Modeled after Washington state’s Centers of Occupational Health and Education (COHE) program, RETAIN-CT is a federally-funded quality improvement project currently being conducted in the Hartford region of Connecticut. The goal of the project is to improve return-to-work outcomes for workers in Connecticut with musculoskeletal (MSK) pain and injuries. The project provides a unique opportunity for the collaboration of providers, insurers, injured workers, employers and state return-to-work resources. The RETAIN-CT approach includes provider training, improved employer communication and outreach, the use of very early RTW coordination and planning, and access to medical peer physician advice on best occupational health practices.