Nader N Massarweh1,2, Scott A LeMaire2, Ryan P Merkow3. 1. Center for Innovations In Quality, Effectiveness, and Safety, Michael E. DeBakey VA Medical Center, Houston, TX. 2. Michael E. DeBakey Department of Surgery, Baylor College of Medicine, Houston, TX. 3. Surgical Outcomes and Quality Improvement Center, Department of Surgery, Feinberg School of Medicine, Northwestern University, Chicago, IL.