Learning Health System in Crisis: Lessons From the COVID-19 Pandemic

Autor: Dorothy Hung, Sylvia Sudat, Dominick L. Frosch, Alice R. Pressman, Kristen M.J. Azar, Robert J. Romanelli
Rok vydání: 2021
Předmět:
medicine.medical_specialty
Organizing principle
Disease
030204 cardiovascular system & hematology
Article
US
United States

03 medical and health sciences
0302 clinical medicine
Clinical Research
LHN
Learning Health Network

Pandemic
Medicine
COVID
Coronavirus Disease

EHR
Electronic Health Record

IOM
Institute of Medicine

030212 general & internal medicine
lcsh:R5-920
Government
LHS
Learning Health System

business.industry
Public health
General Medicine
Health Services
Public relations
Investment (macroeconomics)
LHCC
Learning Health Care Community

Call to action
CMS
Centers for Medicare & Medicaid Services

Good Health and Well Being
HITECH
Health Information Technology for Economic and Clinical Health

Generic health relevance
SARS-CoV2
Severe Acute Respiratory Syndrome Corona Virus 2

Direct experience
lcsh:Medicine (General)
business
Zdroj: Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Vol 5, Iss 1, Pp 171-176 (2021)
Mayo Clinic Proceedings: Innovations, Quality & Outcomes
Mayo Clinic proceedings. Innovations, quality & outcomes, vol 5, iss 1
ISSN: 2542-4548
DOI: 10.1016/j.mayocpiqo.2020.10.004
Popis: The novel coronavirus disease (COVID-19) pandemic is the gravest public-health crisis that the United States has seen in more than a century. Healthcare delivery systems are the focal point for interfacing with COVID-19; however, many were and remain unprepared for this or similar outbreaks. In this paper, we describe the Learning Health System (LHS) as an ideal organizing principle to inform an evidence-based response to public-health emergencies like COVID-19. We further describe barriers and challenges to the realization of the LHS and propose a call to action for a substantial investment in the LHS, with a focus on public health. Specifically, we advocate for a Learning Health Network that promotes collaboration between health systems, community-based organizations, and government agencies, especially during public health emergencies. We have approached this commentary through the unique lens of researchers embedded within a large, integrated healthcare delivery system, with direct experience working with clinical and operational units in response to the COVID-19 pandemic.
Databáze: OpenAIRE