Evidence map›Paper›PMID 39822918›Full record

ArticleLearning health systems2025

Using a participatory approach to identify priorities to advance LHS implementation at an academic medical center.

Reid M Eagleson, Madeline Gibson, Carletta Dobbins, Frederick Van Pelt, Allyson Hall, Larry Hearld, Andrea L Cherrington, Jacob McMahon, Keith Tony Jones, Michael J Mugavero

Abstract read
In one paragraph

Article in Learning health systems, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Reid M EaglesonCenter for Outcomes and Effectiveness Research and Education University of Alabama at Birmingham Birmingham Alabama USA.
Madeline GibsonCenter for Outcomes and Effectiveness Research and Education University of Alabama at Birmingham Birmingham Alabama USA.
Carletta DobbinsDepartment of Clinical Practice Transformation University of Alabama at Birmingham Birmingham Alabama USA.
Frederick Van PeltDepartment of Clinical Practice Transformation University of Alabama at Birmingham Birmingham Alabama USA.
Allyson HallDepartment of Health Services Administration University of Alabama at Birmingham Birmingham Alabama USA.
Larry HearldDepartment of Health Services Administration University of Alabama at Birmingham Birmingham Alabama USA.
Andrea L CherringtonDepartment of Preventive Medicine University of Alabama at Birmingham Birmingham Alabama USA.
Jacob McMahonCollege of Science and Mathematics University of Auburn Auburn Alabama USA.
Keith Tony JonesUniversity of Alabama Health Services Foundation, UAB Medicine, and Clinical Affairs, University of Alabama at Birmingham Birmingham Alabama USA.
Michael J MugaveroCenter for Outcomes and Effectiveness Research and Education University of Alabama at Birmingham Birmingham Alabama USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Like many other academic medical centers, the University of Alabama at Birmingham (UAB) aspires to adopt learning health system (LHS) principles and practices more fully. Applying LHS principles establishes a culture where clinical and operational practices constantly generate questions and leverage information technology (IT) and methodological expertise to facilitate systematic evaluation of care delivery, health outcomes, and the effects of improvement initiatives. Despite the potential benefits, differences in priorities, timelines, and expectations spanning an academic medical center's clinical care, administrative operations, and research arms create barriers to adopting and implementing an LHS. Methods: UAB's Center for Outcomes and Effectiveness Research and Education, in partnership with UAB Medicine's Department of Clinical Practice Transformation, applied part of the Precision Problem Solving methodology to advance the implementation of LHS principles at UAB. Results: Sixty-two stakeholders across the UAB health system and academic schools noted 131 concerns regarding the development of an LHS at UAB. From the 131 items, eight major themes were identified, named, and prioritized through a series of focus groups. Of the eight major themes, "Creating a Structure for Aligned and Informed Prioritization" and "Right Data, Right Time, Improved Performance" ranked in the top three most important themes across all focus groups and became the critical priorities as UAB enhances its LHS. A task force comprised of diverse constituents from across UAB's academic medical center is taking first steps toward addressing these priority areas. Initial funding supports a prototype for enhanced health system data access and pilot projects conducted by researchers embedded in health system teams. Conclusion: We suggest that our experience conducting a deliberate process with broad engagement across both the health system and academic arms of the university may be informative to others seeking to advance LHS principles at academic health centers across a myriad of settings.

Indexed as

academic medical centerlearning health systemlearning health system implementationparticipatory approachprecision problem solving

Identifiers

PMID39822918
PMCPMC11733440

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

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.