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Given persistent gaps in coordination of care for medically complex primary care patients, efficient strategies are needed to promote better care coordination. The Coordination Toolkit and Coaching project compared two toolkit-based strategies of differing intensity to improve care coordination at VA primary care clinics. Multi-site, cluster-randomized QI initiative. Twelve VA primary care clinics matched in 6 pairs. We used a computer-generated allocation sequence to randomize clinics within each pair to two implementation strategies. Ac