COIN: Center for Care Delivery and Outcomes Research (CCDOR)
Director: Steven Fu, M.D., M.S.C.E.
About the COIN
CCDOR’s mission is to develop and evaluate interventions and implementation strategies that improve healthcare delivery, Veteran engagement in healthcare, and Veterans’ health and functioning in their communities. The Center achieves this mission by seeking to elevate the quality, consistency, and equity of healthcare and outcomes for all Veterans through innovative health services and implementation research.
Research Focus Areas
The Center’s work focuses on the following:
- Trauma recovery
- Chronic pain and opioid harms reduction
The Trauma Recovery research group’s expertise focuses on PTSD and other trauma-related conditions, including traumatic brain injury, amputation, and post-deployment community reintegration. In addition, since PTSD does not occur in isolation, Trauma Recovery investigators examine clinical complexity among Veterans with trauma histories and collaborate with CCDOR’s Pain and Opioid Harms Reduction investigators to improve treatment and outcomes for Veterans with PTSD, pain, and opioid use disorders.
Chronic Pain and Opioid Harms Reduction
Chronic Pain and Opioid Harms Reduction investigators have made foundational contributions to defining the challenges in this area and to informing current high-priority efforts to address opioid harms and improve pain outcomes. Examples include research documenting racial differences in chronic pain treatment, which was recognized as a Science Advance in Pain Research award by the Interagency Pain Research Coordinating Committee, and development and validation of the PEG 3-item pain scale, which was distributed in the 2016 Turn the TideRx pocket guide by the Office of the Surgeon General to over 2.3 million physicians and other health professionals.
Additional Research Areas and Core Structure
Research outside of CCDOR’s two priority areas contributes to the overall mission of the Center and positions CCDOR to expand its portfolio in areas of emerging importance. While “additional research” includes a diverse set of research interests and studies, of particular salience is CCDOR’s research on cancer prevention and control, including tobacco cessation and colon cancer screening; healthy aging research; and evidence synthesis.
The Center’s work is achieved via a robust core structure that includes dedicated personnel in the following areas:
- Statistics & Data Management
- Implementation Science
- Veteran Engagement
Each COIN works closely with operational partners throughout the VA healthcare system. CCDOR's partners include: