Nash Danielle M, Rayner Jennifer, Bhatti Sara, Zagar Lorri, Zwarenstein Merrick
Department of Epidemiology and Biostatistics, The Schulich School of Medicine and Dentistry Western University London Ontario Canada.
ICES Ontario Canada.
Learn Health Syst. 2022 May 28;7(1):e10321. doi: 10.1002/lrh2.10321. eCollection 2023 Jan.
The Alliance for Healthier Communities represents community-governed healthcare organizations in Ontario, Canada including Community Health Centres, which provide primary care to more disadvantaged populations.
In this experience report, we describe the Alliance's journey towards becoming a learning health system using examples for organizational culture, data and analytics, people and partnerships, client engagement, ethics and oversight, evaluation and dissemination, resources, identification and prioritization, and deliverables and impact.
Many of the foundational elements for a learning health system were already in place at the Alliance including an integrated and accessible data platform. Leadership championed and embraced the movement towards a learning health system, which led to restructuring of the organization. This included role changes for data support personnel, better communication, and dissemination plans, strategies to engage clinicians and other front-line staff, restructuring of committees for more collaborative planning and prioritization of quality improvement and research initiatives, and the development of a new Practice-Based Learning Network for more opportunities to use the data for research and evaluation.
Next steps will focus on continued clinical engagement and partnerships as well as ongoing reflection on the transition and success of the learning health system work.
更健康社区联盟代表加拿大安大略省由社区管理的医疗保健组织，包括社区健康中心，这些组织为处境更为不利的人群提供初级保健服务。
在本经验报告中，我们通过组织文化、数据与分析、人员与伙伴关系、客户参与、伦理与监督、评估与传播、资源、识别与优先级确定以及可交付成果与影响等方面的示例，描述了联盟迈向学习型健康系统的历程。
联盟已经具备学习型健康系统的许多基础要素，包括一个集成且便于使用的数据平台。领导层倡导并支持向学习型健康系统的转变，这导致了组织架构的重组。这包括数据支持人员的角色转变、更好的沟通与传播计划、吸引临床医生和其他一线工作人员参与的策略、为更协作性的质量改进和研究计划规划与确定优先级而进行的委员会重组，以及建立一个新的基于实践的学习网络，以获得更多利用数据进行研究和评估的机会。
接下来的步骤将聚焦于持续的临床参与和伙伴关系，以及对学习型健康系统工作的转型和成功进行持续反思。
