1. Department of Biomedical and Health Information Sciences, University of Illinois Chicago, Chicago, Illinois, USA
2. Center of Innovation for Complex Chronic Healthcare (CINCCH), Edward Hines JR VA Medical Center, Hines, Illinois, USA
3. Preventive Medicine and Center for Health Services and Outcomes Research, Northwestern University, Chicago, Illinois, USA
4. Department of Medicine, University of Illinois College of Medicine at Peoria, Peoria, Illinois, USA
5. Center of Innovation for Veteran Centered and Value Driven Care, Rocky Mountain Regional VA Medical Center, Aurora, Colorado, USA
6. Department of Medicine, University of Colorado Anschutz Medical Campus, Aurora, Colorado, USA
7. School of Health and Kinesiology, University of Nebraska at Omaha, Omaha, Nebraska, USA
8. Center for Health Equity Research and Promotion, VA Pittsburgh Health Care System, Pittsburgh, Pennsylvania, USA
9. Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA