1 Indiana University Richard M. Fairbanks School of Public Health, Indianapolis, Indiana (Drs Baker and Halverson and Mr Boedigheimer); University of North Carolina at Chapel Hill, Chapel Hill, North Carolina (Dr Baker); Association of State and Territorial Health Officials, Arlington, Virginia (Ms Moffatt); Center for Creative Leadership, Greensboro, North Carolina (Dr Altman); and de Beaumont Foundation, Bethesda, Maryland (Mr Castrucci).