Panel: Becoming a Learning Health System
Moderator: Dr. Tim Pletcher, DHA, Executive Director, MiHIN
Discover the history and vision for a true learning health system in Michigan and nationwide. In this session speakers will discuss the potential for applying a statewide knowledge grid, leveraging existing infrastructure elements to develop a learning health system, and what it will take to accomplish this effort.
History and Vision of the Learning Health System – Dr. Charles P. Friedman, Chair, Department of Learning Health Sciences, University of Michigan
A Statewide Health Knowledge Grid – Allen Flynn, Pharm.D, Research Analyst, Department of Learning Health Sciences, University of Michigan
What Will It Take to Make It Work? – Dr. Jodyn Platt, Assistant Professor, Department of Learning Health Sciences, University of Michigan
History and Vision of the Learning Health System – Dr. Charles P. Friedman
Health System – at any level of scale – becomes a learning health system when they can, continuously and routinely, study and improve themselves.
A Learning Health System is essential to reducing the Health share of GDP.
Properties of a Learning Health System
- Every consenting patient’s characteristics are available to learn from
- Best practice knowledge is immediately available to support decisions
- Improvement is continuous
- Infrastructure enables this to happen routinely and at scale
- All of this is part of the culture.
Virtuous cycle of improvement.
A Statewide Health Knowledge Grid – Allen Flynn
Collect data
Assemble data
Analyze data
Interpret results
Nothing learned – restart cycle change/add to what is collected
Translate new knowledge
Disseminate new knowledge
Change Practices based on new knowledge
How to support the knowledge action process
Create a Digital Library of Learning
Creating a digital memory.
Create a “Grid” of Learning Libraries.
Tim Pletcher – ADT as a basis for Learning
ADTs can be used as an example of how to build a Learning Health System
What Will It Take to Make It Work? – Dr. Jodyn Platt
- Collect
- Store
- Use
- Business models
- Share
One Time Consent is important but unsuited to the challenge.
Trust is a critical component.
Can I trust that you will do the right thing with my information?
CanI trust that you will inform me if there is a problem?
How do we make trust visible and measurable.
The Power of trust lies in dynamic connections.
Editor Note: As I listen to Dr. Jodyn Platt I am thinking that we should move from the concept of “Consent Directive” to “Trust Contract”
Trust is powered by Connection.
Map community Power Structures. Enabling outreach:
- Community
- Health Systems
- People
- Structures
Leverage the power of networks (including social networks). Reach people where they are.
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