Health Services Research & Development

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

Director: Frances Weaver, Ph.D

About the COIN

CINCCH's mission is to improve healthcare and outcomes for Veterans with complex chronic illnesses across the spectrum of care. Veterans with complex needs include those with multiple chronic illnesses (e.g., patients with neurological conditions and secondary conditions), or those with one or more conditions who also have complicated social situations and/or use multiple healthcare systems (e.g., Medicare and VA). To improve care and outcomes for Veterans with these needs, CINCCH investigators will engage in activities that enhance the provision of patient-centered, evidence-based care, and identify new effective models of healthcare delivery.

Focused Areas of Research

CINCCH's focused areas of research include:


Patient-Centered Care

CINCCH's goal in this research area is to improve patient-centeredness through new models of care. To achieve this goal, the Center will conduct research to: 1) Test new ways to deliver patient-centered care using new health care delivery modalities (such as telehealth); and 2) Enhance patient-provider communication (such as innovative patient and provider training) and decision making.


Neurologic Conditions

CINCCH's goal in this research area is to improve healthcare and care delivery for Veterans with neurological conditions, including Veterans with spinal cord injury and disorder (SCI/D), traumatic brain injury, and Parkinson's disease. Areas of focus include:

  • Characterizing, preventing and improving management of secondary conditions associated with these conditions; and
  • Improving access to and coordination of care.


Value in Care for Veterans with Complex Chronic Care Needs

CINCCH will leverage their experience and expertise in economics methods and evaluation to optimize value in care for Veterans with complex chronic conditions, with a particular emphasis on specialty care and care for patients with dual healthcare coverage (e.g., Medicare and VA). Their efforts in specialty care delivery are focused on chronic kidney disease and cancer. Investigators are working with the VHA National Kidney Program to improve care delivery for Veterans with chronic and advanced kidney disease. In the area of cancer, CINCCH investigators are developing innovative approaches to measure, track and improve the quality of cancer care.



Partner Offices

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

  • VA Office of Patient-Centered Care and Cultural Transformation (OPCC&CT): Tracy Gaudet, M.D., Director
  • VA SCI/D Service: Barry Goldstein, M.D., Ph.D.
  • Great Lakes Health Care System, VISN 12: Denise M. Deitzen, Director
  • VA Center for Applied Systems Engineering (VA-CASE), VISN 11: Heather Woodward-Hagg, M.S., Director
  • Physical Medicine & Rehabilitation (PM&R) Program Office: David Cifu, M.D., National Director
  • VHA Kidney Disease & Dialysis Program: Susan Crowley, M.D., National Program Director
  • Telehealth Services: Christine Woo, M.S., and Jeff Lowe, M.S.W., L.C.S.W.

Related Resources