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Estimating that approximately 4,600 hospitals would receive an Overall Hospital Quality Star Rating hospital specific report (HSR), regardless of if they meet the reporting thresholds to be assigned a star rating, we estimate the overall non- information collection burden to be $444,544 annually ($48.32 2 hours per preview report once per year 4,600 hospitals)

So it's been around its roots are in so many milady burke, I won't get the whole history

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doi:10.1016/j.clnu.2024.05.034 Wang WW, Wang XS, Zhang ZR, He JC, Xie CL

Serum vitamin C concentration was inversely associated with subsequent 20-year incidence of stroke in Japanese a rural community