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81. EXHIBIT 4.1 Costs for the Most Frequent Diagnoses
    hcup-us.ahrq.gov/reports/factsandfigures/figures/2005/2005_4_1A.jsp
    January 01, 2005 - $3,572.5144 $5,077.2538 $5,066.7370 1.7 1.7 1.6 10 13 13 238 Complications of surgical … devices 316.673837 486.497039 382.514574             238 Complications of surgical

82. Section5 9 (pdf file)
    hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_9.pdf
    January 01, 2007 - 57 9.0 10.5 20 Injury and poisoning 248 318 100.0 100.0 28 Complication of surgical …  Complication of surgical procedures or medical care increased 60 percent.

83. Section5 11 (pdf file)
    hcup-us.ahrq.gov/reports/factsandfigures/2007/pdfs/section5_11.pdf
    January 01, 2007 - 20 9.9 12.7 43 Injury and poisoning 204 243‡ 100.0 100.0 19 Complication of surgical …  Complication of surgical procedures or medical care rose 80 percent.

84. Slide 1 (pdf file)
    hcup-us.ahrq.gov/datainnovations/clinicaldata/MPinepresentation.pdf
    September 22, 2010 - Infarction; Cerebrovascular Accident; Congestive Heart Failure; Gastrointestinal Hemorrhage; Pneumonia Surgical … Coronary Artery Bypass Graft Surgery; Craniotomy Patient Safety Indicators (Complications) Elective Surgical … Principal diagnosis Secondary diagnoses only infrequently acquired during hospitalization Selected surgical … Screens high-risk conditions, elective surgical procedures, and inpatient childbirth.

85. Microsoft Word - EcodeAddendum2001_2009.doc (pdf file)
    hcup-us.ahrq.gov/reports/methods/2004_06_add_09.pdf
    January 01, 2004 - injury, poisoning, toxic effects, and other external causes, excluding those of complications of surgical … codes E869.4 Accidental poisoning by second-hand tobacco smoke E870-E879 Misadventures during surgical … and medical care & surgical and medical procedures as the cause of abnormal reaction or later complication

86. Trends in Potentially Preventable Inpatient Hospital Admissions and Emergency Department Visits #195
    hcup-us.ahrq.gov/reports/statbriefs/sb195-Potentially-Preventable-Hospitalizations.jsp
    November 01, 2015 - The decrease in the rate of all inpatient stays was largest for surgical stays. … For inpatient stays by service line, surgical was the only service line that decreased by more than 10 … From 2005 through 2012, surgical inpatient stays among adults aged 18 years and older decreased by 14.0 … Because the surgical and medical groups are defined using DRGs, which are not available in the NEDS, … Surgical service line Surgical stays are identified by a surgical DRG.

87. AHRQ releases new database: 2016 Nationwide Ambulatory Surgery Sample (NASS) (September 2019)
    hcup-us.ahrq.gov/news/announcements/nass2016.jsp
    September 18, 2019 - The database provides information on patient characteristics, clinical diagnostic and surgical procedure … Major ambulatory surgeries are defined as selected invasive, therapeutic surgical procedures that typically

88. Release of the 2017 Nationwide Ambulatory Surgery Sample (NASS) (December 2019)
    hcup-us.ahrq.gov/news/announcements/nass_2019.jsp
    December 18, 2019 - The database provides information on patient characteristics, clinical diagnostic and surgical procedure … Major ambulatory surgeries are defined as selected invasive, therapeutic surgical procedures that typically

89. Statistical Brief #94: Adult Hospital Stays with Infections Due to Medical Care, 2007 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb94.pdf
    November 01, 2008 - infections had this principal diagnosis); adult respiratory failure (5.9 percent); and complications of surgical … ■ The rate of infections among medical and surgical discharges peaked in 2004 and 2005 at 2.30 … Healthcare Cost and Utilization Project (HCUP) on infections due to medical care during medical and surgical … diagnoses were septicemia; adult respiratory failure, insufficiency or arrest; and complications of surgical … b "All other stays" includes all other medical and surgical stays two or more days in length among those

90. Research Spotlights - Archives
    hcup-us.ahrq.gov/reports/spotlights_archive.jsp
    December 01, 2019 - Read more about this publication Impact of Economic Downturn on the Surgical Volumes of Common … 2008 U.S. economic downturn on hand surgery through the correlation between the unemployment rate and surgical … to investigate the association of opioid dependence with prolonged length of stay (LOS), costs, and surgical … Read more about this publication Disparities in Surgical Care Among Women With Endometrial … Care Improvement Project (SCIP) has had an effect on surgical site infections.

