Masica Andrew L, Velasco Ferdinand, Nelson Tanna L, Medford Richard J, Hughes Amy E, Pandey Ambarish, Peterson Eric D, Lehmann Christoph U
Texas Health Resources Arlington Texas USA.
Division of Infectious Diseases, Department of Internal Medicine University of Texas Southwestern Medical Center Dallas Texas USA.
Learn Health Syst. 2022 Sep 4;6(4):e10332. doi: 10.1002/lrh2.10332. eCollection 2022 Oct.
Texas Health Resources (THR), a large, nonprofit health care system based in the Dallas-Fort Worth area, has collaborated with the University of Texas Southwestern Medical Center (UTSW) to develop and operate a unique, integrated approach for Learning Health System (LHS) workforce development. This training model centers on academic health system faculty members conducting later-stage translational research within a partnering regional care delivery organization.
The THR Clinical Scholars Program engages early career UTSW faculty members to conduct studies that are likely to have an impact on care delivery at the health system level. Interested candidates submit formal applications to the program. A joint committee comprised of senior research faculty from UTSW and THR clinical leadership reviews proposals with a focus on the shared LHS needs of both institutions-developing high quality research output that can be applied to enhance care delivery. A key prioritization criterion for funding is the degree to which the research addresses a question relevant to THR as a high-volume network with multiple channels for consumers to access care. The program emphasis is on supporting embedded research initiatives using health system data to generate knowledge that will improve the quality and efficiency of care for the patient populations served by the participant organizations.
We discuss specific strategic and tactical components of the THR Clinical Scholars Program including an overview of the academic affiliation agreement between the collaborating organizations, criteria for successful program applications, data sharing, and funding. We also share project summaries from selected clinical scholars as examples of the LHS research done in the program to date.
This experience report provides an implementation framework for other academic health systems interested in adopting similar LHS workforce training models with community partners.
德克萨斯健康资源公司(THR)是一家位于达拉斯-沃思堡地区的大型非营利性医疗保健系统,它与德克萨斯大学西南医学中心(UTSW)合作,开发并运营一种独特的、综合的学习型健康系统(LHS)劳动力发展方法。这种培训模式以学术健康系统的教员为中心,他们在合作的区域护理服务组织内开展后期转化研究。
THR临床学者项目吸引UTSW处于职业生涯早期的教员开展可能对医疗系统层面的护理服务产生影响的研究。感兴趣的候选人需向该项目提交正式申请。一个由UTSW的资深研究教员和THR临床领导组成的联合委员会对提案进行评审,重点关注两个机构共同的LHS需求——产出高质量的研究成果以应用于改善护理服务。资金分配的一个关键优先标准是研究解决与THR相关问题的程度,THR是一个拥有多种消费者就医渠道的大规模网络。该项目重点支持利用医疗系统数据生成知识的嵌入式研究计划,这些知识将提高参与组织所服务患者群体的护理质量和效率。
我们讨论了THR临床学者项目的具体战略和战术组成部分,包括合作组织之间学术附属协议的概述、项目成功申请的标准、数据共享和资金情况。我们还分享了部分临床学者的项目总结,作为该项目迄今所开展的LHS研究的示例。
本经验报告为其他有兴趣与社区合作伙伴采用类似LHS劳动力培训模式的学术健康系统提供了一个实施框架。