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Evaluation Methods, Indicators, and Outcomes in Learning Health Systems: Protocol for a Jurisdictional Scan
Shelley Vanderhout1,2, Marissa Bird1,2, Antonia Giannarakos3
1Institute for Better Health, Trillium Health Partners, Mississauga, ON, Canada.
This study identifies international learning health systems (LHSs) and their evaluation methods. It aims to establish consistent metrics for LHS growth, maturity, and success, improving alignment with health system goals.
Area of Science:
- Health Services Research
- Health Informatics
- Healthcare Management
Background:
- Learning Health Systems (LHSs) integrate real-time evidence, informatics, and partnerships to improve care through learning cycles.
- Current evaluation methods, benchmarks, and indicators for LHSs are inconsistently described.
- A need exists to identify LHS evaluation methods, conceptualize growth and maturity, and determine system-level evaluation tools.
Purpose of the Study:
- Identify international Learning Health Systems (LHSs) and their evaluation approaches, frameworks, indicators, and outcomes.
- Describe common characteristics, emphases, assumptions, and challenges in establishing counterfactuals within LHS evaluations.
- Characterize the current landscape of LHS evaluation and inform the development of consistent metrics.
Main Methods:
- A modified PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) jurisdictional scan was employed.
- Searches included peer-reviewed and gray literature across multiple databases and the web.
- Included LHSs met at least 4 of 11 prespecified criteria for a comprehensive evaluation.
Main Results:
- Searches yielded 3503 citations; 117 articles underwent full-text screening, with 49 currently under analysis.
- Detailed results regarding evaluation approaches, frameworks, indicators, and outcomes are pending.
- Expected results will provide a descriptive review of LHS evaluation methods at learning cycle and system levels.
Conclusions:
- This research will characterize the current landscape of LHS evaluation approaches.
- It will provide a foundation for developing consistent and scalable metrics for LHS growth, maturity, and success.
- The study aims to identify opportunities to align current evaluation metrics with population health needs and strategic health system aims.
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