How the VA is training the Next-Generation workforce for learning health systems

Area of Science:

• Health Services Research
• Informatics
• Implementation Science

Background:

• The U.S. Department of Veterans Affairs (VA) is a leader in Learning Health System (LHS) implementation.
• VA's unique mission integrates research, education, clinical care, and emergency preparedness.

Purpose of the Study:

• To describe the VA's current LHS training ecosystem.
• To identify lessons learned for sustaining this ecosystem.

Main Methods:

• The VA LHS training ecosystem is structured around the Learning Loop and the Health Services Research and Development (HSR&D) Quality Enhancement Research Initiative (QUERI) Roadmap.
• Key components include the Office of Academic Affiliations (OAA), Office of Research and Development (ORD), HSR&D, and the Innovation Ecosystem (IE).

Main Results:

• VA offers diverse LHS educational programs: data-to-knowledge (fellowships), knowledge-to-performance (Learning Hubs, Diffusion of Excellence), and performance-to-data (entrepreneur programs).
• Training is supported by integrated research and clinical operations investments.
• Lessons learned include aligning research funding with operational priorities, recruiting/retaining diverse scientists, sustaining data infrastructure, and ensuring sustainable funding.

Conclusions:

• There's a critical need to expand LHS training due to evolving healthcare demands, health disparities, and technological advancements.
• VA's LHS training ecosystem fosters an LHS-savvy workforce by aligning research and clinical goals, providing foundational support, and engaging stakeholders.