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While we cannot include this measure as a formal quality measure or improvement activity within the ASM framework, the overall value-based structure of ASM will naturally incentivize the use of cardiac rehabilitation where it is clinically reasonable and appropriate for patient care

Minnesota's unique challenges make it worse: Hard winter surfaces - Treadmills and concrete increase impact Frozen ground conditions - Less give means more shock Temperature changes - Cold makes tissues stiffer Indoor training seasons - Repetitive surfaces without variation The result

It requires reconstitution using appropriate laboratory protocols

Focus on maintaining strength and intensity rather than increasing volume

Healthy skin is worth the effort.