Stephanie K. Mueller: Department of Medicine, Brigham and Women's Hospital, Boston, MA, and Harvard Medical School, Boston, MA;

Christina Pascal: Department of Medicine, Brigham and Women's Hospital, Boston, MA;

John Spiers: Department of Medicine, Brigham and Women's Hospital, Boston, MA; and

Ellen W. Seely: Department of Medicine, Brigham and Women's Hospital, Boston, MA and Harvard Medical School, Boston, MA.

Correspondence: Stephanie Mueller, MD MPH, Division of General Internal Medicine Brigham and Women's Hospital, 1620 Tremont Street, Roxbury, MA 02120; e-mail: [email protected].

Disclosures: The authors declare no conflict of interest.

Our institution has clear policies as to what requires/does not require submission for institutional review board review and approval or exemption. Per their policy, initiatives that need not be submitted for review include “Initiatives (whether for benchmarking or other purposes) that use anonymized information (ie, there is no way for anyone, anywhere, even someone at a Partners institution, to link the information back to a specific individual).” As the data used for our innovations report is not generated for research purposes and is fully anonymized, this work does not meet the requirements for submission for review.

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