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. 2020 Jan 30;4(3):e10215.
doi: 10.1002/lrh2.10215. eCollection 2020 Jul.

Building, scaling, and sustaining a learning health system for surgical quality improvement: A toolkit

Greta L Krapohl  1   2 , Mark R Hemmila  2 , Samantha Hendren  2 , Kathy Bishop  1 , Rhonda Rogers  1 , Cheryl Rocker  1 , Laurie Fasbinder  1 , Michael J Englesbe  1   2 , Joceline V Vu  2 , Darrell A Campbell Jr  1   2
Affiliations

Building, scaling, and sustaining a learning health system for surgical quality improvement: A toolkit

Greta L Krapohl et al. Learn Health Syst. .

Abstract

This article describes how to start, replicate, scale, and sustain a learning health system for quality improvement, based on the experience of the Michigan Surgical Quality Collaborative (MSQC). The key components to operationalize a successful collaborative improvement infrastructure and the features of a learning health system are explained. This information is designed to guide others who desire to implement quality improvement interventions across a regional network of hospitals using a collaborative approach. A toolkit is provided (under Supporting Information) with practical information for implementation.

Keywords: Learning Health System; collaborative improvement; quality improvement; surgical improvement; toolkit.

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Conflict of interest statement

Dr Krapohl and Dr Campbell received financial support from the Department of Learning Health Sciences, University of Michigan during the time when this manuscript was being written. All authors, except Samantha Hendren MD, MPH, FACS and Joceline V. Vu MD, received salary support from Blue Cross Blue Shield of Michigan (BCBSM) Value Partnerships program.

Figures

Figure 1
Figure 1
Michigan surgical quality collaborative learning health system model
Figure 2
Figure 2
Patient‐reported outcomes for opioid consumption, satisfaction, and pain
Figure 3
Figure 3
Michigan surgical quality collaborative learning health system model: opioid prescribing
Figure 4
Figure 4
Example of prototype MSQC opioid dashboard (A) and data collection platform (B)
See this image and copyright information in PMC

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