Health Services Research & Development

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COIN: Center for Innovation to Implementation (Ci2i): Fostering High Value Care; Palo Alto, CA

Center for Innovation to Implementation (Ci2i):  Fostering High Value Care

Director: Steven M. Asch, M.D., M.P.H.


About the COIN

The mission of the Center for Innovation to Implementation (Ci2i) is to foster high-value health care for Veterans. We will do so by identifying opportunities to improve value, and by testing the implementation of innovations that respond to those opportunities, both crucial activities for any learning health care system.

Research Focus Areas

The Center’s focused areas of research are to foster high-value:

  • mental health care
  • medical and surgical specialty care
  • care beyond VA

Ci2i focuses on care now most often delivered by specialists, because that is the context in which many of the opportunities to improve value currently lie. However, the scope of the Center’s work is not confined to specialists’ offices—for example, improving value may mean transforming some care now delivered in specialty settings to lower-cost, more accessible venues, such as primary care or even self-care. Our third focus is newer, being responsive to VA’s accelerating transformation to being both a payor and provider of care.

Other emerging areas of health services research concentration at Ci2i include geriatrics and women Veterans’ health. Ci2i also embraces the same spirit of innovation in its educational work, using new electronic means to link like-minded fellows and career development awardees around the country.

The Center is also home to the CREATE program-project grant Promoting Value & Access in VA's Substance Use Disorder Services.

Partner Offices

Each COIN works closely with operational partners throughout the VA healthcare system. Ci2i’s partners include:

  • Mental Health Operations
  • Specialty Care Services
  • Operational Analytics and Reporting
  • Clinical Public Health Group