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Learning health systems: Driving real‐world impact in mental health and substance use disorder research
The Veterans Health Administration (VHA), under the U.S. Department of Veterans Affairs (VA), is one of the largest single providers of health care in the U.S. VA supports an embedded research program that addresses VA clinical priorities in close partnership with operations leaders, which is a hall...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley and Sons Inc.
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8332471/ https://www.ncbi.nlm.nih.gov/pubmed/34377958 http://dx.doi.org/10.1096/fba.2020-00124 |
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author | Kilbourne, Amy M. Evans, Emily Atkins, David |
author_facet | Kilbourne, Amy M. Evans, Emily Atkins, David |
author_sort | Kilbourne, Amy M. |
collection | PubMed |
description | The Veterans Health Administration (VHA), under the U.S. Department of Veterans Affairs (VA), is one of the largest single providers of health care in the U.S. VA supports an embedded research program that addresses VA clinical priorities in close partnership with operations leaders, which is a hallmark of a Learning Health System (LHS). Using the LHS framework, we describe current VA research initiatives in mental health and substance use disorders that rigorously evaluate national programs and policies designed to reduce the risk of suicide and opioid use disorder (data to knowledge); test implementation strategies to improve the spread of effective programs for Veterans at risk of suicide or opioid use disorder (knowledge to performance); and identify novel research directions in suicide prevention and opioid/pain treatments emanating from implementation and quality improvement research (performance to data). Lessons learned are encapsulated into best practices for building and sustaining an LHS within health systems, including the need for early engagement with clinical leaders; pragmatic research questions that focus on continuous improvement; multi‐level, ongoing input from regional and local stakeholders, and business case analyses to inform ongoing investment in sustainable infrastructure to maintain the research‐health system partnership. Essential ingredients for supporting VA as an LHS include data and information sharing capacity, protected time for researchers and leaders, and governance structures to enhance health system ownership of research findings. For researchers, incentives to work with health systems operations (e.g., retainer funding) are vital for LHS research to be recognized and valued by academic promotion committees. |
format | Online Article Text |
id | pubmed-8332471 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | John Wiley and Sons Inc. |
record_format | MEDLINE/PubMed |
spelling | pubmed-83324712021-08-09 Learning health systems: Driving real‐world impact in mental health and substance use disorder research Kilbourne, Amy M. Evans, Emily Atkins, David FASEB Bioadv Methods The Veterans Health Administration (VHA), under the U.S. Department of Veterans Affairs (VA), is one of the largest single providers of health care in the U.S. VA supports an embedded research program that addresses VA clinical priorities in close partnership with operations leaders, which is a hallmark of a Learning Health System (LHS). Using the LHS framework, we describe current VA research initiatives in mental health and substance use disorders that rigorously evaluate national programs and policies designed to reduce the risk of suicide and opioid use disorder (data to knowledge); test implementation strategies to improve the spread of effective programs for Veterans at risk of suicide or opioid use disorder (knowledge to performance); and identify novel research directions in suicide prevention and opioid/pain treatments emanating from implementation and quality improvement research (performance to data). Lessons learned are encapsulated into best practices for building and sustaining an LHS within health systems, including the need for early engagement with clinical leaders; pragmatic research questions that focus on continuous improvement; multi‐level, ongoing input from regional and local stakeholders, and business case analyses to inform ongoing investment in sustainable infrastructure to maintain the research‐health system partnership. Essential ingredients for supporting VA as an LHS include data and information sharing capacity, protected time for researchers and leaders, and governance structures to enhance health system ownership of research findings. For researchers, incentives to work with health systems operations (e.g., retainer funding) are vital for LHS research to be recognized and valued by academic promotion committees. John Wiley and Sons Inc. 2021-04-07 /pmc/articles/PMC8332471/ /pubmed/34377958 http://dx.doi.org/10.1096/fba.2020-00124 Text en ©2021 The Authors FASEB BioAdvances published by The Federation of American Societies for Experimental Biology https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Methods Kilbourne, Amy M. Evans, Emily Atkins, David Learning health systems: Driving real‐world impact in mental health and substance use disorder research |
title | Learning health systems: Driving real‐world impact in mental health and substance use disorder research |
title_full | Learning health systems: Driving real‐world impact in mental health and substance use disorder research |
title_fullStr | Learning health systems: Driving real‐world impact in mental health and substance use disorder research |
title_full_unstemmed | Learning health systems: Driving real‐world impact in mental health and substance use disorder research |
title_short | Learning health systems: Driving real‐world impact in mental health and substance use disorder research |
title_sort | learning health systems: driving real‐world impact in mental health and substance use disorder research |
topic | Methods |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8332471/ https://www.ncbi.nlm.nih.gov/pubmed/34377958 http://dx.doi.org/10.1096/fba.2020-00124 |
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