Author Affiliations: Investigator (Dr Wakefield), Veterans Integrated Service Network 23, Primary Care Analytic Team (PCAT), Iowa City VA Healthcare System, Associate Professor (Dr Wakefield), Sinclair School of Nursing, University of Missouri, Columbia; Investigator (Dr Farag), Veterans Integrated Service Network 23, Primary Care Analytic Team (PCAT), Iowa City VA Healthcare System, and Associate Professor (Dr Farag), University of Iowa College of Nursing; Ethnographic Methods and Implementation Core (EMIC) Program Manager (Paez), Veterans Integrated Service Network 23, Primary Care Analytic Team (PCAT), Iowa City VA Healthcare System, and VA Office of Patient Care Services (EMIC), Program Manager (Paez), The Comprehensive Access and Delivery Research and Evaluation (CADRE), Center at the Iowa City VA Healthcare System; Director (Dr Stewart), Veterans Integrated Service Network 23, Primary Care Analytic Team (PCAT), Iowa City VA Healthcare System, and VA Office of Patient Care Services; Professor (Dr Stewart), Tippie College of Business, University of Iowa.

The authors declare no conflicts of interest.

The views expressed in this article are those of the authors and do not necessarily represent the views of the Department of Veterans Affairs.

Correspondence: Dr Wakefield, Iowa City VA Healthcare System, 601 Highway 6 West, Mailstop 152, Iowa City, IA 52246 ([email protected]).