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:
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.
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
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.