A Virtuous Cycle: When Will We Finally Have Learning Health Systems?

What exactly is a “learning health system”? In several of our episodes, you’ve heard us talk about how data collection has modernized through new technologies and enhanced approaches to clinical trials. But now that we have all that data, we need to transform it into clinical practice. Learning health systems are all about completing this virtuous cycle from scientific discovery to implementation, and yet, there are few that exist and work well. In this episode, you’ll hear us discuss (and perhaps debate) what a true learning health system looks like, as well as how informatics can help lead the charge.

Up first on our panel of distinguished guests is Dr. Genevieve Melton-Meaux, a Professor of Surgery and Senior Associate Dean of Health Informatics and Data Science at the University of Minnesota. Among her many accolades, she is a Past President of the American College of Medical Informatics, current President of the American Medical Informatics Association, and Director for the Center of Learning Health System Sciences at Minnesota. Her research focuses on clinical natural language processing, surgical informatics, and optimizing AI best practices.

We were also joined by Dr. Chuck Friedman, a Professor of Medical Education and Chair of the Department of Learning Health Sciences at the University of Michigan Medical School. He is also the editor-in-chief of the open-access journal Learning Health Systems. Drawing from his time at the Office of the National Coordinator for Health Information Technology in the U.S. Department for Health and Human Services, he helped transform Michigan’s medical education department into one of the first in the nation to focus on learning health at all levels, including large-scale information infrastructure.

Finally, we had Dr. Peter Embí, Professor and Chair of the Department of Biomedical Informatics and Senior Vice President for Research and Innovation at Vanderbilt University Medical Center. Prior, he served as President and CEO of the Regenstrief Institute, a not-for-profit health care research organization in Indianapolis, Indiana that seeks to develop, conduct, and disseminate scientific research across communities. A Past President of the American Medical Informatics Association, his research centers on data-driven learning health systems.

We are also pleased to share an original learning health systems “anthem,” composed by Molly Sinderbrand, called “System Problems Need System Solutions.” In our jazzy rendition, it was performed by pianist Phil Barrison and our very own Kevin Johnson on vocals! We appreciate all their contributions and are excited to feature it at the end of this episode!

Tackling a topic like this required top-notch guests, and they delivered! We hope you enjoy listening.

Links mentioned in this episode:

-Evaluation Methods in Biomedical and Health Informatics by Charles P. Friedman, Jeremy C. Wyatt, Joan S. Ash

-“Where’s the Science in Medical Informatics?” by C.P. Friedman

-Learn more about the Indiana Network for Patient Care 

-Patti Brennan’s Presentation referred to as “Care Between the Care”: “High-Reliability, Person-Centered Health Care Systems: It Can’t Happen Without the National Library of Medicine,” presented at GoldLab Symposium 2018

-“Creating Local Learning Health Systems: Thinking Globally, Act Locally” by William E. Smoyer, Peter J. Embí, Susan Moffatt-Bruce 

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