Share these talks and lectures with your colleaguesInvite colleagues
Becoming a learning health system: Designing and implementing a patient-centred clinical intervention
An increasing number of healthcare systems embrace the concept of becoming learning health systems, particularly in response to pressure from payers and patients to provide high-value care. Yet many healthcare systems have little experience with the continuous process of using research findings and data analysis to inform the design of interventions that can be evaluated, modified and redeployed. This paper provides one system’s experience with identifying a target patient population and determining an initial intervention that balances the interests of patients, providers and payers while also addressing numerous organisational barriers that need to be carefully navigated for successful implementation. It includes lessons learned to assist healthcare systems or providers who are interested in initiating the process of becoming learning health systems but are unsure of how to get started.
The full article is available to institutions that have subscribed to the journal
Joel E. Segel PhD, is an Assistant Professor of Health Policy and Administration at the College of Health and Human Development, The Pennsylvania State University and a member of the Penn State Cancer Institute. His research focuses on identifying and evaluating opportunities for value in the healthcare system with a particular focus on chronic disease prevention and care. He has been involved with a number of health-related programmes and policy evaluations for both healthcare providers and government agencies. He holds a bachelor’s degree in economics from the University of North Carolina at Chapel Hill and a doctorate in health services organisation and policy from the University of Michigan.
Selena E. Ortiz PhD, MPH, is an Assistant Professor in the Department of Health Policy and Administration at The Pennsylvania State University. Her research examines the determinants of population health and public policy formation, including problem recognition, formulation of policy proposals, and politics. Her topics of interest include the social determinants of health and chronic disease. Prior to her appointment at Penn State, she was a Robert Wood Johnson Foundation Health and Society Scholar at the Harvard Center for Population and Development Studies and a non-resident fellow at the ASH Center for Democracy at the Harvard Kennedy School of Government. She earned a bachelor’s degree in sociology from UC Berkeley, a master’s in public health from the University of Arizona and a doctorate in health policy and health services from UCLA.
Bethany W. Shaw MHA, is a research analyst at the Center for Health Care and Policy Research, The Pennsylvania State University. She provides analytical and project management support to multiple projects, including those focused on health systems and the social determinants of health. She is a member of the centre’s qualitative data and dissemination teams. She has participated in the evaluation of a national healthcare quality improvement initiative, specialising in healthcare transparency and payment reform. Additional areas of study include information technology and employee health and wellness.
Mark B. Stephens MD, MS, FAAFP, is Professor of Family and Community Medicine at The Pennsylvania State University College of Medicine. Prior to joining the faculty at Penn State, he was Professor and Chair of the Department of Family Medicine at the Uniformed Services University of the Health Sciences (USUHS), Bethesda, MD. He received his medical degree at Case Western Reserve University, Cleveland, Ohio, and completed his residency in family medicine at the Puget Sound Family Medicine Residency Program, Naval Hospital, in Bremerton, Washington. He has a certificate of added qualification in adolescent medicine. His professional interests include physician wellness, exercise medicine, professional identity formation and learning theory in medical education.
Dennis P. Scanlon PhD, is Distinguished Professor of Health Policy and Administration and Director of the Center for Health Care and Policy Research at the College of Health and Human Development, The Pennsylvania State University. His research focuses on understanding the role of measurement, incentives, quality improvement and individual and organisational behaviour change for improving important healthcare outcomes, including clinical quality, patient experience and economic efficiency. He has published over 100 articles, book chapters and reports. He is a frequent speaker to academic, policy and practice audiences. He holds a bachelor’s degree in economics from Villanova University, a master’s degree in economics from the University of Pittsburgh and a doctorate in health services organisation and policy from the University of Michigan.