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Center for Innovation to Implementation (Ci2i)


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Online Course

Online Course

This online course walks you through using the Clinical Institute Withdrawal Assessment of Alcohol Scale, Revised (CIWA-Ar).

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Ci2i Investigators

Ci2i Investigators

Meet Ci2i principle investigators who design, execute, and manage research projects.

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Postdoctoral Training

Postdoctoral Training

Postdoctoral training program in medical informatics or health services research

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Center for Innovation to Implementation (Ci2i)

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: 

  • Fostering high value mental health care
  • Fostering high value medical specialty care
  • Advancing value-oriented health services research methods


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:

  • Mental healthcare, where suboptimal access and underuse are common (e.g., for substance use disorder); and

  • Medical specialty care for chronic disease (e.g., for heart, liver, and renal disease), where costly hospitalizations, procedures, and drugs demand better management.


Ci2i Building Illustration

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.

Partner Offices

Each COIN works closely with operational partners throughout the VA healthcare system. Ci2i’s partners include: 

  • Mental Health Operations
  • Specialty Care Services
  • Operational Analytics and Reporting
  • Clinical Public Health Group



Get the latest news about research topics, new published studies, reports or work from VA Health Services Research & Development Service (HSR&D) and Office of Research & Development (ORD).

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