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Identifying requisite learning health system competencies: a scoping review.
Paige L McDonald1, Jessica Phillips2, Kenneth Harwood3
1Department of Clinical Research and Leadership, The George Washington University, Washington, District of Columbia, USA paigem@gwu.edu.
This scoping review identifies essential individual and system competencies for operationalizing learning health systems (LHS). Key findings highlight the need for data integration, technological skills, and a supportive culture to enhance healthcare quality through continuous learning.
Area of Science:
- Healthcare Management
- Health Services Research
- Quality Improvement
Background:
- Learning health systems (LHS) aim to bridge the gap between healthcare knowledge and practice.
- Multiple frameworks exist for LHS, but a clear understanding of requisite competencies is needed.
- Operationalizing LHS requires defining individual and system-level capacities.
Purpose of the Study:
- To identify and describe individual competencies (knowledge, skills, attitudes) and system competencies (capacities, characteristics, capabilities) for LHS.
- To map these competencies based on existing literature.
- To provide a foundation for developing and evaluating LHS.
Main Methods:
- A scoping review methodology was employed.
- Descriptive and thematic analysis of 89 included articles.
- Systematic literature search and consensus-based theme development.
Main Results:
- Competencies were identified at individual/patient, health system worker, and system levels.
- Individual competencies include information sharing and technological interaction.
- Health system worker competencies encompass evidence-based practice, leadership, teamwork, data science, and self-reflection.
- System-level competencies focus on data infrastructure, standardization, data-workflow integration, and a learning culture.
Conclusions:
- Identified competencies provide a basis for LHS development and evaluation.
- International collaboration is crucial for advancing the LHS knowledge base.
- Further research can refine understanding and implementation of LHS.
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