Health Services Research & Development

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COIN: Center of Innovation to Accelerate Discovery and Practice Transformation (ADAPT); Durham, NC

Center of Innovation to Accelerate Discovery and Practice Transformation

Director: Nicki Hastings, MD, MHS


About the COIN

ADAPT’s main objective is to enhance VA’s ability to continually improve health care and optimize Veteran wellness and independence.

Research Focus Areas

The Center’s work aims to build organizational resilience in VA through research in the following areas:

Promoting and Sustaining Healthy Behaviors

Improving Access through Virtual Care

Optimizing Function and Independence

ADAPT’s core faculty and staff conduct creative, high-quality health services research in close partnership with VA leadership for the benefit of our nation's Veterans. The Center offers organized research programs as well as cross-cutting methods labs and a stakeholder engagement core to ensure that research studies are designed to address VA’s highest priorities and that research findings are relevant and actionable. 

Supporting Programs & Services

ADAPT has a rich tradition in conducting high-impact health services research, including a dedicated Implementation and Improvement Science Lab, as well as a Non-Randomized Designs Lab and a Pragmatic Clinical Trials Lab. Further, the center places a strong focus on career development via fellowships and the HSR&D Career Development Award Program.

In addition to its core HSR&D-funded projects, ADAPT is also home to the HSR&D Quality Enhancement Research Initiative’s Optimizing Function and Independence program, which leverages scientifically-supported quality improvement methods to implement evidence-based practices rapidly into routine care and improve the timeliness, quality, and safety of care delivered to Veterans and caregivers. ADAPT’s VA Evidence Synthesis Program was formed in 2008 to support high quality, rapid turn around evidence syntheses to inform VA clinical policy.

Partner Offices

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