ArticleEGEMS (Washington, DC)2016
Leadership Perspectives on Operationalizing the Learning Health Care System in an Integrated Delivery System.
Article in EGEMS (Washington, DC), 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers.
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Who cites it
21 citing papers in PubMed, 40 citations in OpenAlex.
- Structuring Collaboration Between Researchers and Operational Innovators: Diffusing New Practices Across the Veteran's Administration Healthcare System.Learning health systems · 2026Article
- Operationalizing a learning health system: A self-assessment tool for interprofessional teams.Learning health systems · 2025Article
- Towards a shared understanding of the learning health system in a large academic-based health system: A qualitative analysis.Health services management research · 2025Article
- Data to knowledge to improvement: creating the learning health system.BMJ (Clinical research ed.) · 2024Article
- Implementing the learning health system paradigm within academic health centers.Learning health systems · 2024Article
- The Alliance for Healthier Communities as a Learning Health System for primary care: A qualitative analysis in Ontario, Canada.Journal of evaluation in clinical practice · 2022Article
- Factors that support readiness to implement integrated evidence-based practice to increase cancer screening.Implementation science communications · 2022Article
- Clarifying the concept of a learning health system for healthcare delivery organizations: Implications from a qualitative analysis of the scientific literature.Learning health systems · 2022Article
- The Science of Learning Health Systems: Scoping Review of Empirical Research.JMIR medical informatics · 2022Article
- Developing evaluation capacities in integrated care projects: Lessons from a scientific support mission implemented in Belgium.Frontiers in public health · 2022Article
- Article
- Learning health systems in primary care: a systematic scoping review.BMC family practice · 2021Article
- Recommendations for strengthening the role of embedded researchers to accelerate implementation in health systems: Findings from a state-of-the-art (SOTA) conference workgroup.Healthcare (Amsterdam, Netherlands) · 2021Review
- Geisinger's effort to realize its potential as a learning health system: A progress report.Learning health systems · 2021Article
- Evaluation of a multidisciplinary lipid clinic to improve the care of individuals with severe lipid conditions: a RE-AIM framework analysis.Implementation science communications · 2021Article
- Stakeholder engagement to initiate lung cancer screening in an urban safety-net health system.Healthcare (Amsterdam, Netherlands) · 2020Article
- Objecting to experiments that compare two unobjectionable policies or treatments.Proceedings of the National Academy of Sciences of the United States of America · 2019Article
- Using a health system learning community strategy to address cancer disparities.Learning health systems · 2018Article
- Human Microbiome and Learning Healthcare Systems: Integrating Research and Precision Medicine for Inflammatory Bowel Disease.Omics : a journal of integrative biology · 2018Review
- How to Improve Integrated Care for People with Chronic Conditions: Key Findings from EU FP-7 Project INTEGRATE and Beyond.International journal of integrated care · 2017Article
Corrections and comments
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Authors and funding
8 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionHealthcare leaders need operational strategies that support organizational learning for continued improvement and value generation. The learning health system (LHS) model may provide leaders with such strategies; however, little is known about leaders' perspectives on the value and application of system-wide operationalization of the LHS model. The objective of this project was to solicit and analyze senior health system leaders' perspectives on the LHS and learning activities in an integrated delivery system.
methodsA series of interviews were conducted with 41 system leaders from a broad range of clinical and administrative areas across an integrated delivery system. Leaders' responses were categorized into themes.
findingsTen major themes emerged from our conversations with leaders. While leaders generally expressed support for the concept of the LHS and enhanced system-wide learning, their concerns and suggestions for operationalization where strongly aligned with their functional area and strategic goals. DISCUSSION: Our findings suggests that leaders tend to adopt a very pragmatic approach to learning. Leaders expressed a dichotomy between the operational imperative to execute operational objectives efficiently and the need for rigorous evaluation. Alignment of learning activities with system-wide strategic and operational priorities is important to gain leadership support and resources. Practical approaches to addressing opportunities and challenges identified in the themes are discussed.
conclusionContinuous learning is an ongoing, multi-disciplinary function of a health care delivery system. Findings from this and other research may be used to inform and prioritize system-wide learning objectives and strategies which support reliable, high value care delivery.
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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.