Table 1 Individuals interviewed to develop the COSMOS

Hospital administrators

 Chief medical officer

 Chief nursing officer

 Director of nursing, heart and vascular service line

 Director, hospitalist service, hospital 1

 Director, hospitalist service, hospital 2

Information technology (IT) team

 Chief information officer

 Chief medical information officer

 IT programmer/analyst

Clinical leadership

 Chair, Department of Emergency Medicine

 Program Director, Emergency Medicine residency

 Chief residents, Emergency Medicine

 Program Director, Internal Medicine residency (Traditional track)

 Program Director, Internal Medicine residency (Primary Care track)

 Program Director, Internal Medicine (Medicine-Pediatrics track)

 Chief residents, Internal Medicine

 Hospitalists

Outside agencies

 Programmers/analysts, electronic health record company

 Director of Tobacco Control Programs, State Department of Public Health

 Quitline services manager, state smokers’ quitline vendor