Annals for Hospitalists Inpatient Notes - The Role of Hospitalists in the Creation of Learning Healthcare Systems
Authors: Heather M. Gilmartin, Vincent X. Liu, Robert E. Burke
Journal: Annals of Internal Medicine (2020)

Web Exclusives21 January 2020Annals for Hospitalists Inpatient Notes - The Role of Hospitalists in the Creation of Learning Healthcare SystemsHeather M. Gilmartin, PhD, NP, Vincent X. Liu, MD, MSc, and Robert E. Burke, MD, MSHeather M. Gilmartin, PhD, NPVA Eastern Colorado Healthcare System, Aurora, Colorado (H.M.G.)Search for more papers by this author, Vincent X. Liu, MD, MScKaiser Permanente Division of Research, Oakland, California (V.X.L.)Search for more papers by this author, and Robert E. Burke, MD, MSCorporal Crescenz VA Medical Center, Philadelphia, Pennsylvania (R.E.B.)Search for more papers by this authorAuthor, Article, and Disclosure Informationhttps://doi.org/10.7326/M19-3873 SectionsAboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissions ShareFacebookTwitterLinkedInRedditEmail What is a Learning Healthcare System (LHS), and how does it apply to hospital medicine? An LHS is defined by the Institute of Medicine as a “system in which science, informatics, incentives, and culture are aligned for continuous improvement and innovation, with best practices seamlessly embedded in the delivery process and new knowledge captured as an integral byproduct of the delivery experience” (1).LHSs comprise several elements. The first is an infrastructure for capturing data from every patient encounter, most commonly from electronic medical records (EMRs). A second element is the use of sophisticated analytic tools to process clinical data, ...References1. Mullins CD, Wingate LT, Edwards HA, et al. Transitioning from learning healthcare systems to learning health care communities. J Comp Eff Res. 2018;7:603-14. [PMID: 29478331] doi:10.2217/cer-2017-0105 CrossrefMedlineGoogle Scholar2. Greene SM, Reid RJ, Larson EB. Implementing the learning health system: from concept to action. Ann Intern Med. 2012;157:207-10. [PMID: 22868839]. doi:10.7326/0003-4819-157-3-201208070-00012 LinkGoogle Scholar3. Liu VX, Morehouse JW, Baker JM, et al. Data that drive: Closing the loop in the learning hospital system. J Hosp Med. 2016;11 Suppl 1:S11-7. [PMID: 27805797] doi:10.1002/jhm.2651 CrossrefMedlineGoogle Scholar4. Olsen L, Aisner D, McGinnis JM. Institute of Medicine (US). Roundtable on Evidence-Based Medicine. The learning healthcare system. workshop summary. Washington: National Academies Pr; 2007. Google Scholar Author, Article, and Disclosure InformationAffiliations: VA Eastern Colorado Healthcare System, Aurora, Colorado (H.M.G.)Kaiser Permanente Division of Research, Oakland, California (V.X.L.)Corporal Crescenz VA Medical Center, Philadelphia, Pennsylvania (R.E.B.)Disclaimer: The contents of this manuscript do not represent the views of the Department of Veterans Affairs or the U.S. government.Financial Support: Drs. Gilmartin and Burke are supported by VHA Career Development Awards from the U.S. Department of Veterans Affairs.Disclosures: Dr. Liu reports grants from the National Institutes of Health during the conduct of the study. Authors not named here have disclosed no conflicts of interest. Forms can be viewed at www.acponline.org/authors/icmje/ConflictOfInterestForms.do?msNum=M19-3873.Corresponding Author: Heather M. Gilmartin, PhD, NP, VA Eastern Colorado Healthcare System, 1700 North Wheeling Street, Aurora, CO 80045; e-mail, Heather.[email protected]gov.Current Author Addresses: Dr. Gilmartin: VA Eastern Colorado Healthcare System, 1700 North Wheeling Street, Aurora, CO 80045.Dr. Liu: Kaiser Permanente Division of Research, Oakland, CA 94612.Dr. Burke: Center for Health Equity Research and Promotion, Corporal Crescenz VA Medical Center, Philadelphia, PA 19104. PreviousarticleNextarticle Advertisement FiguresReferencesRelatedDetailsSee AlsoAnnals for Hospitalists - 21 January 2020 David H. Wesorick and Vineet Chopra Metrics Cited byClarifying the concept of a learning health system for healthcare delivery organizations: Implications from a qualitative analysis of the scientific literatureRates and Characteristics of Medical Malpractice Claims Against Hospitalists 21 January 2020Volume 172, Issue 2Page: HO2-HO3KeywordsHealth careHealth informaticsHospitalistsInpatientsMotivationSepsisShockTriageVeteran careVision ePublished: 21 January 2020 Issue Published: 21 January 2020 Copyright & PermissionsCopyright © 2020 by American College of Physicians. All Rights Reserved.PDF downloadLoading ...