1. Center of Innovation for Complex Chronic Healthcare Edward Hines, Jr VA Hospital Hines Illinois USA
2. Division of Hospital Medicine, Department of Medicine University of California San Francisco San Francisco California USA
3. Department of Preventive Medicine; Center for Health Services and Outcomes Research Institute for Public Health and Medicine, Feinberg School of Medicine, Northwestern University Chicago Illinois USA
4. Department of Veterans Affairs, Center for Health Equity Research and Promotion VA Pittsburgh Healthcare System Pittsburgh Pennsylvania USA
5. Department of Medicine, Division of General Internal Medicine University of Pittsburgh School of Medicine Pittsburgh Pennsylvania USA