Rachel Schwartz1,2, Paul J Sharek3,4. 1. VA Palo Alto Health Care System, Center for Innovation to Implementation, Menlo Park, California; raschwartz@stanford.edu. 2. Center for Health Policy and Center for Primary Care and Outcomes Research, Stanford University School of Medicine, Stanford, California. 3. Division of Hospital Medicine, Department of Pediatrics, Stanford University School of Medicine, Stanford, California and. 4. Center for Quality and Clinical Effectiveness, Lucile Packard Children's Hospital, Palo Alto, California.