Context Matters: The Experience of 14 Research Teams in Systematically Reporting Contextual Factors Important for Practice Change

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).

Department of Family & Preventive Medicine, School of Medicine, University of Utah, Salt Lake City, Utah (Tomoaia-Costisel, Scammon); Department of Health Services Research and Policy, London School of Hygiene & Tropical Medicine, London, United Kingdom (Tomoaia-Costisel); University of California, San Francisco, San Francisco, California (Tomoaia-Costisel); Emma Eccles Jones Professor of Marketing, David Eccles School of Business, University of Utah, Salt Lake City, Utah (Scammon); Department of Economics, University of Utah, Salt Lake City, Utah (Waitzman); Department of Family Medicine and Community Health, Center for Public Health Initiatives, Leonard Davis Institute of Health Economics, University of Pennsylvania, Philadelphia, Pennsylvania (Cronholm); Department of Family Medicine, University of North Carolina, Chapel Hill, North Carolina (Halladay, Donahue); Institute for Circumpolar Health Studies, College of Health, University of Alaska, Anchorage, Alaska (Driscoll); HealthPartners Institute for Education and Research, Minneapolis, Minnesota (Solberg); Center for Community Health and Evaluation, Group Health Research Institute, Seattle, Washington (Hsu); Palo Alto Medical Foundation Research Institute, Palo Alto, California (Tai-Seale); Research Department, Southcentral Foundation, Anchorage, Alaska (Hiratsuka); Primary Care Information Project, New York City Department of Health and Mental Hygiene, New York, New York (Shih); Department of Family Medicine, University of Michigan, Ann Arbor, Michigan (Fetters); School of Public Health, Ross School of Business, Research Center University of Michigan, Ann Arbor, Michigan (Wise); Patient-Centered Medical Home Collaborative Quality Initiative, University of Michigan, Ann Arbor, Michigan (Alexander); The Institute for Family Health and the Department of Family Medicine and Community Health, Icahn School of Medicine at Mount Sinai, New York, New York (Hauser, Schmidt); The Center for Health Research, Kaiser Permanente Northwest, Portland, Oregon (McMullen); National Committee for Quality Assurance (NCQA), Washington, DC (Scholle, Tirodkar); MacColl Center for Health Care Innovation, Group Health Research Institute, Seattle, Washington (Parchman); Department of Family Medicine, Department of Epidemiology & Biostatistics, Department of Sociology, Case Comprehensive Cancer Center, Case Western Reserve University, Cleveland, Ohio (Stange).