Data Integration in Learning Health Care Systems for Traumatic Brain Injury Proceedings of a Workshop (2024) / Chapter Skim
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3 The Learning Health System
3 The Learning Health System
Pages 19-26
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From page 19... ...
concept and efforts to shift health systems toward such a model. Odette Harris, professor of neurosurgery at Stanford University and deputy chief of staff for rehabilitation at the Veterans Affairs Palo Alto Health Care System, moderated the session.
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. Given the $4 trillion spent annually on health care in the United States, the resources and the technology required to develop systems that learn and advance from every patient experience are available, he said, provided the will to dedicate resources to this endeavor is mustered.
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The transformation targets across collaboratives include digital infrastructure, health and social data, effectiveness research, technical innovation, financial incentives, person and family engagement, community activation, and the decision culture. In exploring these various elements, the collaboratives produced over 30 publications in the Learning Health System series.2 Each action collaborative established goals within four strategic action domains: digital, evidence, economics, and sociocultural: • Digital strategic action goals focus on developing a virtual health data trust in which data are interoperable, accessible, and protected.
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Given the fragmented nature of the U.S. health care system, the establishment of common commitments provides reference points for organizations working to improve the ways in which they engage with patients, he stated.
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Evidence mobilization: • Engaged: Mobilization occurs when individuals, circumstances, and per sonal goals shape health and health care. • Safe: Safety is fostered by health services and research that contain safeguards against unintended harm.
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DISCUSSION Principle Prioritization Kathy Lee, senior health policy analyst at the Office of the Deputy Assistant Secretary of Defense for Health Readiness Policy and Oversight, asked about core principles to prioritize during the initial stages of creating a learning health care system. McGinnis replied that the core principles can serve as a checklist for health organizations to use in reviewing their performance within each dimension.
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Such a system should operate with a governance structure that generates transparency regarding the results of interventions and common approaches to health care delivery, he said, and an inherent challenge in this process is the need to narrow down measurement strategies to a relatively small number. For instance, IOM issued a report that examined 2,000 measures required by Medicare, Medicaid, and other insurance systems, then identified key clusters among those measures and described how AI and machine learning could be used to ease data collection and assessment (IOM, 2015)
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health care system spends $4 trillion annually, and a quarter of this expense is waste (CMS, 2023; Shrank et al., 2019)
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