Health Services Research & Development

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COIN: Center of Innovation in Long-Term Services and Supports for Vulnerable Veterans; Providence, RI

The Center of Innovation in Long Term Services and Supports

Director: James Rudolph, MD


About the Center

As Veterans become more dependent, the Office of Geriatrics and Extended Care (GEC) offers long-term services and support (LTSS) programs to keep Veterans in their environment for as long as possible. The LTSS COIN’s vision is to empower Veterans and the nation to overcome the challenges of aging, disability, or serious illness. Working in close collaboration with VA GEC, the LTSS COIN leads research programs involving multiple regional and national partners focused on improving the access, quality, and value of LTSS for Veterans. This work is accomplished by stimulating and developing research that enhances the implementation of programs to support the mission of VA's GEC Service in maximizing Veterans' social participation and quality of life in the least restrictive setting possible. 

The Center’s primary mission is to develop research on measurement, implementation, and quality of VA long-term services and support that enhances access to and value of care delivered to vulnerable Veterans to improve the access, quality, and value of VA LTSS programs.

Research Focus Areas

Research at this Center focuses on:

  • Quality of Care in Nursing Homes and Home and Community Based Services
  • High Risk Veteran Populations (Palliative Care, Dialysis, and Cognitive Impairment)
  • Policy and Economic Analysis of Long-Term Care Programs
  • Antimicrobial Stewardship in the Long-Term Care Community
  • Mental Health and Homelessness
  • End of Life Care
  • Discharge from Hospital to Community
  • HEDIS mediation dispensation
  • Food Insecurity

Education and Other Programs

The Center is host to a VA Advanced Fellowship in Health Services Research and Development. Program goals aim to train both physician and non-physician researchers to become successful independent investigators in health services research and health system improvement; to give trainees didactic as well as "hands-on" supervised experience in health services research; and to teach health services research methods as well as content material relevant to gerontology, long term care, and chronic disease management.  

Partner Offices

Each COIN works closely with operational partners throughout the VA healthcare system. The partners associated with this COIN include the following: