Jove
Visualize
Contact Us
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Related Concept Videos

Integrated Healthcare System01:20

Integrated Healthcare System

2.0K
An integrated healthcare system (IHS) is a set of organizations that provides for or arranges to provide coordinated and continuous service to a defined population. The IHS takes responsibility for that particular population's health status and outcome, both clinically and fiscally. An integrated healthcare system is a well-organized, well-coordinated, and collaborative network. The integrated delivery system is a network that connects different healthcare providers to deliver organized,...
2.0K
Health Information Technology and Healthcare Information System01:30

Health Information Technology and Healthcare Information System

1.0K
Health Information Technology (HIT)
Health Information Technology, commonly called HIT, integrates advanced information systems and technology in healthcare settings. Its primary functions include:
1.0K
Nursing Clinical Information System01:27

Nursing Clinical Information System

957
Nursing Clinical Information System (NCIS)
A Nursing Clinical Information System (NCIS) is a specialized type of healthcare information system tailored to meet the unique needs of nursing practice. It incorporates the principles of nursing informatics to streamline information management and improve the quality of care delivery.
Critical attributes of NCIS include:
957
Issues And Trends In Healthcare Delivery System01:29

Issues And Trends In Healthcare Delivery System

5.9K
The issues and trends in healthcare delivery are constantly changing. The COVID-19 pandemic is one recent issue that wreaked havoc on healthcare systems, causing a shortage of healthcare workers, high demand for medicines and supplies, and increased medical expenditure due to a lack of insurance. Other issues include rising healthcare costs and care fragmentation.
Cost Containment
Payment for healthcare services has historically promoted adoption of costly and often unnecessary or inefficient...
5.9K
Introduction To Health Care Delivery System01:18

Introduction To Health Care Delivery System

3.4K
The healthcare system is constantly changing and complex. Various services are available from different healthcare providers, but gaining access to these services has become challenging for people with limited healthcare insurance. Uninsured people present a challenge to healthcare because they frequently postpone or forego treatment.
The Institute of Medicine (IOM) advocates for a patient-centered, effective, safe, timely, equitable, and effective healthcare system. The National Priorities...
3.4K
Secondary Healthcare System01:11

Secondary Healthcare System

1.7K
Secondary healthcare is offered by a specialist, generally in hospitals or clinics for patients referred by primary healthcare providers. It occurs when a person has an illness or injury that requires specific medical care. Secondary care is often referred to as acute care. Secondary care can range from uncomplicated care to repair a minor laceration or treat a strep throat infection to more complicated emergent care, such as treating a head injury sustained in an automobile accident. Whatever...
1.7K

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Agile Innovation to transform healthcare: innovating in complex adaptive systems is an everyday process, not a light bulb event.

BMJ innovations·2026
Same author

The Maturity of Maturity Models in Health Care and Informatics.

AMIA Joint Summits on Translational Science proceedings. AMIA Joint Summits on Translational Science·2026
Same author

Long-Term Glycemic Control and Pharmacotherapy in Type 2 Diabetes Mellitus: A Descriptive Analysis of 10-Year Trends in a Statewide Sample.

Journal of diabetes research·2026
Same author

"We do what needs to be done": caregivers' experiences of healthcare and support for people with multiple long-term conditions in the last year of life.

BMC palliative care·2026
Same author

Two Doses to ICU or When Lactate Equals Glucose: Life-Threatening Lactic Acidosis due to Metformin After Initiation of Semaglutide.

Case reports in critical care·2026
Same author

Informatics Infrastructure for the Learning Health System.

Annual review of biomedical data science·2026

Related Experiment Video

Updated: Oct 28, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

1.4K

The Indiana Learning Health System Initiative: Early experience developing a collaborative, regional learning health

Titus Schleyer1,2, Linda Williams3,4,5, Jonathan Gottlieb6

  • 1Center for Biomedical Informatics Regenstrief Institute, Inc Indianapolis Indiana USA.

Learning Health Systems
|July 19, 2021
PubMed
Summary

Developing multi-institutional learning health systems (LHSs) is challenging but offers benefits. The Indiana Learning Health System Initiative (ILHSI) provides insights into establishing collaborative regional LHSs and overcoming common obstacles for broader population health impact.

Keywords:
biomedical informaticscollaborationhealth information exchangeimplementation sciencelearning health systempatient care

More Related Videos

A Proximal Culture Method to Study Paracrine Signaling Between Cells
08:17

A Proximal Culture Method to Study Paracrine Signaling Between Cells

Published on: August 28, 2018

9.7K
Inter-Brain Synchrony in Open-Ended Collaborative Learning: An fNIRS-Hyperscanning Study
04:44

Inter-Brain Synchrony in Open-Ended Collaborative Learning: An fNIRS-Hyperscanning Study

Published on: July 21, 2021

4.4K

Related Experiment Videos

Last Updated: Oct 28, 2025

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time
06:05

The Participant-Reported Implementation Update and Score PRIUS: A Novel Method for Capturing Implementation-Related Data Over Time

Published on: February 19, 2021

1.4K
A Proximal Culture Method to Study Paracrine Signaling Between Cells
08:17

A Proximal Culture Method to Study Paracrine Signaling Between Cells

Published on: August 28, 2018

9.7K
Inter-Brain Synchrony in Open-Ended Collaborative Learning: An fNIRS-Hyperscanning Study
04:44

Inter-Brain Synchrony in Open-Ended Collaborative Learning: An fNIRS-Hyperscanning Study

Published on: July 21, 2021

4.4K

Area of Science:

  • Healthcare Systems Science
  • Health Services Research
  • Implementation Science

Background:

  • Learning Health Systems (LHSs) are typically single-institution models.
  • The Indiana Learning Health System Initiative (ILHSI) is a novel multi-institutional, regional LHS.
  • ILHSI partners include health systems, academic institutions, and a state health information exchange.

Purpose of the Study:

  • To report experiences and lessons learned from the initial 2-year development and implementation of the ILHSI.
  • To establish partnerships, governance, and technical capabilities for a regional LHS.
  • To conduct pilot projects informing future expansion of the ILHSI.

Main Methods:

  • Established shared governance and technical infrastructure.
  • Conducted literature reviews and regional environmental scans.
  • Convened stakeholders to identify focus areas and select six pilot projects.

Main Results:

  • Successfully established foundational governance, goals, and strategies.
  • Deployed strategies to integrate health system and HIE infrastructure, minimizing information silos.
  • Implemented diverse projects including FHIR-based tools, survey analysis, and clinical decision support models incorporating social determinants of health.
  • Experienced organizational challenges such as leadership changes and varying partner engagement.

Conclusions:

  • Multi-organizational LHSs present unique development challenges but enable cross-system learning for population benefit.
  • Key factors for early success include careful governance decisions, shared goal setting, and strategic project selection.