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Ry 1, 2012 through June 30, 2012 Document Information The Specifications Manual for National Hospital Quality Measures Version 4.0a, January 2012 is the collaborative work of the Centers for Medicare & Medicaid Services and the Joint Commission. The Specifications Manual is periodically updated by the Centers for Medicare & Medicaid Services and the Joint Commission. Users of the Specifications Manual for National Hospital Quality Measures must update their software and associated documentatio.

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