1. From the Houston Health Services Research and Development (HSR&D) Center of Excellence (A.D.N., E.R., N.S.A.), Michael E. DeBakey Veterans Affairs Medical Center, Houston, Tex; the Department of Medicine (A.D.N., R.R., N.S.A., J.K.), Baylor College of Medicine, Houston, Tex; Primary Care Services (A.D.N., R.R., D.T., J.K.), Michael E. DeBakey VA Medical Center, Houston, Texas; and Chief of Staff (J.K.), Michael E. DeBakey VA Medical Center, Houston, Tex.