PETER J. FOS is professor of Health Policy and Systems Management at Louisiana State University Health Sciences Center, School of Public Health. DAVID J. FINE is former president and CEO of Catholic Health Initiatives (CHI) Institute for Research and Innovation. Previously he served at St. Luke's Health System (SLHS) as president, CEO, and principal executive. MIGUEL A. ZÚNIGA is associate professor and chair of the Department of Health Services and Promotion in the College of Health Sciences at Sam Houston State University.