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For example, calculations for the Hospital-Associated Infection (HAI) measures adjust for differences in the characteristics of hospitals and patients using a Standardized Infection Ratio. [442] This increased emphasis on Safety of Care supports other ongoing efforts within CMS to promote patient safety, chiefly including the HACRP, ( and aligns with CMS's intent to incentivize improvements in patient safety for all patients

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For those on vegan, gluten-free, ketogenic or low-protein diets, selenium can be even harder to access