1. Department of Health Informatics & Administration, College of Health Sciences, University of Wisconsin – Milwaukee, Milwaukee, WI, USA
2. Center for Community Health Integration, and Departments of Family Medicine & Community Health, Population & Quantitative Health Sciences, and Sociology, and the Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, OH, USA
3. Weatherhead School of Management, Case Western Reserve University, Cleveland, OH, USA
4. Department of Sociology, Case Western Reserve University, Cleveland, OH, USA
5. MCW Division of Geriatric and Palliative Medicine, Clement J. Zablocki Veterans' Administration Medical Center, Froedtert & The Medical College of Wisconsin, Milwaukee, WI, USA
6. Internal Medicine/Geriatrics, Outreach Community Health Centers, Marquette University, Milwaukee, WI, USA