Operationalizing the learning health care system in an integrated delivery system

Area of Science:

• Health Services Research
• Health Informatics
• Organizational Learning

Background:

• The Learning Health Care System (LHCS) model integrates clinical operations, research, and patient participation for continuous knowledge generation and care improvement.
• Implementing an LHCS within integrated health systems faces challenges, with limited literature on practical operationalization.
• Geisinger Health System (GHS) is developing a system-wide plan to operationalize the LHCS, focusing on enhancing organizational learning.

Purpose of the Study:

• To present a framework for operationalizing continuous learning across an integrated delivery system.
• To share lessons learned during the planning process of implementing a Learning Health Care System.
• To provide a guide for other organizations considering the transition to an LHCS.

Main Methods:

• A framework focusing on nine key LHCS operational components: Data and Analytics; People and Partnerships; Patient and Family Engagement; Ethics and Oversight; Evaluation and Methodology; Funding; Organization; Prioritization; and Deliverables.
• Definitions, key elements, and examples are provided for each component.
• The framework is designed for broad applicability across diverse organizational contexts.

Main Results:

• A realistic assessment of organizational culture, resources, and capabilities is critical for defining the scope of LHCS operationalization.
• Engaging patients in clinical care and research necessitates a robust ethical framework and strong oversight.
• Leadership support is crucial for the successful advancement of the LHCS model.

Conclusions:

• The proposed framework offers a structured approach to operationalizing Learning Health Care Systems.
• Lessons learned from GHS's ongoing work can inform other healthcare organizations.
• Successful LHCS implementation relies on a comprehensive understanding of organizational readiness and stakeholder engagement.