Health Services Research & Development

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COIN: Center of Innovation for Complex Chronic Healthcare (CINCCH); Hines, IL

Center of Innovation for Complex Chronic Healthcare

Director: Frances Weaver, Ph.D

Website: http://www.cmc3.research.va.gov/

About the COIN

CINCCH’s mission is to enhance quality of care, safety, and value for Veterans. A significant focus is on Veterans with disabilities, particularly Veterans with Spinal Cord Injuries and Disorders (SCI/D) and Traumatic Brain Injury (TBI), based on our long-standing work, collaborations, and expertise in these areas.

Research Focused Area includes three priorities:

  1. Enhancement of patient registry and assessment of outcomes
  2. To allow for longitudinal analyses of outcomes, there is a critical need for a comprehensive SCI/D registry that aggregates prior registries and includes epidemiologic data, health factors and outcomes that can be matched with other data, such as healthcare utilization records and cause of death. Research priorities include enhancement of a longitudinal registry of Veterans with SCI/D, assessment of outcomes including value associated with the SCI/D comprehensive annual evaluation examination, and definition and assessment of nurse-sensitive outcomes.

  3. Provision of wheelchairs
  4. Veterans with SCI/D and others with severe mobility impairments depend on state-of the-art wheelchairs and associated education and training; however, some Veterans receive less than optimal wheelchairs and lack adequate mobility skills, which compromises health, participation, and safety outcomes. Research priorities include implementation and evaluation of programs to support efficient and effective provision of wheelchairs to Veterans with complex needs.

  5. Co-morbidities associated with SCI/D
  6. CINCCH investigators continue to lead and participate in ongoing and planned research addressing multiple issues and aspects of care management for Veterans with SCI/D. These areas include infectious disease, fractures, pressure ulcers, pain management, and opioid use.

Other research and implementation efforts to enhance quality of care, safety, and value for Veterans include:

  • Evaluating the effectiveness of treatment and outcomes for Veterans infected with resistant gram-negative organisms.
  • Combating antimicrobial resistance through rapid implementation of available guidelines and evidence.
  • Improving Veteran health by increasing dental stewardship of antibiotics and opioids.
  • Examining the impact of the VA medication copayment redesign.
  • Evaluating the use of patient-collected audio recorded encounters for provider audit feedback to reduce contextual errors.
  • Evaluating provider learning modules to prevent venous thromboembolism after major cancer surgery.
  • Developing and validating a novel measure to support a learning healthcare system.
  • Examining provider use of pet therapy to improve compassion, burnout, and empathy.
  • Encouraging patient-centered communication in clinical video telehealth visits.
  • Evaluating implementation strategies to increase tele-rehabilitation.

Partner Offices

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