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[290] These four outcomes were selected based on published literature demonstrating that each numerator component is associated with patient harm, [291] as well as input from clinical experts including ED experts and statistical and methodological experts and a Technical Expert Panel (TEP) that was convened by the measure developer

[2] For example, 2 healthy adults and 1 child need (1 gallon or 3.8 liters / adult) x (2 adults) + (1.5 gal or 5.7 liters / child) x (1 child) = 3.5 gallons (13.25 liters) per day

Response-Based Approach: Treatment duration is individualized based on objective measurements including body composition analysis (DEXA scan, bioimpedance), waist circumference, metabolic markers, and subjective response