Rachna Gulati1, Osama Mikhail, Robert O Morgan, Dean F Sittig. 1. Rachna Gulati, PhD, doctoral student, University of Texas School of Public Health, Houston, at time of study (now independent consultant); Osama Mikhail, PhD, professor, Management, Policy & Community Health, University of Texas School of Public Health; Robert O. Morgan, PhD, professor, Management, Policy & Community Health, University of Texas School of Public Health; and Dean F. Sittig, PhD, professor, Biomedical Informatics, University of Texas School of Biomedical Informatics.