b'HCENTERS OF INNOVATION (COINs)Research Focus Areas Palo Alto, CA: Center for Innovation to The Centers work focuses on the following: Implementation (Ci2i): Fostering High Value Care Trauma recovery Director: Steven M. Asch, MD, MPH Chronic pain and opioid harms reductionhttps://www.ci2i.research.va.govTrauma Recovery The mission of the Center for Innovation to Implementation The Trauma Recovery research groups expertise focuses(Ci2i) is to foster high-value health care for Veterans. We will on PTSD and other trauma-related conditions, includingdo so by identifying opportunities to improve value, and by traumatic brain injury, amputation, and post-deploymenttesting the implementation of innovations that respond to community reintegration. In addition, since PTSD does notthose opportunities, both crucial activities for any learning occur in isolation, Trauma Recovery investigators examinehealth care system.clinical complexity among Veterans with trauma historiesResearch Focus Areasand collaborate with CCDORs Pain and Opioid Harms Re- The Centers focused areas of research are to foster high-value:duction investigators to improve treatment and outcomes for Veterans with PTSD, pain, and opioid use disorders.mental health careChronic Pain and Opioid Harms Reductionmedical and surgical specialty careChronic Pain and Opioid Harms Reduction investigators care beyond VAhave made foundational contributions to defining theCi2i focuses on care now most often delivered by spe-challenges in this area and to informing current high- cialists, because that is the context in which many of the priority efforts to address opioid harms and improve painopportunities to improve value currently lie. However, the outcomes.scope of the Centers work is not confined to specialists officesfor example, improving value may mean trans-forming some care now delivered in specialty settings to North Little Rock, AR: Center for Mentallower-cost, more accessible venues, such as primary care or Healthcare and Outcomes Research (CeMHOR) even self-care. Our third focus is newer, being responsive to VAs accelerating transformation to being both a payor Director: Richard Owen, MD and provider of care.CeMHORs mission is to optimize the health and well-being of Veterans through innovative research to improve access toPittsburgh and Philadelphia, PA: Center for Health and engagement in evidence-based mental health/substanceEquity Research & Promotion (CHERP)use disorder (MH/SUD) care and prevent suicide. Directors: Michael Fine, MD, MSc and Judith Long, MDResearch Focus Area and Goals http://www.cherp.research.va.gov/The Centers research focus is to improve Veterans accessThe Center for Health Equity Research and Promotion to mental health (MH) and substance use disorder (SUD)(CHERP) represents a well-established collaboration be-care. Within this focus, the Centers goal is to improve accesstween the VA Pittsburgh Healthcare System and Corporal to mental healthcare for Veterans with MH/SUDs, with anMichael J. Crescenz VA Medical Center in Philadelphia and emphasis on those at high risk for suicide and Veterans livingtheir respective academic affiliates, the University of Pitts-in rural areas. burgh and University of Pennsylvania. CHERPs mission is Center Objectives to advance the quality and equity of health and health care In order to achieve CeMOHRs goals, Center investigatorsfor Veterans, especially those from vulnerable populations. have four objectives. Research Focus AreasDevelop and test instruments and strategies to measureResearch at this Center focuses on:Veterans perceptions and preferences regarding access to Improving quality and equity of health and health care for MH/SUD care. Validated tools are essential to measurevulnerable Veteran populationsVeterans perceptions, preferences, and satisfaction regard-Improving the quality, safety, and value of clinical ing access to MH/SUD care. The CeMHOR Collabora- therapeuticstive Research to Enhance Transformation and Excellence Innovative health services research that addresses VA and (CREATE), led by Jeffrey Pyne, MD, has developed andHSR&D prioritiesvalidated the Perceived Access Inventory (PAI) to identify factors that impact Veterans perception of access to VATrainingmental healthcare and mental healthcare provided via theCHERP is home to post-doctoral training programs in VA Choice program. The CREATE project findings to datehealth services research, womens health, addiction research, note that PAI scores are strongly correlated with Veteransand medication safety and pharmaceutical outcomes, all satisfaction with VA MH/SUD care, but further work issupported by the VA Office of Academic Affiliations (OAA). needed to understand the relationship between PAI andThe Philadelphia site also hosts the National Clinician Schol-service utilization. ars Program in partnership with OAA.H U.S. MEDICINE 2021 DIRECTORY OF FEDERAL MEDICAL TREATMENT FACILITIESH 161'