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A few commenters expressed concern that the Emergency Care Access & Timeliness eCQM does not distinguish between delays that are within a hospital's control and those driven by systemic capacity issues

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For trips longer than 48 hours, consider whether the travel interruption is worth the contamination risk

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We also appreciate commenters' concerns regarding the proposed methodology updates and how emphasizing the Safety of Care measure group through the Star Cap and 1-star reduction in turn deemphasizes the influence of the other four measure groups