1 Division of Hospital Medicine, Department of Medicine, University of Colorado, Aurora, CO, USA; Veterans Health Administration, Eastern Colorado Health Care System, Denver-Seattle Center of Innovation for Veteran-Centered and Value Driven Care, Aurora, CO, USA. Electronic address: Christine.jones@cuanschutz.edu.
2 New Courtland Center for Transitions and Health, University of Pennsylvania School of Nursing, Philadelphia, PA, USA; Center for Home Care Policy & Research, Visiting Nurse Service of New York, New York, NY, USA.