Learning health systems from an academic perspective: establishing a collaboratory within a school of medicine and health sciences

ABSTRACT

Learning Health Systems (LHSs) seek continuous improvement through the translation and integration of internally and externally generated knowledge across stakeholders within and external to the organization, yet current approaches are primarily described from the healthcare delivery perspective, leaving teaching and research responsibilities underexposed. Academic medical centers offer a unique perspective on LHSs because their mission includes teaching, research, and healthcare. This introduces an opportunity to enact, educate, and study processes and outcomes of LHSs within a single system. Little information is available to describe these processes and outcomes, resulting in a knowledge gap regarding the role of education and research in the quality improvement cycles and learning of LHSs. To close this knowledge gap, The George Washington University School of Medicine and Health Sciences initiated the Health Research and Education Collaboratory (GW Collaboratory) in 2017. The GW Collaboratory was established to study mechanisms supporting continuous quality improvement and learning in health systems within an academic medical center. We envision the GW Collaboratory as interconnected knowledge nodes facilitating collaboration among clinicians, patients, researchers, and educators to study the knowledge generation, dissemination, application, and evaluation required for continuous quality improvement and learning. We employ a project-based approach to foster communities of learning focused on exploring specific health problems of interest. We propose the GW Collaboratory as one model by which academic medical centers can contribute to the science of LHS.

KEYWORDS:

• Learning health system
• collaboratory
• research
• education
• knowledge translation

Abbreviations

C-TIPS: Caregiver-centered, Online, Interactive Program; GW: George Washington University; GW SMHS: George Washington University School of Medicine and Health Sciences; LHS: Learning Health System; THS: Translational Health Sciences.

Ethics Approval and Consent to Participate

This paper presents an argument for an academic approach to Learning Health Systems. It does not report research. Ethics approval and consent to participate were not required to create this writing.

Disclosure statement

The authors declare that they have no conflicting interests.

Additional information

Funding

No funding was obtained for this submission.