1. UH Quality Care Network & UH Accountable Care Organization, University Hospitals Health System, Cleveland, Ohio, USA.
2. Ursuline College, Breen School of Nursing and Health Professions, Pepper Pike, Ohio, USA.
3. University Hospitals Health System, Cleveland, Ohio, USA.
4. Francis Payne Bolton School of Nursing, and Weatherhead School of Management, Case Western University, School of Medicine, Cleveland, Ohio, USA.
5. Population Health, University Hospitals, Cleveland, Ohio, USA.
6. Case Western Reserve University School of Medicine, Cleveland, Ohio, USA.
7. University Hospitals, Cleveland, Ohio, USA.