Medical practice, including its infrastructure and functional details, is changing and evolving rapidly in the United States (Eichhorn JH, Grider JS. Scope of practice. In: Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Ortega R, Stock MC, eds. Clinical Anesthesia. Philadelphia: Lippincott Williams & Wilkins; 2013: 2860). Traditionally, anesthesia professionals were minimally involved in the management of the many components of their practice beyond the strictly medical elements.