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Learning From What We Do, and Doing What We Learn: A Learning Health Care System in Action
Learning From What We Do, and Doing What We Learn: A Learning Health Care System in Action
- Source :
- Academic medicine : journal of the Association of American Medical CollegesReferences cited only in Table 2. 96(9)
- Publication Year :
- 2021
-
Abstract
- Different models of learning health systems are emerging. At Vanderbilt University Medical Center, the Learning Health Care System (LHS) Platform was established with the goal of creating generalizable knowledge. This differentiates the LHS Platform from other efforts that have adopted a quality improvement paradigm. By supporting pragmatic trials at the intersection of research, operations, and clinical care, the LHS Platform was designed to yield evidence for advancing content and processes of care through carefully designed, rigorous study. The LHS Platform provides the necessary infrastructure and governance to leverage translational, transdisciplinary team science to inform clinical and operational decision making across the health system. The process transforms a clinical or operational question into a research question amenable to a pragmatic trial. Scientific, technical, procedural, and human infrastructure is maintained for the design and execution of individual LHS projects. This includes experienced pragmatic trialists, project management, data science inclusive of biostatistics and clinical informatics, and regulatory support. Careful attention is paid to stakeholder engagement, including health care providers and the community. Capturing lessons from each new study, the LHS Platform continues to mature with plans to integrate implementation science and to complement clinical and process outcomes with cost and value considerations. The Vanderbilt University Medical Center LHS Platform is now a pillar of the health care system and leads the evolving culture of learning from what we do and doing what we learn.
- Subjects :
- Academic Medical Centers
Knowledge management
Quality management
business.industry
Process (engineering)
Computer science
Corporate governance
Stakeholder engagement
General Medicine
Problem-Based Learning
Learning Health System
Health informatics
Quality Improvement
Tennessee
Education
Models, Organizational
Health care
Pragmatic Clinical Trials as Topic
Humans
Project management
business
Research question
Subjects
Details
- ISSN :
- 1938808X
- Volume :
- 96
- Issue :
- 9
- Database :
- OpenAIRE
- Journal :
- Academic medicine : journal of the Association of American Medical CollegesReferences cited only in Table 2
- Accession number :
- edsair.doi.dedup.....f32b992d737f105dac77483e52efa2d9