Thank you for the question. Initial population addition of “…at the same physical facility” is to provide further guidance that the emergency department and admitting hospital must be at the same physical location. Aligning with the chart abstracted measure: “If a patient is transferred in from any emergency department (ED) or observation unit OUTSIDE of your hospital, select “No.” This applies even if the emergency department or observation unit is part of your hospital’s system (e.g., your hospital’s free-standing or satellite emergency department), has a shared medical record or provider number, or is in close proximity. Select “No,” even if the transferred patient is seen in this facility’s ED.”