1 Author Affiliations: Healthcare Delivery Institute, Intermountain Health (Dr Fowles, Mr Wolfe, Dr Srivastava), Clinical Programs, Intermountain Health (Mss Petersen and Christensen and Drs Grissom and Srivastava), Department of Pulmonary & Critical Care Medicine, Intermountain Medical Center (Dr Grissom), Murray, Utah, and Department of Pediatrics Intermountain's Primary Children Hospital, University of Utah School of Medicine, Salt Lake City, Utah (Dr Srivastava).