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We appreciate a commenter's position that there are existing CMS programs that drive patient safety improvement and that additional efforts may be conflicting, but we respectfully disagree and believe that further emphasis of patient safety in the Overall Hospital Quality Star Rating aligns with other efforts to improve patient safety including through HACRP

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Furthermore, there are far more possible conformations for an IDP than there are experimentally determined restraints, making the problem of building a complete ensemble mathematically underdetermined

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