Issue identification-Fully identified the administrative or clinical issue that could be resolved with an informatics or technology solution.

Issue justification-Fully described the reason the issue is a concern.

Request for permission-Requested permission to propose a solution.

Written communication-The letter was concise, with exceptional attention to detail, and was free of errors.

APA guidelines-The letter was fully formatted according to APA guidelines, and it included mostly correct APA citations of sources.

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