Adapting an Interdisciplinary Learning Health System Framework for Academic Health Centers: A Scoping Review. 2022

Jami L Anderson, and Michael J Mugavero, and Nataliya V Ivankova, and Rebecca A Reamey, and Allyson L Varley, and Shekwonya E Samuel, and Andrea L Cherrington
J.L. Anderson is a predoctoral trainee, Department of Health Services Administration, School of Health Professions, University of Alabama at Birmingham, Birmingham, Alabama.

Learning health systems (LHSs), defined as a systematic process for aligning science, informatics, and clinical practice to integrate providers, researchers, and patients as active participants in an evidence-based care continuum, can provide an ideal environment for academic health centers to rapidly adopt evidence-based guidelines and translate research into practice. However, few LHS frameworks are specifically adapted for academic health centers. The authors wanted to identify the definitions, components, and other features of LHSs to develop an interdisciplinary LHS framework for use within academic health centers. The authors conducted a scoping review of the literature to identify definitions, components, and other features of LHSs that are useful to academic health centers. In January 2021, they searched PubMed, Academic Search Premier, and Scopus databases and identified English-language, peer-reviewed articles pertaining to LHS, LHS frameworks, organization, components, and models. Since the phrase learning health system is relatively new terminology, they conducted a supplemental review with alternative phrases, including embedded research and coordinated or collaborative research network . They used the Knowledge to Action (KTA) Framework to integrate the generation and flow of research into practice. The primary review retrieved 719 articles and the supplemental review retrieved 209; of these, 49 articles were retained to synthesize common definitions, components, and other features of LHS frameworks. Seven structural components of LHSs were identified: organization and collaborations, performance, ethics and security, scientific approaches, data, information technology, and patient outcomes. An adapted interdisciplinary LHS framework was developed that incorporated research and learning engines derived from the KTA and adaptations of common components and other features within the reviewed articles to fit the interests of providers, researchers, and patients within academic health centers. The adapted LHS framework can be used as a dynamic foundation for development and organization of interdisciplinary LHSs within academic health centers.

UI MeSH Term Description Entries
D007858 Learning Relatively permanent change in behavior that is the result of past experience or practice. The concept includes the acquisition of knowledge. Phenomenography
D009938 Organizations Groups of people working together in a structured manner to pursue common goals and objectives. Non-Governmental Organizations,Nongovernmental Organizations,Organizations, Nongovernmental,Non Governmental Organizations,Non-Governmental Organization,Nongovernmental Organization,Organization,Organization, Non-Governmental,Organization, Nongovernmental,Organizations, Non-Governmental
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000080891 Learning Health System A system in which internal data and experience are systematically integrated with external evidence and that knowledge is put into practice. As a result, patients get higher quality, safer, more efficient care, and health care delivery organizations become better places to work. (https://healthit.ahrq.gov/health-care-theme/learning-health-system) Learning Health Community,Learning Healthcare System,Communities, Learning Health,Community, Learning Health,Health Community, Learning,Health System, Learning,Healthcare System, Learning,Healthcare Systems, Learning,Learning Health Communities,Learning Health Systems,Learning Healthcare Systems,System, Learning Health,System, Learning Healthcare,Systems, Learning Healthcare
D058025 Interdisciplinary Studies Programs of study which span the traditional boundaries of academic scholarship. Interdisciplinary Study,Studies, Interdisciplinary,Study, Interdisciplinary
D019359 Knowledge The body of truths or facts accumulated in the course of time, the cumulated sum of information, its volume and nature, in any civilization, period, or country. Epistemology

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