood pressure … of heart) 38.3 1.632 26.2 30.8 1.157 20.5 98 Essential hypertension (high blood pressure

12. Exhibit 2.5 Circulatory Conditions
    hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_2_5a.jsp
    January 01, 2005 - 7.176 5 53.7 99 Hypertension with complications and secondary hypertension (high blood pressure … 38.3 1.632 17 55.3 30.8 1.157 17 44.5 98 Essential hypertension (high blood pressure

13. Statistical Brief #90: Hospital Readmissions and Multiple Emergency Department Visits, in Selected States, 2006-2007 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb90.pdf
    May 21, 2010 - for asthma (31.3 percent increase), uncomplicated diabetes (22.8 percent increase) and high blood pressure … displays readmission rates for four common chronic conditions: asthma, uncomplicated diabetes, high blood pressure … CCS diagnoses were noted in this report: – 49: Diabetes without complications – 98: High blood pressure … 1,699,600 1,126,600 20.8% 1.4 Diabetes without complications 3,615,100 2,179,400 30.3% 1.6 High blood pressure … 2,610,300 1,526,100 23.6% 1.5 Diabetes without complications 2,852,400 1,706,200 27.9% 1.6 High blood pressure

14. Healthcare Cost and Utilization Project (HCUP) NASS Notes
    hcup-us.ahrq.gov/db/vars/i10_injury/nassnote.jsp
    August 10, 2019 - unspecified; effects of heat and light; hypothermia; other effects of reduced temperature; effects of air pressure … and water pressure; asphyxiation; effects of other deprivation; adult and child abuse, neglect and other

15. Healthcare Cost and Utilization Project (HCUP) NASS Notes
    hcup-us.ahrq.gov/db/vars/i10_multinjury/nassnote.jsp
    August 10, 2019 - unspecified; effects of heat and light; hypothermia; other effects of reduced temperature; effects of air pressure … and water pressure; asphyxiation; effects of other deprivation; adult and child abuse, neglect and other

16. Patient Safety and Adverse Events, 2011 and 2014 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb237-Patient-Safety-Adverse-Events-2011-2014.pdf
    January 01, 2014 - The PSIs focus on adverse events during the hospital stay (such as pressure ulcers), complications associated … death among patients with a diagnosis that is unlikely to result in an in-hospital death PSI 03 Pressure … Ulcer Rate Wounds caused by unrelieved pressure on the skin usually around bony prominences PSI 04 … 23,800 186,500 192,900 5.2 3.4 Patient safety event rates among medical and surgical discharges Pressure … The 10 risk-adjusted rates contributing to PSI 90 are as follows:  Pressure Ulcer Rate (PSI 03) 

17. Slide 1 (pdf file)
    hcup-us.ahrq.gov/datainnovations/ICD10Imp_Romano_NAHDO_October2016.pdf
    October 27, 2016 - or Spinal Fusion • AHA Coding Clinic, 4Q 2013, 30(4):116 – “Spinal decompression is the removal of pressure … from the spinal cord… if a laminectomy is performed to remove pressure from the spinal cord, assign … Upper Bones 0PB- • AHA Coding Clinic, 2Q 2015, 2(2):34 – “Decompressive laminectomy is done to release pressure

18. Facts and Figures 2005
    hcup-us.ahrq.gov/reports/factsandfigures/facts_figures_2005.jsp
    January 01, 2005 - Specific diagnoses and procedures The number of hospital stays during which pressure sores were … During the 12 year period since 1993, there was a 76 percent increase in pressure sore hospitalizations … ) Pressure sores typically result from prolonged periods of uninterrupted pressure on the skin, … The presence of pressure sores for patients in the hospital increases their lengths of stay and total … In 2005, 496,500 hospital stays involved a diagnosis of pressure sores.

19. Healthcare Cost and Utilization Project (HCUP) KID Notes
    hcup-us.ahrq.gov/db/vars/i10_injury/kidnote.jsp
    September 10, 2008 - unspecified; effects of heat and light; hypothermia; other effects of reduced temperature; effects of air pressure … and water pressure; asphyxiation; effects of other deprivation; adult and child abuse, neglect and other

20. Healthcare Cost and Utilization Project (HCUP) KID Notes
    hcup-us.ahrq.gov/db/vars/i10_multinjury/kidnote.jsp
    September 10, 2008 - unspecified; effects of heat and light; hypothermia; other effects of reduced temperature; effects of air pressure … and water pressure; asphyxiation; effects of other deprivation; adult and child abuse, neglect and other