ArticleLearning health systems2021
A roadmap to operationalize and evaluate impact in a learning health system.
Article in Learning health systems, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 54 papers, 2 of them syntheses that pooled it.
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
54 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Learning health system for implementation, scale-up, and sustainment: a systematic review to consolidate guidance for improvement.Implementation science : IS · 2026Pooled it
- Implementation strategies and outcome measures for advancing learning health systems: a mixed methods systematic review.Health research policy and systems · 2023Pooled it
- Operationalizing Patient Experience Data as a System Feedback Asset in Learning Health Systems: Learnings From Model of Care Redesign at Trillium Health Partners.Learning health systems · 2026Article
- Leading Learning Health Systems: Strategies Used to Establish and Conduct a Learning Health System.Journal of general internal medicine · 2026Article
- Harnessing Potential: A Systematic Investigation of How and Why Learning Happens in a Health System.Learning health systems · 2026Article
- Factors Influencing Physician Adherence to Venous Thromboembolism Risk Assessment Model Recommendations: A Best-Worst Scaling.American journal of cardiovascular drugs : drugs, devices, and other interventions · 2026Article
- Supporting Cultural and Learning Enablers for a Learning Health System (SCALE): A Program Theory Approach.Learning health systems · 2026Article
- A Framework and Method for Measuring the Implementation of Data Science in Critical Care.Critical care explorations · 2026Article
- Evaluating health organization readiness for implementing a learning health system: a scoping review.Health research policy and systems · 2025Article
- Utilization of Lung Cancer Registries in Learning Health Systems for Health Care Improvement.JCO clinical cancer informatics · 2025Review
- Optimizing the community resource specialist to address social needs in primary care: results from a pragmatic quality improvement evaluation.BMC primary care · 2025Article
- Transforming mental health systems: The role of embedded researchers in advancing learning health systems.Learning health systems · 2025Article
- Operationalizing a learning health system: A self-assessment tool for interprofessional teams.Learning health systems · 2025Article
- Charting progress in learning health systems: A systematic review of 5 years of definitions, models, and frameworks.Learning health systems · 2025Article
- Four distinct models of learning health systems: Strength through diversity.Learning health systems · 2025Article
- Developing a codebook to characterize barriers, enablers, and strategies for implementing learning health systems from a multilevel perspective.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
- Creating a collaborative culture of learning within a network of community mental health early psychosis programs in Texas.Schizophrenia research · 2025Article
- Optimizing patient engagement to enhance a learning health system.Frontiers in health services · 2025Article
- Opportunities for the informatics community to advance learning health systems.Journal of the American Medical Informatics Association : JAMIA · 2025Article
Corrections and comments
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Authors and funding
6 authors.
Funding
Abstract
backgroundMany health systems invest in initiatives to accelerate translation of knowledge into practice. However, organizations lack guidance on how to develop and operationalize such Learning Health System (LHS) programs and evaluate their impact. Kaiser Permanente Washington (KPWA) launched our LHS program in June 2017 and developed a logic model as a foundation to evaluate the program's impact.
objectiveTo develop a roadmap for organizations that want to establish an LHS program, understand how LHS core components relate to one another when operationalized in practice, and evaluate and improve their progress.
methodsWe conducted a narrative review on LHS models, key model components, and measurement approaches.
resultsThe KPWA LHS Logic Model provides a broad set of constructs relevant to LHS programs, depicts their relationship to LHS operations, harmonizes terms across models, and offers measurable operationalizations of each construct to guide other health systems. The model identifies essential LHS inputs, provides transparency into LHS activities, and defines key outcomes to evaluate LHS processes and impact. We provide reflections on the most helpful components of the model and identify areas that need further improvement using illustrative examples from deployment of the LHS model during the COVID-19 pandemic.
conclusionThe KPWA LHS Logic Model is a starting point for future LHS implementation research and a practical guide for healthcare organizations that are building, operationalizing, and evaluating LHS initiatives.
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What OpenQuestion holds
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.