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0% that deceased to zero [χ (1, N = 33) = 10.73, = 0.001]. Appropriate testing with PH probe with 24-hour multichannel impedance was observed (17.1%-28.0%) identifying patients with correct GERD diagnosis [χ (1, N = 101) = 1.41, = 0.236]. Length of stay for GERD patient's improved from a median of 89-53 days. Standardizing clinical management leads to best practices for GERD management with appropriate diagnostic testing, eliminating incorrect medication dosing, and improved patient safety with value-based outcomes. Standardizing clinica