COIN: Center for the Study of Healthcare Innovation, Implementation and Policy (CSHIIP); Los Angeles, CA
Director: Elizabeth Yano, PhD, MSPH
About the COIN
CSHIIP’s mission is to develop and test innovations that markedly improve the effectiveness and value of VA health care, from system, provider, and Veteran perspectives, while advancing scientific methods for accelerating adoption, implementation, spread, and scale-up of evidence-based practice. Research projects conducted address a core set of strategic program areas including: primary care, women's health, and high-risk/high-need Veterans.
Research Focus Areas
The Center’s work focuses on the following:
- Primary Care
- Women Veterans’ Health
- High-Risk/High-Need Veterans
- Emerging Areas: complementary and integrative health/whole health, specialty care, and emergency management/disaster preparedness
Additional Programs and Educational Efforts
In addition to the individual research projects conducted by CSHIIP investigators, the Center is also home to two Quality Enhancement Research Initiative (QUERI) Programs and three QUERI Partnered Evaluation Initiatives. The Enhancing Mental and Physical health of Women through Engagement and Retention (EMPOWER) QUERI program is designed to improve women Veterans' engagement and retention in evidence-based care for high-priority health conditions (prediabetes, cardiovascular risk, and anxiety/depression). The Care Coordination QUERI Program’s impact goal is to improve care coordination and experience of care across settings for high-risk Veterans in PACT (Patient-Aligned Care Teams) – and to develop novel approaches to coordinating care between the Veteran, his or her primary care team, and other settings, including specialty care, the emergency department, and home and community resources.
The QUERI Partnered Evaluations focus on comprehensive women’s healthcare, complementary and integrative health, and health equity. CSHIIP is also home to the VA Women’s Health Research Network (WHRN), which supports a national Consortium of VA investigators and a practice-based research network of 60 VA medical centers. We also support a new Patient Safety Center of Inquiry, and have close collaborative relationships with our GRECC and VISN 22 MIRECC.
CSHIIP has a robust commitment to training and educating the next generation of clinicians and investigators through its VA/UCLA Multi-Campus Primary Care and Health Services Research Fellowship Program. This program integrates education/mentoring activities across three VA-funded fellowship programs, alongside the UCLA/VA National Clinician Scholars program.
Each Center works closely with operational partners throughout the VA healthcare system. CSHIIP's partners include but are not limited to: