1. Oregon Health & Science University School of Nursing, Portland, Oregon, USA.
2. Department of Pharmacy Practice, Oregon State University College of Pharmacy, Portland, Oregon, USA.
3. Division of General Internal Medicine, University of Colorado School of Medicine, Aurora, Colorado, USA.
4. Department of Population and Quantitative Health Sciences, University of Massachusetts Medical School, Worcester, Massachusetts, USA.
5. Oregon Health & Science University Palliative Care Service, Portland, Oregon, USA.
6. Department of Medicine, Oregon Health & Science University School of Medicine, Portland, Oregon, USA.
7. Department of Care Management, Oregon Health & Science University, Portland, Oregon, USA.