Footnotes

• Twitter @jghefele

• Contributors JGH is the sole author.

• Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

• Competing interests JGH is an employee of Booz Allen Hamilton and receives regular compensation as part of her employment. The views and opinions expressed in this article are those of the author and do not necessarily reflect the official policy or position of her employer.

• Patient consent for publication Not required.

• Provenance and peer review Not commissioned; externally peer reviewed.