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. 2023 Jul 11;8(1):e10380.
doi: 10.1002/lrh2.10380. eCollection 2024 Jan.

Learning health system benefits: Development and initial validation of a framework

Lisa C Welch  1 , Sarah K Brewer  1 , Titus Schleyer  2   3 , Denise Daudelin  1 , Rechelle Paranal  4 , Joe D Hunt  3 , Ann M Dozier  5 , Anna Perry  6 , Alyssa B Cabrera  1 , Cheryl L Gatto  7
Affiliations

Learning health system benefits: Development and initial validation of a framework

Lisa C Welch et al. Learn Health Syst. .

Abstract

Introduction: Implementation of research findings in clinical practice often is not realized or only partially achieved, and if so, with a significant delay. Learning health systems (LHSs) hold promise to overcome this problem by embedding clinical research and evidence-based best practices into care delivery, enabling innovation and continuous improvement. Implementing an LHS is a complex process that requires participation and resources of a wide range of stakeholders, including healthcare leaders, clinical providers, patients and families, payers, and researchers. Engaging these stakeholders requires communicating clear, tangible value propositions. Existing models identify broad categories of benefits but do not explicate the full range of benefits or ways they can manifest in different organizations.

Methods: To develop such a framework, a working group with representatives from six Clinical and Translational Science Award (CTSA) hubs reviewed existing literature on LHS characteristics, models, and goals; solicited expert input; and applied the framework to their local LHS experiences.

Results: The Framework of LHS Benefits includes six categories of benefits (quality, safety, equity, patient satisfaction, reputation, and value) relevant for a range of stakeholders and defines key concepts within each benefit. Applying the framework to five LHS case examples indicated preliminary face validity across varied LHS approaches and revealed three dimensions in which the framework is relevant: defining goals of individual LHS projects, facilitating collaboration based on shared values, and establishing guiding tenets of an LHS program or mission.

Conclusion: The framework can be used to communicate the value of an LHS to different stakeholders across varied contexts and purposes, and to identify future organizational priorities. Further validation will contribute to the framework's evolution and support its potential to inform the development of tools to evaluate LHS impact.

Keywords: framework; learning health system benefits; learning healthcare system; stakeholder engagement; value proposition.

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Conflict of interest statement

The authors declare no conflicts of interest.

Figures

FIGURE 1
FIGURE 1
Framework of Learning Health System Benefits.
See this image and copyright information in PMC

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