Foundational Elements
Learning Health System Characteristics
Data utility: data stewarded and used for the common good Digital technology: the engine for continuous improvement Trust fabric: strong, protected, and actively nurtured Leadership: multifocal, networked, and dynamic
Care: starting with the best practice, every time Health information: a reliable, secure, and reusable resource Outcomes and costs: transparent and constantly assessed Knowledge: ongoing, seamless product of services and research
Culture: participatory, team-based, transparent, improving Design and processes: patient-anchored and tested Patients and public: fully and actively engaged Decisions: informed, facilitated, shared, and coordinated
Meaningful Use Requirementsa
Core structured personal data (age, sex, ethnicity) Core list of active problems Core structured clinical data (VS, meds, [labs]) Clinical decision support Care coordination support/interoperability
Outpatient medicines electronically prescribed Automated medication safeguard/econciliation Visit-specific information to patients Automated patient reminders e-Record patient access (copy or patient portal)
Embedded clinical quality measures Security safeguards [Condition-specific data retrieval capacity] [Public health reporting (reportable conditions)] [Advance directives for ages >65]

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