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. 2020 Apr 6;4(4):301-306.
doi: 10.1017/cts.2020.35.

OnTrackNY's learning healthcare system

Jennifer L Humensky  1   2 , Iruma Bello  1   2 , Igor Malinovsky  1   2 , Ilana Nossel  1   2 , Sapana Patel  1   2 , Genevra Jones  3 , Leopoldo J Cabassa  4 , Marleen Radigan  5 , Tarek Sobeih  6 , Caroline Tobey  6 , Cale Basaraba  2   7 , Jennifer Scodes  2   7 , Thomas Smith  1   2   5 , Melanie Wall  2   7 , Christa Labouliere  1   2 , Barbara Stanley  1   2 , Lisa B Dixon  1   2
Affiliations

OnTrackNY's learning healthcare system

Jennifer L Humensky et al. J Clin Transl Sci. .

Abstract

Worldwide, early intervention services for young people with recent-onset psychosis have been associated with improvements in outcomes, including reductions in hospitalization, symptoms, and improvements in treatment engagement and work/school participation. States have received federal mental health block grant funding to implement team-based, multi-element, evidence-based early intervention services, now called coordinated specialty care (CSC) in the USA. New York State's CSC program, OnTrackNY, has grown into a 23-site, statewide network, serving over 1800 individuals since its 2013 inception. A state-supported intermediary organization, OnTrackCentral, has overseen the growth of OnTrackNY. OnTrackNY has been committed to quality improvement since its inception. In 2019, OnTrackNY was awarded a regional hub within the National Institute of Mental Health-sponsored Early Psychosis Intervention Network (EPINET). The participation in the national EPINET initiative reframes and expands OnTrackNY's quality improvement activities. The national EPINET initiative aims to develop a learning healthcare system (LHS); OnTrackNY's participation will facilitate the development of infrastructure, including a systematic approach to facilitating stakeholder input and enhancing the data and informatics infrastructure to promote quality improvement. Additionally, this infrastructure will support practice-based research to improve care. The investment of the EPINET network to build regional and national LHSs will accelerate innovations to improve quality of care.

Keywords: First episode psychosis; community-based participatory research; informatics; learning healthcare system; recent-onset psychosis; suicide prevention.

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Conflict of interest statement

The authors have no conflicts of interest to disclose.

Figures

Fig. 1.
Fig. 1.
Conceptual model of OnTrackNY treatment model.
Fig. 2.
Fig. 2.
Data elements in OnTrackNY.
Fig. 3.
Fig. 3.
OnTrackNY LHS model: adapted from Group Health Cooperative (GHC) LHS model and Knowledge to Action (KtA) framework.
See this image and copyright information in PMC

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