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Polytrauma/TBI System of Care

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VHA Headache Centers of Excellence Program

The Headache Centers of Excellence (HCoE) Program was established by the Veterans Health administration (VHA) in 2018 as a response to VA Public Law 115-141 (Military Construction, Veterans Affairs, and Related Agencies Appropriation Act, 2018; Division J of the Consolidated Appropriations Act, 2018). Since 2008, more than 1.74 million Veterans have received care within VHA for headache. In fiscal year 2021, nearly 420,000 Veterans had at least one appointment with a medical provider in VHA related to headache with more than 25% of the Veterans having their first ever appointment for headache in VHA.

Our work is built upon four pillars of Clinical Care, Education, Research, and Innovation.

Learn about the types of patients and headaces we treat

Find a HCoE near you

Locations for HCOE Locations


Seventeen Centers as of February 2022
  • Birmingham, AL
  • Chicago, IL
  • Cleveland, OH
  • Columbia, SC
  • Greater Los Angeles, CA
  • Minneapolis, MN
  • New York City, NY
  • Orlando, FL
  • Palo Alto, CA
  • Pittsburgh, PA
  • Puget Sound, WA
  • Richmond, VA
  • Salt Lake City, UT
  • San Antonio, TX
  • Tampa, FL
  • Washington, DC
  • West Haven, CT


Our Vision To provide Veterans with the highest-quality headache care which resonates with their values and preferences and is in accord with the best available evidence.

Our Mission To improve headache care quality, delivery, and access for Veterans living with headache disease, including migraine, cluster headache, and headache associated with traumatic brain injury (TBI).

Goals To achieve our mission, vision, and goals, the HCoE strives for excellence in clinical care, education, and research, and innovation.
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