VA Palo Alto Health Care System Ci2i’s mission is to produce health services research that informs how VHA operational partners pursue healthcare through better access, higher quality, and wiser use of resources. Ci2i’s focused areas are:
Ci2i will focus on care now most often delivered by specialists, because that is the context in which many of the opportunities to improve value currently lie. The Center’s two clinical areas of focus include:
Ci2i’s mental health work will be enhanced though its sponsorship of the CREATE program-project grant Promoting Value & Access in VA’s Substance Use Disorder Services.
These two clinical areas provide a generalizable portfolio of diverse domains in which value opportunities lie. Ci2i’s purview is not confined to specialists’ offices; for example, improving value may mean transforming some care now delivered in specialty settings to lower-cost, more accessible venues, such as primary care or even self-care. Methodological innovations, especially in modeling and informatics, will support the Center’s work and advance this field of inquiry.
Other emerging areas of health services research concentration at Ci2i include geriatrics and women Veterans’ health. Ci2i also will embrace the same spirit of innovation in its educational work, using new electronic means to link like-minded fellows and career development awardees around the country.
Each COIN works closely with operational partners throughout the VA healthcare system. Ci2i’s partners include: