Learning Health System Challenge and Planning Awards Alexander K. Ommaya, DSc Sr. Dir. Clinical Effectiveness & Implementation Research Philip M. Alberti, PhD Sr. Dir. Health Equity Research & Policy

Learning Health System Challenge Awardees… Demonstrated adoption of systematic policies and procedures that have facilitated quality improvement (QI), health equity (HE) or electronic health record-based research. Documented impact and outcomes related to adoption of the above.

Learning Health System Planning Awardees… Demonstrated interest in and institutional buy-in for policies and procedures that could facilitate quality improvement (QI), health equity (HE) or electronic health record-based research. Have not yet implemented and/or evaluated these policies, but have the requisite building blocks to do so. Will… Develop implementation/evaluation capacity and a grant application

Learning Health System Challenge and Planning Award Winners Awardees and their institutions receive AAMC recognition −Featured at the 2014 AAMC Integrating Quality meeting −Announced across AAMC communication vehicles and listed on AAMC website −Cash award −Travel support to foster peer to peer learning between Challenge and Planning awardees Technical assistance from the AAMC −Engagement with site to site learning plan −Assistance in identifying potential sponsors of subsequent planning award grant applications Membership in the Research on Care Learning Community

See Challenge Award Announcement - “award description” link.

Learning Health System A Learning Health System (LHS) is one in which science, informatics, and care culture align to generate new knowledge as a by-product of the care experience, and seamlessly refine and deliver best practices for continuous improvement in health and health care. - Institute of Medicine (2007) Key to the LHS is the active engagement of research and education in the health care mission and experience.

Learning Health System Challenge and Planning Award Challenge Awards Up to 6 up to $7,000 each Planning Award Up to 10 up to $10, 000 each Collaboration Health Equity Research Quality Improvement Research EHR Research

Learning Health System Challenge and Planning Award -Each Challenge Award winner receives up to a $7,000 prize. -Each Planning Award receives up to $10,000 to develop a grant to study the implementation and/or evaluation of a systematic change that enhances HE, QI, or EHR research. -In addition to the awards, travel support is provided to allow for face to face learning between challenge and planning awardees.

Examples of System-Wide Processes Governance policies for multi-site research collaborations Creation of a data warehouse for research purposes utilizing data from the health system Electronic Health Record Systematic use of EHR data to identify salient health / health care inequities and to evaluate subsequent interventions Education/training programs that incorporate research into practice-based learning and/or systems-based practice competencies

Examples of System-Wide Processes Implementing and testing effective continuing education, improvement and professional development activities that lead to patient care improvements Policies and procedures that facilitate research collaboration and the conduct of quality improvement activities (e.g. human subject protection policies and procedures) Promotion and tenure policies that facilitate professional development of investigators in these areas

Award Requirements An institution may submit multiple entries, but it may only submit one entry per program. Planning award winners are required to raise at least $4,000 support from the applicant institution for the proposed planning activity.

Peer Review Criteria- Challenge Award Impact of the approach (e.g., scientific publications, description of ongoing research projects, or development of scientists) Commitment and engagement of the institution and stakeholders Scope and scale of the initiative Ability of the innovation to be replicated at other institutions Engage in peer to peer learning

Peer Review Criteria- Planning Award Potential impact of the approach Commitment and engagement of the institution and stakeholders Experience of the investigative team Collaborative experience with required partners Engage in peer to peer learning

Questions? Alexander K. Ommaya, DSc Philip M. Alberti, PhD