1. Learning Health System in Crisis: Lessons From the COVID-19 Pandemic
- Author
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Dorothy Hung, Sylvia Sudat, Dominick L. Frosch, Alice R. Pressman, Kristen M.J. Azar, and Robert J. Romanelli
- Subjects
medicine.medical_specialty ,Organizing principle ,Disease ,030204 cardiovascular system & hematology ,Article ,US, United States ,03 medical and health sciences ,0302 clinical medicine ,Clinical Research ,LHN, Learning Health Network ,Pandemic ,Medicine ,COVID, Coronavirus Disease ,EHR, Electronic Health Record ,IOM, Institute of Medicine ,030212 general & internal medicine ,lcsh:R5-920 ,Government ,LHS, Learning Health System ,business.industry ,Public health ,General Medicine ,Health Services ,Public relations ,Investment (macroeconomics) ,LHCC, Learning Health Care Community ,Call to action ,CMS, Centers for Medicare & Medicaid Services ,Good Health and Well Being ,HITECH, Health Information Technology for Economic and Clinical Health ,Generic health relevance ,SARS-CoV2, Severe Acute Respiratory Syndrome Corona Virus 2 ,Direct experience ,lcsh:Medicine (General) ,business - Abstract
The novel coronavirus disease (COVID-19) pandemic is the gravest public-health crisis that the United States has seen in more than a century. Healthcare delivery systems are the focal point for interfacing with COVID-19; however, many were and remain unprepared for this or similar outbreaks. In this paper, we describe the Learning Health System (LHS) as an ideal organizing principle to inform an evidence-based response to public-health emergencies like COVID-19. We further describe barriers and challenges to the realization of the LHS and propose a call to action for a substantial investment in the LHS, with a focus on public health. Specifically, we advocate for a Learning Health Network that promotes collaboration between health systems, community-based organizations, and government agencies, especially during public health emergencies. We have approached this commentary through the unique lens of researchers embedded within a large, integrated healthcare delivery system, with direct experience working with clinical and operational units in response to the COVID-19 pandemic.
- Published
- 2021