BIRNBAUMLECTURE 2013Prologue: Becoming a learninghealthcare systemUnlocking the power of research @GHResearch #Birnbaum13
What is a learning healthcare system?“Each patient care experience naturally reflectsthe best available evidence, and, in ...
With the accent on:“Each patient care experience naturally reflectsthe best available evidence, and, in turn, addsseamless...
Seamless integration means:• No boundary between practice and research.• Patients and providers are both creators andconsu...
An example:Unlocking the power of research @GHResearch #Birnbaum13
An example:I want information that is:• Up to the minute• Unbiased• Personalized to me• When & where I wantUnlocking the p...
An example:I want information that is:• Up to the minute• Unbiased• Personalized to me• When & where I wantClinical trials...
The pieces are coming into place• Systematic assessment of outcomes• Well-organized data resources• Sophisticated analytic...
Two cultural challenges:• Acting under uncertainty• Transparency & trustUnlocking the power of research @GHResearch #Birnb...
Two cultural challenges:• Acting under uncertaintyo Quickly commit to action – knowing we might be wrongo Change direction...
Two cultural challenges:• Acting under uncertaintyo Quickly commit to action – knowing we might be wrongo Change direction...
Two cultural challenges• Acting under uncertaintyo Quickly commit to action – knowing we might be wrongo Change direction ...
Two cultural challenges• Acting under uncertaintyo Quickly commit to action – knowing we might be wrongo Change direction ...
Why Group Health?• We are an integrated systemUnlocking the power of research @GHResearch #Birnbaum13
Why Group Health?• We are an integrated systemo So the financial incentives are alignedUnlocking the power of research @GH...
Why Group Health?• We are an integrated systemo So the financial incentives are aligned• We are a cooperativeUnlocking the...
Why Group Health?• We are an integrated systemo So the financial incentives are aligned• We are a cooperativeo So we know ...
THANK YOU@GHResearch #Birnbaum13
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Becoming a Learning Healthcare System

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Presentation at the annual Birnbaum Lecture by Greg Simon, MD, MPH, senior investigator with Group Health Research Institute.

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Becoming a Learning Healthcare System

  1. 1. BIRNBAUMLECTURE 2013Prologue: Becoming a learninghealthcare systemUnlocking the power of research @GHResearch #Birnbaum13
  2. 2. What is a learning healthcare system?“Each patient care experience naturally reflectsthe best available evidence, and, in turn, addsseamlessly to learning what works best in differentcircumstances.”IOM Roundtable on Evidence-Based Medicine, 2008Unlocking the power of research @GHResearch #Birnbaum13
  3. 3. With the accent on:“Each patient care experience naturally reflectsthe best available evidence, and, in turn, addsseamlessly to learning what works best in differentcircumstances.”IOM Roundtable on Evidence-Based Medicine, 2008Unlocking the power of research @GHResearch #Birnbaum13
  4. 4. Seamless integration means:• No boundary between practice and research.• Patients and providers are both creators andconsumers of the latest information.• All experience contributes to evidence.Unlocking the power of research @GHResearch #Birnbaum13
  5. 5. An example:Unlocking the power of research @GHResearch #Birnbaum13
  6. 6. An example:I want information that is:• Up to the minute• Unbiased• Personalized to me• When & where I wantUnlocking the power of research @GHResearch #Birnbaum13
  7. 7. An example:I want information that is:• Up to the minute• Unbiased• Personalized to me• When & where I wantClinical trials won’t get there,so we should stop waiting.Unlocking the power of research @GHResearch #Birnbaum13
  8. 8. The pieces are coming into place• Systematic assessment of outcomes• Well-organized data resources• Sophisticated analytic methods• Effective health communicationBut…technology changes faster than culture.Unlocking the power of research @GHResearch #Birnbaum13
  9. 9. Two cultural challenges:• Acting under uncertainty• Transparency & trustUnlocking the power of research @GHResearch #Birnbaum13
  10. 10. Two cultural challenges:• Acting under uncertaintyo Quickly commit to action – knowing we might be wrongo Change direction – immediately and with no regretsUnlocking the power of research @GHResearch #Birnbaum13
  11. 11. Two cultural challenges:• Acting under uncertaintyo Quickly commit to action – knowing we might be wrongo Change direction – immediately and with no regretso Or – learn to play like MauroUnlocking the power of research @GHResearch #Birnbaum13
  12. 12. Two cultural challenges• Acting under uncertaintyo Quickly commit to action – knowing we might be wrongo Change direction – immediately and with no regrets• Transparency & trustUnlocking the power of research @GHResearch #Birnbaum13
  13. 13. Two cultural challenges• Acting under uncertaintyo Quickly commit to action – knowing we might be wrongo Change direction – immediately and with no regrets• Transparency & trustIt’s not really about patient privacy. It’s about our own issues:o Providers’ fear of scrutinyo Health systems’ “reputational risk”o The business model of traditional researchUnlocking the power of research @GHResearch #Birnbaum13
  14. 14. Why Group Health?• We are an integrated systemUnlocking the power of research @GHResearch #Birnbaum13
  15. 15. Why Group Health?• We are an integrated systemo So the financial incentives are alignedUnlocking the power of research @GHResearch #Birnbaum13
  16. 16. Why Group Health?• We are an integrated systemo So the financial incentives are aligned• We are a cooperativeUnlocking the power of research @GHResearch #Birnbaum13
  17. 17. Why Group Health?• We are an integrated systemo So the financial incentives are aligned• We are a cooperativeo So we know that it’s our members’ data, ourmembers’ money, and our members’ healthUnlocking the power of research @GHResearch #Birnbaum13
  18. 18. THANK YOU@GHResearch #Birnbaum13

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