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[343] In the FY 2022 IPPS/LTCH PPS final rule (86 FR 45365 through 45374), we adopted the Hybrid HWM measure into the Hospital IQR Program starting with one voluntary confidential reporting period beginning with performance data from July 1, 2022, through June 30, 2023, followed by mandatory data submission and public reporting in subsequent years

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By decreasing demand for ATP by suppressing ATP consuming processes, cells lower their rate of O 2 consumption and delay the development of anoxia which, unlike hypoxia, can cause cell death

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