learning health system briefing
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Learning Health System Briefing
Chuck FriedmanJosh Rubin
AMIA SymposiumNovember 17, 2015
DisclosureJosh and I are wearing two hats tonight:
1) University of Michigan2) Learning Health Community
We will try to be a clear as possible as to when we are wearing each one.
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Not a “Pep Rally” This Year
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Today’s Briefing
• The LHS Challenge• The Role of Community in Realizing
an LHS• A Science of Cyber-Social Learning
Systems• The New Journal: “Learning Health
Systems”
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Properties of a Health System That Can Learn
Every consenting patient’s characteristics and experience are available to learn from
Best practice knowledge is immediately available to support decisions
Improvement is rapid and continuous through ongoing study
An infrastructure enables this happen routinely and with economies of scale.
All of this is part of the culture 5
The LHS is Bigger than BD2K:It Must Do This
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AssembleRelevant Data
Take Action to Change Practice
InterpretResults
AnalyzeData
Deliver Tailored Message
A Problem of Interest
Decision to Study
Not This
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AssembleRelevant Data
Take Action to Change Practice
InterpretResults
AnalyzeData
Deliver Tailored Message
A Problem of Interest
Decision to Study
Journals?
LHS Infrastructure A Single Socio-Technical Platform Supports
Multiple Simultaneous Learning CyclesDifferentProblems
Rapid Cycle
Slower Cycle
SUPPORTING PLATFORM
People
ProcessTechnology
Policy
The Learning Health Community
• Evolved from the 2012 LHS Summit• Consensus Core Values Endorsed by
91 Organizations• Two Initiatives:
– Essential Standards to Enable Learning (ESTEL)
– Governance• Vision of a “Second Summit”
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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
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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?
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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
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Bill Stead’s Formulation…
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Next Steps
• The Computing Community Consortium, NSF’s program planning arm for computing, has given us a “soft” green light to plan a series of visioning workshops
• Three workshops addressing cyber-social learning systems applied to health and three other domains
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A New International Journal
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LHS Journal• Editorial office in Ann Arbor• Three Associate Editors
– Brendan Delaney– Jonathan Silverstein– Kevin Sullivan
• 46-member Editorial Board (nine countries)
• Article types– Research reports– Experience reports– Briefs– Commentaries
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