A health care center of excellence (COE) is facility or program recognized for providing the highest possible quality of service. COEs typically include any combination of three missions – service provision, education/teaching, and research. However, there is not one clear universal definition for the term. Provider organizations apply the COE label to their organizations for a multitude of different reasons: some use it in marketing as a promotional term, some need it as a qualification to receive funding or participate in a specific reimbursement model, and some use it to indicate participation in a specific program. “COE status” can be . . .