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Elevated cortisol observed relative to placebo in the 2008 randomized controlled trial

It also reversed corticosteroid-induced impairment of burn healing

Our team put together this table to illustrate the distinct and potentially overlapping areas of influence

Another commenter expressed concern that less publicized extraordinary circumstances will not prompt CMS to issue an ECE without request, and that the process to submit an ECE request via the HQR portal, email, or secure fax may be unavailable if an emergency event severely disrupts operations for months

One commenter explained that these hospitals often have limited Safety of Care measures available for reporting, making the Safety of Care measure group heavily weighted in their Overall Hospital Quality Star Rating