Quality improvement (QI) initiatives within the US Department of Veterans Affairs (VA) play an important role in enhancing health care for veterans.1,2 While effective QI programs are often developed, veterans benefit only if they receive care at sites where the program is offered.3 It is estimated only 1% to 5% of patients receive benefit from evidence-based programs, limiting the opportunity for widespread impact.4,5 The Chronic Obstructive Pulmonary Disease (COPD) Coordinated Access to...