Health Services Research & Development

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COIN: Center for Healthcare Organization and Implementation Research (CHOIR) Bedford, MA and Boston, MA

Center for Healthcare Organization and Implementation Research

Directors: Barbara Bokhour, PhD (Bedford) and Allen Gifford, MD (Boston)


About the COIN

CHOIR's mission is to improve Veterans' health outcomes by developing, studying, and applying evidence-based practices that will be widely implemented and sustained.

Research Focus Areas

The Center’s work focuses on:

  1. Recovery-Oriented Care for Vulnerable Populations (Recovery).
  2. Medication Management & Outcomes (Medications).
  3. Healthcare Communications (Communications).


Through the focal area of Enhancing Recovery-Oriented Care for Behaviorally Vulnerable Populations (Recovery), CHOIR strives to enhance the transformation of VA to a recovery-oriented health care system, and to improve recovery-oriented outcomes for behaviorally vulnerable Veterans, specifically those afflicted with a mental health condition or those who are homeless, or are at risk of being homeless. Major operational partners include Mental Health Services and the National Center on Homelessness Among Veterans as well as increasing collaboration with Mental Health Operations. 


The Medication Management & Outcomes Program (Medications) is dedicated to providing optimal medication treatment to Veterans, which is a critical goal for CHOIR, and supports many VA priorities regarding safer, more effective, patient-centered, and cost-efficient prescription practices. Existing tools allow CHOIR's operational partner, Pharmacy Benefits Management (PBM), the ability to ensure medication optimization for patients


CHOIR addresses traditional and emerging media used to deliver and exchange information about public health priorities to Veterans both in and outside of VA care. Healthcare Communications (Communications) priorities include large-scale adverse events, deployment environmental health risks, and health behavior change. There remain important gaps regarding best practices in communicating information to improve VA care, maximizing trust in care, and encouraging Veterans' self-management. CHOIR's Communication Focus will provide an evidence base and tools for communicating about a range of health issues, using optimal communication channels such as social media and mobile health platforms to create effective messaging that empowers Veterans to prioritize their health.

Other Research Areas

CHOIR also conducts health services research in four other emerging and well-established areas: health services genomics, long-term care, organization and implementation, and patient safety.

Partner Offices

Each COIN works closely with operational partners throughout the VA healthcare system. CHOIR's partners include: