The University of Alabama at Birmingham COVID-19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemic.

Autor: Anderson JL; Department of Health Services Administration, School of Health Professions University of Alabama at Birmingham Birmingham Alabama USA., Reamey RA; Division of Infectious Diseases, School of Medicine University of Alabama at Birmingham Birmingham Alabama USA., Levitan EB; Department of Epidemiology, School of Public Health University of Alabama at Birmingham Birmingham Alabama USA., M Asif I; Department of Family and Community Medicine, School of Medicine University of Alabama at Birmingham Birmingham Alabama USA., S Aswani M; Department of Health Services Administration, School of Health Professions University of Alabama at Birmingham Birmingham Alabama USA., Fletcher FE; Center for Medical Ethics and Health Policy College of Medicine, Baylor University Houston Texas USA., G Hall A; Department of Health Services Administration, School of Health Professions University of Alabama at Birmingham Birmingham Alabama USA., Kennedy KC; Department of Hospital Medicine, School of Medicine University of Alabama at Birmingham Birmingham Alabama USA., Long D; Department of Biostatistics, School of Public Health University of Alabama at Birmingham Birmingham Alabama USA., Redden D; Department of Biostatistics, School of Public Health University of Alabama at Birmingham Birmingham Alabama USA., Tunagur A; Division of Infectious Diseases, School of Medicine University of Alabama at Birmingham Birmingham Alabama USA., Wasko M; Department of Management, Information Systems, and Quantitative Methods, Collat School of Business University of Alabama at Birmingham Birmingham Alabama USA., Willig J; Division of Infectious Diseases, School of Medicine University of Alabama at Birmingham Birmingham Alabama USA., Wyatt M; Informatics Institute, School of Medicine University of Alabama at Birmingham Birmingham Alabama USA., Mugavero MJ; Division of Infectious Diseases, School of Medicine University of Alabama at Birmingham Birmingham Alabama USA.
Jazyk: angličtina
Zdroj: Learning health systems [Learn Health Syst] 2021 Oct 22; Vol. 6 (2), pp. e10292. Date of Electronic Publication: 2021 Oct 22 (Print Publication: 2022).
DOI: 10.1002/lrh2.10292
Abstrakt: Introduction: As a local response to the COVID-19 global pandemic, the University of Alabama at Birmingham (UAB) established the UAB COVID-19 Collaborative Outcomes Research Enterprise (CORE), an institutional learning health system (LHS) to achieve an integrated health services outcomes and research response.
Methods: We developed a network of expertise and capabilities to rapidly develop and deploy an institutional-level interdisciplinary LHS. Based upon a scoping review of the literature and the Knowledge to Action Framework, we adopted a LHS framework identifying contributors and components necessary to developing a system within and between the university academic and medical centers. We used social network analysis to examine the emergence of informal work patterns and diversified network capabilities based on the LHS framework.
Results: This experience report details three principal characteristics of the UAB COVID-19 CORE LHS development: (a) identifying network contributors and components; (b) building the institutional network; and (c) diversifying network capabilities. Contributors and committees were identified from seven components of LHS: (a) collaborative and executive leadership committee, (b) research coordinating committee, (c) oversight and ethics committee, (d) thematic scientific working groups, (e) programmatic working groups, (f) informatics capabilities, and (g) patient advisory groups. Evolving from the topical interests of the initial CORE participants, scientific working groups emerged to support the learning system network. Programmatic working groups were charged with developing a comprehensive and mutually accessible COVID-19 database.
Discussion: Our LHS framework allowed for effective integration of multiple academic and medical centers into a cohesive institutional-level learning system. Network analysis indicated diversity of institutional disciplines, professional rank, and topical focus pertaining to COVID-19, with each center leveraging existing institutional responsibilities to minimize gaps in network capabilities.
Conclusion: Incorporating an adapted LHS framework designed for academic medical centers served as a foundational resource supporting further institutional-level efforts to develop agile and responsive learning networks.
Competing Interests: The authors declare no conflicts of interest.
(© 2021 The Authors. Learning Health Systems published by Wiley Periodicals LLC on behalf of University of Michigan.)
Databáze: MEDLINE
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