1. Center for Outcomes Research and Evaluation, Atrium Health, Charlotte, North Carolina, USA.
2. Scotland Health Care System, Laurinburg, North Carolina, USA.
3. Care Management, Atrium Health, Mint Hill, North Carolina, USA.
4. Information and Analytics Services, Atrium Health, Charlotte, North Carolina, USA.
5. Academy for Population Health Innovation, University of North Carolina at Charlotte, Charlotte, North Carolina, USA.