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The second stage of the methodology update replaces the first stage update and reduces the Star Rating of any hospital in the lowest quartile of Safety of Care (based on at least three Safety of Care measure scores) by one star, to a minimum 1-star rating for the 2027 Overall Hospital Quality Star Rating and later years

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[DOI] [PMC free article] [PubMed] [Google Scholar] 114.Huang X., Atwood C

Morbidity The comorbid impact of weight loss on older adults can be collectively considered by its musculoskeletal and metabolic impact with physiological effects on different tissues such as skeletal muscle and bone, and on cardiovascular and metabolic function