Report
Note: Workshop Summaries contain the opinion of the presenters, but do NOT reflect the conclusions of the IOM. Learn more about the differences between Workshop Summaries and Consensus Reports.
A summary of an Institute of Medicine workshop, The Learning Healthcare System, is the first publication of the IOM Roundtable on Evidence-Based Medicine, and the first in a series that will focus on issues important to improving the development and application of evidence in healthcare decision making. The Roundtable serves as a neutral venue for cooperative work among key stakeholders on several dimensions: to help transform the availability and use of the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and, ultimately, to ensure innovation, quality, safety, and value in health care.
As our nation enters a new era of medical science that offers the real prospect of personalized health care, we will be confronted by an increasingly complex array of healthcare options and decisions. This workshop considered how health care is structured to develop and to apply evidence—from health professions training and infrastructure development to advances in research methodology, patient engagement, payment schemes, and measurement—and highlighted opportunities for the creation of a sustainable, learning healthcare system that gets the right care to people when they need it and then captures the results for improvement.
The most pressing needs for change identified in The Learning Healthcare System are those related to:
- Adaptation to the pace of change
- Stronger synchrony of efforts
- New clinical research paradigm
- Clinical decision support systems
- Tools for database linkage, mining, and use
- Notion of clinical data as a public good
- Incentives aligned for practice-based evidence
- Public engagement
- Trusted scientific broker
- Leadership
Other Reports by this Activity
Displaying: 3 of 10 Reports
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Patients Charting the Course: Citizen Engagement in the Learning Health System - Workshop Summary
As past, current, or future patients, the public should be the health care system’s unwavering focus and serve as change agents in its care. Taking this into account, the quality of health care should be judged not only by whether clinical decisions are informed by the best available scientific evidence, but also by whether care is tailored to a patient’s individual needs and perspectives. However, too often it is provider preference and convenience, rather than those of the patient, that drive what care is delivered. As part of its Learning Health System series of workshops, the Roundtable on Value & Science-Driven Health Care hosted a workshop to assess the prospects for improving health and lowering costs by advancing patient involvement in the elements of a learning health system.
Released: October 3, 2011
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Learning What Works: Infrastructure Required for Comparative Effectiveness Research - Workshop Summary
It is essential for patients and clinicians to know which treatments work best for whom if they are to make informed, collaborative care decisions. Despite this need, only a small fraction of health-related expenditures in the U.S. have been devoted to comparative effectiveness research. As part of its Learning Health System series of workshops, the IOM’s Roundtable on Value & Science-Driven Health Care hosted a workshop to discuss capacity priorities to build the evidence base necessary for care that is more effective and delivers higher value for patients.
Released: July 25, 2011
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Engineering a Learning Healthcare System: A Look at the Future - Workshop Summary
Lessons from engineering have the potential to improve both the efficiency and quality of healthcare delivery. The fundamental notion of a high-performing healthcare system—one that increasingly is more effective, more efficient, safer, and higher quality—is rooted in continuous improvement principles that medicine shares with engineering. As part of its Learning Health System series of workshops, the IOM’s Roundtable on Value & Science-Driven Health Care hosted a workshop, jointly with the National Academy of Engineering, on lessons from systems and operations engineering that could be applied to health care.
Released: July 8, 2011
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