After reviewing the premise of this study, the NorthShore University HealthSystem Institutional Review Board waived review and need for consent as it was deemed quality improvement.

Mark Deshur, MD, MBA serves as a consultant for UKG. None of the consulting work has anything to do with the current research. Noah Ben-Isvy has no conflicts of interest. Chi Wang, PhD has no conflicts of interest. Andrew Locke has no conflicts of interest. Mohammed Minhaj, MD, MBA has no conflicts of interest. Steven Greenberg, MD has received research grants from Senzime, Merck, and Fresenius Kabi. None of these grants have anything to do with the current research.