Learning Health System Briefing
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1) The document discusses a briefing on learning health systems presented at an AMIA symposium. 2) It outlines the challenges of realizing a learning health system that can continuously learn from all patient data and experiences to rapidly improve practices. 3) The briefing describes efforts by the Learning Health Community coalition of 91 organizations to develop standards and governance to enable learning health systems, and proposes that realizing these systems may require a new field of "cyber-social learning systems."
Learning Health System Briefing
- 1. Learning Health System Briefing Chuck Friedman Josh Rubin AMIA Symposium November 17, 2015
- 2. Disclosure Josh and I are wearing two hats tonight: 1) University of Michigan 2) Learning Health Community We will try to be a clear as possible as to when we are wearing each one. 2
- 3. Not a âPep Rallyâ This Year 3
- 4. Todayâs Briefing ⢠The LHS Challenge ⢠The Role of Community in Realizing an LHS ⢠A Science of Cyber-Social Learning Systems ⢠The New Journal: âLearning Health Systemsâ 4
- 5. Properties of a Health System That Can Learn ďźEvery consenting patientâs characteristics and experience are available to learn from ďźBest practice knowledge is immediately available to support decisions ďźImprovement is rapid and continuous through ongoing study ďźAn infrastructure enables this happen routinely and with economies of scale. ďźAll of this is part of the culture 5
- 6. The LHS is Bigger than BD2K: It Must Do This 6 Assemble Relevant Data Take Action to Change Practice Interpret Results Analyze Data Deliver Tailored Message A Problem of Interest Decision to Study
- 7. Not This 7 Assemble Relevant Data Take Action to Change Practice Interpret Results Analyze Data Deliver Tailored Message A Problem of Interest Decision to Study Journals?
- 8. LHS Infrastructure A Single Socio-Technical Platform Supports Multiple Simultaneous Learning Cycles Different Problems Rapid Cycle Slower Cycle SUPPORTING PLATFORM People ProcessTechnology Policy
- 9. The Learning Health Community ⢠Evolved from the 2012 LHS Summit ⢠Consensus Core Values Endorsed by 91 Organizations ⢠Two Initiatives: â Essential Standards to Enable Learning (ESTEL) â Governance ⢠Vision of a âSecond Summitâ 9
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- 11. New Science? ⢠National workshop explored the research challenges inherent in realizing a high functioning LHS ⢠April, 2013: 45 invited attendees ⢠At the end, it was suggested that these challenges may equate to a new science 11
- 12. Cyber-Social Learning Systems As formulated by Kevin Sullivan: ⢠Ability to gather, integrate, and analyze information at scale to produce new insights, and use such insights to continuously improve complex socio- technical system structure, function, and performance to meet demanding and evolving requirements ⢠Is this the future of informatics? 12
- 13. Features of Cyber-Social Learning Systems ⢠People, institutions, legal frameworks, etc. are parts of computational architecture ⢠At ecosystem scales, traditional engineering methods are no longer adequate ⢠Systems must be self-aware, continuously evolving, and self-governing 13
- 15. Next Steps ⢠The Computing Community Consortium, NSFâs program planning arm for computing, has given us a âsoftâ green light to plan a series of visioning workshops ⢠Three workshops addressing cyber- social learning systems applied to health and three other domains 15
- 16. A New International Journal 16
- 17. LHS Journal ⢠Editorial office in Ann Arbor ⢠Three Associate Editors â Brendan Delaney â Jonathan Silverstein â Kevin Sullivan ⢠46-member Editorial Board (nine countries) ⢠Article types â Research reports â Experience reports â Briefs â Commentaries 17