Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University School of Medicine, 550 1st Avenue, New York, NY 10016, USA. Electronic address: sandra.wittleder@nyulangone.org. Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University School of Medicine, 550 1st Avenue, New York, NY 10016, USA. Electronic address: adefunke.ajenikoko@nyulangone.org. Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University School of Medicine, 550 1st Avenue, New York, NY 10016, USA. Electronic address: dylaney.bouwman@nyulangone.org. Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University School of Medicine, 550 1st Avenue, New York, NY 10016, USA. Electronic address: yixin.fang@nyulangone.org. Department of Family and Social Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA. Electronic address: diane.mckee@einstein.yu.edu. Department of Family and Social Medicine, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA. Electronic address: pmeissne@montefiore.org. Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University School of Medicine, 550 1st Avenue, New York, NY 10016, USA. Electronic address: stephanie.orstad@nyulangone.org. Office of Community & Population Health, Montefiore Medical Center, 3514 Dekalb Ave, Bronx, NY 10467, USA. Electronic address: crehm@montefiore.org. Department of Population Health, New York University School of Medicine, 550 1(st) Avenue, New York, NY 10016, USA; Veterans Affairs New York Harbor Healthcare System, 423 East 23rd Street, New York, NY 10010, USA. Electronic address: scott.sherman@nyulangone.org. Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University School of Medicine, 550 1st Avenue, New York, NY 10016, USA. Electronic address: shea.smith@nyulangone.org. Department of Medicine, Division of General Internal Medicine and Clinical Innovation, New York University School of Medicine, 550 1st Avenue, New York, NY 10016, USA. Electronic address: victoria.sweat@nyulangone.org. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA. Electronic address: lorena.velastegui@einstein.yu.edu. Department of Epidemiology and Population Health, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA. Electronic address: judith.wylie-rosett@einstein.yu.edu. Veterans Affairs New York Harbor Healthcare System, 423 East 23rd Street, New York, NY 10010, USA; Department of Medicine and Population Health, New York University School of Medicine, 550 1st Avenue, New York, NY 10016, USA. Electronic address: melanie.jay@nyulangone.org.