91. Facts and Figures Exhibit 5.2
    hcup-us.ahrq.gov/reports/factsandfigures/2009/exhibit5_2.jsp
    January 01, 2009 - 318 380 28 32ξ Urinary tract infections 152 392 13 33ξ Complication of surgical … Complication of surgical procedures or medical care occurred at a 10-percent higher rate in females than … Complication of surgical procedures or medical care (Rank 8). Females: $11,800; males: $11,900. … involving complication of device, implant or graft; osteoarthritis; spondylosis; and complication of surgical

92. Enhancing the Clinical Content of Administrative Data - Laboratory Data Toolkit: Background
    hcup-us.ahrq.gov/datainnovations/clinicaldata/lvback.jsp
    July 01, 2016 - Journal of the American Medical Association) Combining Administrative and Clinical Data to Stratify Surgical … (Pine et al, 2009 Medical Decision Making) The Hazards of Using Administrative Data to Measure Surgical

93. Exhibit 4.1 Cost by Diagnosis
    hcup-us.ahrq.gov/reports/factsandfigures/2009/figures/2009_4_1b.jsp
    January 01, 2009 - 10,100 Chronic obstructive pulmonary disease and bronchiectasis 24 7,400 Complication of surgical

94. Exhibit 4.1 Cost by Diagnosis
    hcup-us.ahrq.gov/reports/factsandfigures/2008/figures/2008_4_1b.jsp
    January 01, 2008 - Chronic obstructive pulmonary disease and bronchiectasis 716 $5.4 $7,500 Complication of surgical

95. Statistical Brief #87: Characteristics of Weekday and Weekend Hospital Admissions (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb87.pdf
    March 01, 2010 - Non-hip fractures also experienced some delay in surgical repair for patients admitted on weekends, … part of thyroid gland) all-listed CCS procedure code 10 – Any diagnosis: Arthroplasty of knee (surgical … than hip or femur) 324 79 24% Removal of gall bladder (cholecystectomy) 466 100 21% Colostomy (surgical … passages in the lung through a lighted tube) 60 12 19% Circumcision 1,534 295 19% Debridement (surgical … back surgery) 813 20 2% Oophorectomy (removal of an ovary or ovaries) 395 10 3% Endarterectomy (surgical

96. HCUP_methods_series_cover.ai (pdf file)
    hcup-us.ahrq.gov/reports/methods/2004-05.pdf
    January 01, 2004 - • Patient Safety Indicators (PSIs) reflect quality of care inside hospitals, by focusing on surgical … over 74 years old) PSI 5 Foreign body accidentally left in during procedure per 1000 medical and surgical … PSI 8 Postoperative hip fracture for adults per 1000 surgical patients age 18 years and older who were … surgery*, per 1000 surgical discharges (excluding obstetrical admissions) * Postoperative hemorrhage … PSI 11 Postoperative respiratory failure per 1000 elective surgical discharges (excluding patients with

97. Utilization of Intensive Care Services, 2011 (pdf file)
    hcup-us.ahrq.gov/reports/statbriefs/sb185-Hospital-Intensive-Care-Units-2011.pdf
    January 01, 2011 - Project (HCUP) Statistical Brief presents data on ICU utilization by adults in U.S. general medical and surgical … For this brief, ICU utilization includes various types of intensive care such as medical, surgical, … Each hospital stay has one assigned MS-DRG, which may be medical or surgical. … The AHA survey was used to determine the following hospital characteristics: • Medical/surgical … This analysis was further limited to general medical/surgical hospitals.

98. Utilization of Intensive Care Services, 2011 #185
    hcup-us.ahrq.gov/reports/statbriefs/sb185-Hospital-Intensive-Care-Units-2011.jsp
    December 01, 2014 - Project (HCUP) Statistical Brief presents data on ICU utilization by adults in U.S. general medical and surgical … For this brief, ICU utilization includes various types of intensive care such as medical, surgical, coronary … Each hospital stay has one assigned MS-DRG, which may be medical or surgical. … The AHA survey was used to determine the following hospital characteristics: Medical/surgical ICU … This analysis was further limited to general medical/surgical hospitals.

99. Microsoft Word - CaseforPOAIndicator_final_060806 _2_.doc (pdf file)
    hcup-us.ahrq.gov/reports/methods/2006_8.pdf
    January 01, 2006 - • Patient Safety Indicators (PSIs) reflect quality of care inside hospitals, by focusing on surgical … over 74 years old) PSI 5 Foreign body accidentally left in during procedure per 1000 medical and surgical … PSI 8 Postoperative hip fracture for adults per 1000 surgical patients age 18 years and older who were … surgery*, per 1000 surgical discharges (excluding obstetrical admissions) * Postoperative hemorrhage … PSI 11 Postoperative respiratory failure per 1000 elective surgical discharges (excluding patients with

100. HCUP_methods_series_cover.ai (pdf file)
     hcup-us.ahrq.gov/reports/methods/2005_06.pdf
     January 01, 2005 - • Patient Safety Indicators (PSIs) reflect quality of care inside hospitals, by focusing on surgical … transfers to another hospital) Patient Safety Indicators PSI 1 Complications of anesthesia per 1000 surgical … over 74 years old) PSI 5 Foreign body accidentally left in during procedure per 1000 medical and surgical … drainage or evacuation, not verifiable as following surgery*, per 1000 surgical discharges (excluding … obstetrical admissions) PSI 10 Postoperative physiologic and metabolic derangements per 1000 elective surgical