b'CENTERS OF INNOVATION (COINs)H Veteran Community Engagement overcome the challenges of aging, disability, or serious CHERP has well-established Veteran Community Advisoryillness. Working in close collaboration with VA GEC, the Boards (VCABs) at both sites. VCAB members receive train- LTSS COIN leads research programs involving multiple ing regarding the VA research enterprise, the research pro- regional and national partners focused on improving the cess, and protection of human subjects, and provide inputaccess, quality, and value of LTSS for Veterans. This work on research ideas, study design, and other COIN initiatives.is accomplished by stimulating and developing research CHERP has also engaged diverse Veteran stakeholders asthat enhances the implementation of programs to support panelists for field-based meetings focused on health equitythe mission of VAs GEC Service in maximizing Veterans and social determinants of health and ensures Veteran repre- social participation and quality of life in the least restric-sentation on our Steering Committee. tive setting possible. The Centers primary mission is to develop research on Portland, OR: Center to Improve Veteranmeasurement, implementation, and quality of VA long-term Involvement in Care (CIVIC) services and support that enhances access to and value of care delivered to vulnerable Veterans to improve the access, Director: Steven Dobscha, MD quality, and value of VA LTSS programs.https://www.portlandcoin.research.va.gov Research Focus AreasCIVICs mission is to conduct research that empowers Veter- Research at this Center focuses on:ans to improve their health through engagement in self-care, Quality of Care in Nursing Homes and Home and engagement with VA and non-VA healthcare systems, andCommunity Based Servicesengagement in the research process.High Risk Veteran Populations (Palliative Care, Dialysis, Research Focus Areas and Cognitive Impairment) Conducting research that helps Veterans with mental Policy and Economic Analysis of Long-Term Care health conditions, including pain, improve their healthProgramsand safety.Antimicrobial Stewardship in the Long-Term CareConducting research that helps Veterans, their supports,Communityand their clinicians create and sustain effective healthcare Mental Health and Homelessnessrelationships.End of Life CareWithin these focus areas, CIVICs investigators conduct Discharge from Hospital to Communityresearch that seeks to:HEDIS mediation dispensation Promote Veterans healthy behaviors, self-care, and active Food Insecurityparticipation in mental health care. Decrease risks for suicide and suicide behaviors. Decrease risks associated with prescription opioids, andSalt Lake City, UT: Informatics, Decision-optimize use of effective non-opioid pain treatments. Enhancement and Analytic Sciences CenterDevelop and test innovative tools and strategies that(IDEAS)facilitate Veteran-clinician communication, decision- Director: Matthew Samore, MDmaking, and trust. IDEAS mission is to advance scientific discovery, implementDevelop and test tools and strategies that facilitatenovel interventions, promote cross-center collaboration, communication, collaboration, and coordination withinincrease research capacity, and engage Veterans and opera-and among care teams. tional partners to improve Veteran health.A major strength of CIVICs research efforts is that manyResearch Focus Areasinvestigators actively work directly with patients in clinicalThis Centers areas of research include:settings.Combatting antimicrobial resistanceProvidence, RI: Center of Innovation in Long-Term Identifying and mitigating Veterans health risks across Services and Supports for Vulnerable Veterans periods of vulnerability Improving medication safety as VA transitions to a new Director: James Rudolph, MD electronic health recordhttps://www.providence.va.gov/research/COIN/Research_Combatting Antimicrobial ResistanceEnhancement_Award_Program_REAP.asp The Centers vision is to see a transformed VA leading the As Veterans become more dependent, the Office ofnational fight against antimicrobial resistance. Center leader-Geriatrics and Extended Care (GEC) offers long-termship envision a VA where powerful population analytic and services and support (LTSS) programs to keep Veteranscognitive support tools are used nationwide across the spec-in their environment for as long as possible. The LTSStrum of Veteran healthcare with dramatically reduced risk of COINs vision is to empower Veterans and the nation toinfection and mortality among Veterans and declining levels 162H U.S. MEDICINE 2021 DIRECTORY OF FEDERAL MEDICAL TREATMENT FACILITIESH'