Health Services Research & Development

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

Director: James Rudolph, MD
Associate Director: David Dosa, M.D., M.P.H.

About the COIN

The vision for this Center is to stimulate and develop research that will enhance the implementation of programs to support the mission of VA's Geriatrics and Extended Care Service (GEC) in maximizing Veterans' social participation and quality of life in the least restrictive setting possible.

This Center will use the World Health Organization's International Classification of Functioning, Disability and Health (ICF) conceptual framework as a guide. This model is particularly suitable for its primary research agenda in long-term services and supports (LTSS), given VA's emphasis on community-based LTSS in the least restrictive settings possible. This conceptual framework also will be useful in guiding work in outside areas, including long-term services and supports delivered to homeless and disabled Veterans.


Specific goals include:

  • Advancing the science in the focused area of LTSS by applying the overarching concepts of the ICF model to this Center's research;
  • Fostering health services research outside of the primary research focus that can apply the ICF model and leverage the intellectual and infrastructure available through the Center;
  • Training the next generation of VA health services researchers through a cohesive mentoring and career development program;
  • Encouraging collaborations across VA to produce research to improve Veterans' experience with LTSS; and
  • Building and developing relationships with VA Geriatrics & Extended Care, and other relevant stakeholders to increase this Center's capacity to disseminate and implement research findings.


The Center's partners (listed below), and its existing CREATE projects are pivotal to accomplishing these goals. This young Center has already made contributions to its partners—from the evaluation of innovative transformational programs to the production of reports on existing programs, such as home-based primary care and contract nursing homes. Center researchers have extensive knowledge on using VA data, as well as data from the Centers for Medicare and Medicaid Services (CMS).



Partner Offices

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

Related Resources

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