1. Center of Innovation for Complex Chronic Healthcare, Edward Hines Jr. Department of Veterans Affairs (VA) Hospital, Hines, IL;
2. Marcella Niehoff School of Nursing, Loyola University Chicago, Chicago, IL;
3. Robert D. and Patricia E. Kern Center for the Science of Health Care Delivery, Mayo Clinic College of Medicine, Rochester, MN;
4. Center for Chronic Disease Outcomes Research, Minneapolis VA Health Care System, Minneapolis, MN;
5. Edward Hines Jr. VA Hospital, Hines, IL;
6. Ochsner Medical Center, Jefferson, LA;
7. Department of Physical Medicine & Rehabilitation, Feinberg School of Medicine, Northwestern University, Chicago, IL;
8. Department of Biobehavioral Health Science, University of Illinois at Chicago, Chicago, IL