Hardeep Singh1, Denise M Connor2,3, Gurpreet Dhaliwal4,3. 1. Center for Innovations in Quality, Effectiveness and Safety, Michael E DeBakey Veterans Affairs Medical Center and Baylor College of Medicine Houston, TX, USA hardeeps@bcm.edu. 2. Department of Medicine, University of California San Francisco, San Francisco, CA, USA hardeeps@bcm.edu. 3. Medical Service, San Francisco Veterans Affairs Medical Center, San Francisco, CA, USA. 4. Department of Medicine, University of California San Francisco, San Francisco, CA, USA.