# **Discussion/Notes**
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#### **Costs Encountered**
The costs associated with implementing this method are minimal, requiring no more than 10 minutes to complete by a study participant.
#### **Evolution of Protocol**
Factor analysis of data collected from system leaders suggested no added value to reducing the number of items.
#### **Experience of Author(s)**
Authors have expertise in development of standardized instruments for measurement of individual and organizational behavior, assessment of psychometric properties of such instruments, and conducting mixed methods research on interorganizational relationships and collaborations.