From the Center for Innovations in Quality, Effectiveness, and Safety (IQuESt), Michael E. DeBakey VA Medical Center, Houston, TX (M.J.H., D.E.S., A.D.N.); and the Section of General Internal Medicine (M.J.H., D.E.S.) and the Section of Health Services Research (A.D.N.), Department of Medicine, Baylor College of Medicine, Houston, TX.