ArticleEGEMS (Washington, DC)2015
Operationalizing the learning health care system in an integrated delivery system.
Article in EGEMS (Washington, DC), 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 69 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
69 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Learning health systems using data to drive healthcare improvement and impact: a systematic review.BMC health services research · 2021Pooled it
- Promising Patient-Engagement Practices Used by National Research Networks at the US Veterans Health Administration: Perspectives of Veterans, Staff, and Research Leaders.Learning health systems · 2026Article
- Toward a Smart Learning Health System: An Ontology-Based Framework.Learning health systems · 2026Article
- Patient Engagement Activities and Infrastructure Among US Veterans Affairs National Research Networks.Journal of general internal medicine · 2026Article
- Article
- Available guidance for ethical challenges in learning health systems: an integrative literature review.Health research policy and systems · 2026Review
- Structuring Collaboration Between Researchers and Operational Innovators: Diffusing New Practices Across the Veteran's Administration Healthcare System.Learning health systems · 2026Article
- Identifying Gaps in Caries Prevention and Management: A Multi-Institutional Mixed-Methods Study.Research square · 2025Article
- Operationalizing a learning health system: A self-assessment tool for interprofessional teams.Learning health systems · 2025Article
- How senior leaders support innovations in large learning health systems: Insights from United States Veterans Health Administration national program office leaders.Learning health systems · 2025Article
- Advancing environmentally sustainable learning health systems: Perspectives from a Canadian health center.Learning health systems · 2025Article
- Building a dashboard to inform policy and clinical practice using the Irish epilepsy electronic patient record: Towards a learning health system.Epilepsia open · 2025Article
- New Performance Measurement Framework for Realizing Patient-Centered Clinical Decision Support: Qualitative Development Study.Journal of medical Internet research · 2025Article
- Moving from crisis response to a learning health system: Experiences from an Australian regional primary care network.Learning health systems · 2025Article
- The power of personas: Exploring an innovative model for understanding stakeholder perspectives in an oncology learning health network.Learning health systems · 2025Article
- The role of patients, caregivers, and communities in Learning Health Systems: a narrative review.Frontiers in health services · 2025Review
- The Lithuanian Stroke Database: selection of national stroke care performance measures.Frontiers in neurology · 2025Article
- Experiences and lessons learned from a patient-engagement service established by a national research consortium in the U.S. Veterans Health Administration.Learning health systems · 2024Article
- Utilizing a learning health system to capture real-world patient data: Application of the reliable change index to evaluate and improve the outcome of a pain rehabilitation program.Pain practice : the official journal of World Institute of Pain · 2024Article
- A call-to-action: integrate a learning health system framework into longitudinal population studies to improve health response in Africa.Health affairs scholar · 2024Article
9 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionThe 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.
conclusionA 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.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.