b'CENTERS OF INNOVATION(COIN s )VAs Health Services Research and Development Service (HSR&D) funds eighteen Centers of Innovation (COINs). The COINs build on the successes of HSR&Ds earlier Centers of Excellence (COEs) and Research Enhancement Award (REAP) programs.The COIN program rewards research innovations and partnerships to ensure that research has the greatest possible impact on VHA policies, healthcare practices, and health outcomes for Veterans. A unique feature of the COINs is that they include one or more focused areas of research that addresses questions of significance to VHA clinical and operational partners, and these partners will be engaged in the research activities of the COINs.Ann Arbor, MI: Center for Clinical ManagementDurham, NC: Center of Innovation to Accelerate Research (CCMR) Discovery and Practice Transformation (ADAPT)Acting Director: Sameer Saini, MD, MS Director: Nicki Hastings, MD, MHShttp://www.annarbor.hsrd.research.va.gov/ http://www.durham.hsrd.research.va.gov/The Center for Clinical Management Research (CCMR)ADAPTs main objective is to enhance VAs ability to con-combines the expertise of clinicians and scientists from the VAtinually improve health care and optimize Veteran wellness Ann Arbor Healthcare System and the University of Michigan,and independence.and partners with VA clinical, policy, and operations leaders to implement and evaluate ways to make healthcare safer, moreResearch Focus Areaseffective, and more affordable for our nations Veterans. The Centers work aims to build organizational resilience in VA through research in the following areas:Bedford, MA and Boston, MA: Center for Promoting and Sustaining Healthy BehaviorsHealthcare Organization and Implementation Improving Access through Virtual CareResearch (CHOIR)Optimizing Function and IndependenceDirectors: Barbara Bokhour, PhD (Bedford) andAllen Gifford, MD (Boston) Hines, IL: Center of Innovation for Complex http://www.choir.research.va.gov/ Chronic Healthcare (CINCCH)CHOIRs mission is to improve Veterans health outcomes byActing Director: Kevin Stroupe, PhDdeveloping, studying, and applying evidence-based practiceshttp://www.cmc3.research.va.gov/that will be widely implemented and sustained. CINCCHs mission is to enhance quality of care, safety, and The Centers work focuses on: value for Veterans. A significant focus is on Veterans withRecovery-Oriented Care for Vulnerable Populationsdisabilities, particularly Veterans with Spinal Cord Injuries (Recovery). and Disorders (SCI/D) and Traumatic Brain Injury (TBI),Medication Management & Outcomes (Medications). based on our long-standing work, collaborations, and exper-tise in these areas. Healthcare Communications (Communications).Research Focused Area includes three priorities:Enhancement of patient registry and assessment of outcomes:Charleston, SC: Charleston Health Equity and To allow for longitudinal analyses of outcomes, there is Rural Outreach Innovation Center (HEROIC) a critical need for a comprehensive SCI/D registry that Director: Neal Axon, MD aggregates prior registries and includes epidemiologic http://www.charleston.va.gov/services/heroic.asp data, health factors and outcomes that can be matched with other data, such as healthcare utilization records and This Centers mission is to improve access and equity incause of death. Research priorities include enhancement of healthcare for all Veterans by eliminating geographic, racial/ a longitudinal registry of Veterans with SCI/D, assessment ethnic, and gender-based disparities. of outcomes including value associated with the SCI/D Research Focus Areas comprehensive annual evaluation examination, and definition and assessment of nurse-sensitive outcomes.HEROICs main research focus is to ensure health equity and access to care by developing and testing interventions thatProvision of wheelchairsimprove access, quality of life, and reduce healthcare costs Veterans with SCI/D and others with severe mobility for targeted vulnerable Veteran populations. impairments depend on state-of the-art wheelchairs 158H U.S. MEDICINE 2021 DIRECTORY OF FEDERAL MEDICAL TREATMENT FACILITIESH'