b'HCENTERS OF INNOVATION (COINs)of antimicrobial resistance. To support this vision, Center re- incorporate patient-reported outcomes (PROs) in routine search focuses on: 1) advancing the science of antimicrobialclinical care and test interventions to improve PROs; 2) stewardship and infection prevention, and 2) implementingimprove patient adherence and self-management behaviors broad, system-wide surveillance of resistant organisms.through interventions targeting patients, providers, and health systems; and 3) innovate the delivery of specialty, Identifying and Mitigating Veterans Health Risksmental, and/or primary healthcare services to patients using Across Periods of Vulnerability patient-centered approaches that bridge socioeconomic and Research at the Center seeks to develop and implement in- geographic disparities.novative strategies to mitigate adverse health outcomes in Veterans during periods of high vulnerability. Timely, proac- Advancing Value-Driven Caretive interventions have the potential to reduce mortality dueWe will advance value-driven care by providing Veterans to suicide and substance use disorder. Veterans periods ofthe highest quality care at lowest financial burden. To vulnerability are difficult to track with conventional data re- achieve this goal, we will 1) develop new approaches to care sources, such as the transition from DoD to VHA and fromthat help VA efficiently utilize, integrate, and coordinate VHA to community care, and the Center studies will usehealth services received within VA and in the community; diverse data sources and new methods to pinpoint periods of2) improve the quality and safety of care through appropri-elevated risk and high need, often reflected as the absence ofate implementation and de-implementation of healthcare care, and to generate evidence about comparative effective- services; and 3) identify methods to improve workforce ness of alternative care strategies. development, deployment, and provider satisfaction and Improve Medication Safety in VAs New EHR well-being within VA.As VA transitions to a new electronic health record, the Centers vision includes VA as an exceptional patient safetyWest Haven, CT: Pain Research, Informatics, environment based on a confluence of informatics, healthMulti-morbidities, and Education (PRIME) Centerinformation technologies, and tools that improve medica- Director: Lori A. Bastian, MD MPHtion safety. Center leadership envisions VA as a learning healthcare system that anticipates safety impacts and rapidlyThe overarching goals of the PRIME Center are to improve incorporates lessons learned. clinical practice and Veterans health by aligning health ser-vices research with clinical priority goals; conducting rapid Seattle, WA and Denver, CO: Center of Innovationand efficient studies; and leveraging existing data to evaluate for Veteran-Centered and Value-Driven Care innovations and best practices.Directors: David H. Au, MD, MS, and P. Michael Ho, MD Mission. To study the interactions between medical and behavioral health factors to develop and implement inter-http://www.seattledenvercoin.research.va.gov/ ventions that can improve health by employing medical This Centers mission is to conduct outstanding healthinformatics, behavioral science, implementation science, and services research that promotes Veteran-centered andhealth services research.value-driven care, generate and disseminate knowledge thatGoals and Research Focus Areascontributes to the well-being of Veterans, partner with VAThe PRIME Center plays a leadership role in pain and pain policy and operational leaders to implement research find- management within VA. The Centers high-level goals are to:ings into clinical care, and train the next generation of health services researchers and leaders.Conduct research to improve care for Veterans with pain and associated chronic conditions;Research Focus AreasConduct research to improve women Veterans health;The Center focuses on the following:Foster innovative/emerging health services researchPromote Veteran-centered care and improve patientoutside the two focus areas;experiences in VA healthcare and community settings.Engage Veterans in all aspects of our strategic planningAdvance value-driven care by providing Veterans theand research methods;highest quality care at lowest financial burden.Establish a strong infrastructure that supports mentoring Advancing Veteran-Centered Care and career development, including partnered, system-The Center will promote Veteran-centered care and improveoriented research and implementation research; andpatient experiences in VA healthcare and community set-Promote interdisciplinary, cross-institutional tings. To achieve this goal, we will 1) develop methods tocollaborations and research networks in priority areas.H U.S. MEDICINE 2021 DIRECTORY OF FEDERAL MEDICAL TREATMENT FACILITIESH 163'