ArticleLearning health systems2020
Organizing for collaboration: An actor-oriented architecture in ImproveCareNow.
Article in Learning health systems, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
What it found
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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
29 citing papers in PubMed.
- Improvement science as the engine for the next generation of learning health networks.Frontiers in health services · 2026Article
- Evaluating health organization readiness for implementing a learning health system: a scoping review.Health research policy and systems · 2025Article
- The experience of a learning community to develop a HeartSafe Home intervention to improve survival from out-of-hospital cardiac arrest.Learning health systems · 2025Article
- Learning about learning health systems: Strengthening theory through continuous evaluation and improvement.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
- An agent-based model to advance the science of collaborative learning health systems.PloS one · 2025Article
- Diversity in Combating Complex, Chronic, and Costly Conditions Using a Learning Health System Approach: A Scoping Review.The Permanente journal · 2024Article
- Is it "all in the bag?" Multidisciplinary perspectives on ostomy surgery in pediatric IBD across the ImproveCareNow network.JPGN reports · 2024Article
- Building a regional pediatric asthma learning health system in support of optimal, equitable outcomes.Learning health systems · 2024Article
- Conceptualizing and redefining successful patient engagement in patient advisory councils in learning health networks.Learning health systems · 2024Article
- 21st century (clinical) decision support in nursing and allied healthcare. Developing a learning health system: a reasoned design of a theoretical framework.BMC medical informatics and decision making · 2023Review
- The Cystic Fibrosis Learning Network: A mixed methods evaluation of program goals, attributes, and impact.Learning health systems · 2023Article
- Establishing a Cystic Fibrosis Learning Network: Interventions to promote collaboration and data-driven improvement at scale.Learning health systems · 2023Article
- Article
- Toward an ontology of collaborative learning healthcare systems.Learning health systems · 2022Article
- Cystic fibrosis learning network telehealth innovation lab during the COVID-19 pandemic: a success QI story for interdisciplinary care and agenda setting.BMJ open quality · 2022Article
- Building responsive governance for learning networks.Learning health systems · 2022Article
- The Science of Learning Health Systems: Scoping Review of Empirical Research.JMIR medical informatics · 2022Article
- Collaborative conversations during the time of COVID-19: Building a "meta"-learning community.Learning health systems · 2022Article
- The role of co-production in Learning Health Systems.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2021Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors.
Funding
Abstract
backgroundCollaborative learning health systems (CLHSs) enable patients, clinicians, researchers, and others to collaborate at scale to improve outcomes and generate new knowledge. An organizational framework to facilitate this collaboration is the actor-oriented architecture, composed of (a) actors (people, organizations, and databases) with the values and abilities to self-organize; (b) a commons where they create and share resources; and (c) structures, protocols, and processes that facilitate multiactor collaboration. CLHSs may implement a variety of changes to strengthen the actor-oriented architecture and enable more actors to create and share resources.
objectiveTo describe and measure implementation of elements of the actor-oriented architecture in an existing Collaborative Learning Health System.
methodsWe used the case of ImproveCareNow, a CLHS improving outcomes in pediatric inflammatory bowel disease, founded in 2006. We traced several network-level indicators of actor-oriented architecture between 2010 and 2016.
resultsWe identified measures of actors, the commons, and ways that have made it easier for network member sites to participate. These indicators show ImproveCareNow has made changes in the three elements of the actor-oriented architecture over time.
conclusionIt is possible to measure the implementation of an actor-oriented architecture in a CLHS. The elements of the actor-oriented architecture may provide a conceptual framework for their development and optimization. Metrics such as those described here may be actionable indicators of the "health of the system."
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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.