1 Healthcare Delivery Institute, Intermountain Healthcare (Drs Knighton, Edwards, Allen, and Srivastava and Ms McLaughlin), Continuous Improvement, Intermountain Healthcare (Messrs Blackburn and Wolfe and Dr Moore), Pediatrics, Intermountain Healthcare (Mr Andrews), Care Transformation/Information Services, Intermountain Healthcare (Dr Hellewell), and Department of Pediatrics, Division of Inpatient Medicine, Primary Children's Hospital/University of Utah School of Medicine (Dr Srivastava), Salt Lake City, Utah.