Rajamani Sripriya, Solarz Sarah, Muscoplat Miriam Halstead, Schmit Aasa Dahlberg, Gonderinger Ann, Brueske Chris, Fritz Jennifer, Emerson Emily, Melton Genevieve B
Informatics Program, School of Nursing University of Minnesota Minneapolis Minnesota USA.
Institute for Health Informatics University of Minnesota Minneapolis Minnesota USA.
Learn Health Syst. 2024 Aug 12;8(4):e10446. doi: 10.1002/lrh2.10446. eCollection 2024 Oct.
The data modernization initiative (DMI) is a multi-year, multi-billion-dollar endeavor toward a robust public health information infrastructure. The various DMI projects (interoperability, analytics, workforce, governance) present an opportunity for a learning health system (LHS) framework in public health. The objective is to share an academic-practice partnership model between the University of Minnesota (UMN) and the Minnesota Department of Health (MDH) in advancing public health informatics (PHI) and its relationship to an LHS model.
The UMN-MDH partnership was conceptualized in 2018 as a 1-year pilot with annual renewals through a time/cost-sharing faculty position with PHI expertise. The partnership focus was decided based on MDH's needs and mutual interests, with the core collaborating faculty (SR) being an embedded researcher at MDH. Responsibilities included supporting electronic case reporting (eCR), interoperability projects, and assisting MDH staff with PHI presentations/publications. The partnership has expanded to PHI workforce development through a national grant and now includes an interest in applying the LHS framework to MDH-DMI work.
The MDH-DMI team has embarked upon 13 projects for assessment through an LHS approach: systems interoperability projects between MDH and healthcare/local public health ( = 6); systems modernization for MDH programs ( = 5); informatics workforce development ( = 1); and program governance ( = 1). Each project has been evaluated and/or has current/future assessment plans to synthesize learnings and create a feedback loop for iterative improvement. The partnership has been mutually beneficial as it met agreed upon metrics across both institutions. The program's productivity is showcased with shared authorship in 10 peer-reviewed proceedings/publications, 22 presentations and 16 posters across local/national conferences.
The current case report of the UMN-MDH partnership is a relatively recent exemplar to support tangible LHS demonstration in public health. Building LHS momentum at MDH and other public health entities will require LHS champion(s) and continued academic collaboration.
数据现代化计划（DMI）是一项为期多年、耗资数十亿美元的项目，旨在构建一个强大的公共卫生信息基础设施。DMI的各个项目（互操作性、分析、人员队伍、治理）为公共卫生领域的学习型卫生系统（LHS）框架提供了契机。目的是分享明尼苏达大学（UMN）与明尼苏达州卫生部（MDH）之间的学术-实践伙伴关系模式，以推进公共卫生信息学（PHI）及其与LHS模式的关系。
UMN-MDH伙伴关系于2018年被构想为一个为期1年的试点项目，通过一个具有PHI专业知识的时间/成本分担教职岗位逐年续签。伙伴关系的重点是根据MDH的需求和共同利益确定的，核心合作教员（SR）是MDH的一名嵌入式研究人员。职责包括支持电子病例报告（eCR）、互操作性项目，以及协助MDH工作人员进行PHI展示/发表。通过一项国家拨款，该伙伴关系已扩展到PHI人员队伍发展，现在还包括将LHS框架应用于MDH-DMI工作的兴趣。
MDH-DMI团队已着手通过LHS方法开展13个项目进行评估：MDH与医疗保健/地方公共卫生之间的系统互操作性项目（=6）；MDH项目的系统现代化（=5）；信息学人员队伍发展（=1）；以及项目治理（=1）。每个项目都已进行评估和/或有当前/未来的评估计划，以综合经验教训并创建一个反馈循环以进行迭代改进。该伙伴关系是互利的，因为它达到了两个机构商定的指标。该项目的生产力体现在10篇同行评审的论文/出版物、22次展示以及在地方/全国会议上的16张海报中的共同署名上。
UMN-MDH伙伴关系的当前案例报告是支持公共卫生领域切实的LHS示范的一个相对较新的范例。在MDH和其他公共卫生实体中建立LHS的势头将需要LHS倡导者和持续的学术合作。
