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Operationalizing the Learning Health Care System in an Integrated Delivery System
INTRODUCTION: The Learning Health Care System (LHCS) model seeks to utilize sophisticated technologies and competencies to integrate clinical operations, research and patient participation in order to continuously generate knowledge, improve care, and deliver value. Transitioning from concept to pra...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
AcademyHealth
2015
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434917/ https://www.ncbi.nlm.nih.gov/pubmed/25992388 http://dx.doi.org/10.13063/2327-9214.1122 |
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author | Psek, Wayne A. Stametz, Rebecca A. Bailey-Davis, Lisa D. Davis, Daniel Darer, Jonathan Faucett, William A. Henninger, Debra L. Sellers, Dorothy C. Gerrity, Gloria |
author_facet | Psek, Wayne A. Stametz, Rebecca A. Bailey-Davis, Lisa D. Davis, Daniel Darer, Jonathan Faucett, William A. Henninger, Debra L. Sellers, Dorothy C. Gerrity, Gloria |
author_sort | Psek, Wayne A. |
collection | PubMed |
description | INTRODUCTION: The Learning Health Care System (LHCS) model seeks to utilize sophisticated technologies and competencies to integrate clinical operations, research and patient participation in order to continuously generate knowledge, improve care, and deliver value. Transitioning from concept to practical application of an LHCS presents many challenges but can yield opportunities for continuous improvement. There is limited literature and practical experience available in operationalizing the LHCS in the context of an integrated health system. At Geisinger Health System (GHS) a multi-stakeholder group is undertaking to enhance organizational learning and develop a plan for operationalizing the LHCS system-wide. We present a framework for operationalizing continuous learning across an integrated delivery system and lessons learned through the ongoing planning process. FRAMEWORK: The framework focuses attention on nine key LHCS operational components: Data and Analytics; People and Partnerships; Patient and Family Engagement; Ethics and Oversight; Evaluation and Methodology; Funding; Organization; Prioritization; and Deliverables. Definitions, key elements and examples for each are presented. The framework is purposefully broad for application across different organizational contexts. CONCLUSION: A realistic assessment of the culture, resources and capabilities of the organization related to learning is critical to defining the scope of operationalization. Engaging patients in clinical care and discovery, including quality improvement and comparative effectiveness research, requires a defensible ethical framework that undergirds a system of strong but flexible oversight. Leadership support is imperative for advancement of the LHCS model. Findings from our ongoing work within the proposed framework may inform other organizations considering a transition to an LHCS. |
format | Online Article Text |
id | pubmed-4434917 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2015 |
publisher | AcademyHealth |
record_format | MEDLINE/PubMed |
spelling | pubmed-44349172015-05-19 Operationalizing the Learning Health Care System in an Integrated Delivery System Psek, Wayne A. Stametz, Rebecca A. Bailey-Davis, Lisa D. Davis, Daniel Darer, Jonathan Faucett, William A. Henninger, Debra L. Sellers, Dorothy C. Gerrity, Gloria EGEMS (Wash DC) Articles INTRODUCTION: The Learning Health Care System (LHCS) model seeks to utilize sophisticated technologies and competencies to integrate clinical operations, research and patient participation in order to continuously generate knowledge, improve care, and deliver value. Transitioning from concept to practical application of an LHCS presents many challenges but can yield opportunities for continuous improvement. There is limited literature and practical experience available in operationalizing the LHCS in the context of an integrated health system. At Geisinger Health System (GHS) a multi-stakeholder group is undertaking to enhance organizational learning and develop a plan for operationalizing the LHCS system-wide. We present a framework for operationalizing continuous learning across an integrated delivery system and lessons learned through the ongoing planning process. FRAMEWORK: The framework focuses attention on nine key LHCS operational components: Data and Analytics; People and Partnerships; Patient and Family Engagement; Ethics and Oversight; Evaluation and Methodology; Funding; Organization; Prioritization; and Deliverables. Definitions, key elements and examples for each are presented. The framework is purposefully broad for application across different organizational contexts. CONCLUSION: A realistic assessment of the culture, resources and capabilities of the organization related to learning is critical to defining the scope of operationalization. Engaging patients in clinical care and discovery, including quality improvement and comparative effectiveness research, requires a defensible ethical framework that undergirds a system of strong but flexible oversight. Leadership support is imperative for advancement of the LHCS model. Findings from our ongoing work within the proposed framework may inform other organizations considering a transition to an LHCS. AcademyHealth 2015-03-10 /pmc/articles/PMC4434917/ /pubmed/25992388 http://dx.doi.org/10.13063/2327-9214.1122 Text en All eGEMs publications are licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License http://creativecommons.org/licenses/by-nc-nd/3.0/ |
spellingShingle | Articles Psek, Wayne A. Stametz, Rebecca A. Bailey-Davis, Lisa D. Davis, Daniel Darer, Jonathan Faucett, William A. Henninger, Debra L. Sellers, Dorothy C. Gerrity, Gloria Operationalizing the Learning Health Care System in an Integrated Delivery System |
title | Operationalizing the Learning Health Care System in an Integrated Delivery System |
title_full | Operationalizing the Learning Health Care System in an Integrated Delivery System |
title_fullStr | Operationalizing the Learning Health Care System in an Integrated Delivery System |
title_full_unstemmed | Operationalizing the Learning Health Care System in an Integrated Delivery System |
title_short | Operationalizing the Learning Health Care System in an Integrated Delivery System |
title_sort | operationalizing the learning health care system in an integrated delivery system |
topic | Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4434917/ https://www.ncbi.nlm.nih.gov/pubmed/25992388 http://dx.doi.org/10.13063/2327-9214.1122 |
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