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A roadmap to operationalize and evaluate impact in a learning health system
Claire Allen1, Katie Coleman1, Kayne Mettert1
1Kaiser Permanente Washington Health Research Institute Seattle Washington USA.
Kaiser Permanente Washington developed a Learning Health System (LHS) logic model to guide organizations in establishing and evaluating LHS programs. This model clarifies LHS components and their impact on healthcare practice.
Area of Science:
- Healthcare Management
- Health Services Research
- Translational Science
Background:
- Health systems need guidance on developing and implementing Learning Health System (LHS) programs.
- Kaiser Permanente Washington (KPWA) established an LHS program in 2017.
- A logic model was created to assess the impact of KPWA's LHS program.
Purpose of the Study:
- To create a roadmap for establishing LHS programs.
- To understand the relationships between LHS components in practice.
- To evaluate and enhance LHS program progress.
Main Methods:
- A narrative review of existing LHS models was performed.
- Key LHS model components and measurement strategies were examined.
- The KPWA LHS Logic Model was developed.
Main Results:
- The KPWA LHS Logic Model offers a framework for LHS programs, defining inputs, activities, and outcomes.
- It harmonizes terminology across different LHS models and provides measurable operationalizations.
- The model was refined with insights from its deployment during the COVID-19 pandemic.
Conclusions:
- The KPWA LHS Logic Model serves as a foundational tool for LHS implementation research.
- It provides practical guidance for healthcare organizations building and evaluating LHS initiatives.
- The model is a valuable resource for improving healthcare translation of knowledge into practice.
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