The document outlines an agenda for a University of Michigan Learning Health System Collaboratory event. The agenda includes: welcome remarks, introductions and background on the LHS Collaboratory, a discussion of its vision, mission, value and opportunities, a closing activity, and adjournment. Testimonials will be provided by representatives from various UM schools. The LHS aims to link discovery to better health outcomes through continuous learning and knowledge sharing between data, knowledge and practice. Realizing this vision poses sociotechnical challenges that require cross-disciplinary collaboration and leadership.

1. University of Michigan
Learning Health System (LHS)
Collaboratory
WELCOME!
1
Live Tweet: #LHSCollaboratory

2. Agenda
2
11:30 – 12:00 PM Registration and Luncheon GL Central North
12:00 – 12:05 PM Welcome Dr. Jack Hu
12:05 – 12:20 PM Introductions and Background Dr. Chuck Friedman
Dr. Douglas Van Houweling
12:20 – 12:45 PM LHS Collaboratory: Vision, Mission, Value
and Opportunities
All Participants
12:45 – 1:00 PM Closing Activity All Participants
1:00 PM Adjourn

3. Welcome
• Opening Remarks
Dr. Jack Hu, Vice President for Research
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn
3

4. Testimonials
• Lynn Johnson, School of Dentistry
• Julia Adler-Milstein, School of Information
• Erik Gordon, Ross School of Business
4
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

5. “Learning Cycles” Link Discovery to
Better Health
Better Health = D2K + K2P
5
A Problem of
Interest
D2K:
Data to
Knowledge
K2P:
Knowledge to
Practice
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

6. Checklist View: Properties of a
Health System That Can Learn
ü Every consenting patient’s characteristics and
experience are available to learn from
ü Best practice knowledge is immediately available to
support decisions
ü Improvement is continuous through ongoing study
ü An infrastructure enables this to happen routinely
and with economy of scale
ü All of this is part of the culture
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn 6

7. Michigan and the LHS
• 2012: U-M all-hands LHS workshop
• 2013-14: Third Century Initiative grant - The “Legion”
• 2013: Public Health and LHS Meeting
• 2013: NSF grant for national workshop on LHS research
challenges
– There’s important science here
• 2014: The Department of Learning Health Sciences
• 2014: Learning Health for Michigan (state)
• 2015: Second NSF workshop; Michigan-branded LHS
Journal
• 2016: The Collaboratory…
7
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

8. NSF-Sponsored 2013 Workshop
• A national workshop to explore the
research challenges inherent in
realizing a high functioning LHS
• April, 2013 in Washington, DC
• 55 attendees: 45 invited participants
plus federal liaisons
• A suggestion of a new area of basic
and applied science, engineering, and
design
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn
8

9. The Winds are Blowing in Our
Direction
• NSF: The Computing Community Consortium,
an NSF visioning arm, has funded a series of
workshops on Cyber-social Learning Systems
• ONC: The LHS is a national policy goal
• More generally, a new generation of
government leaders are singing in our key
–AHRQ
–FDA
9
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

10. Photos courtesy of Ben Shneiderman
Cyber-Social Learning Systems
Workshop: Seattle, August 2016
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn
10

11. Rob Califf: FDA Commissioner
Sept 21, 2016
11
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

12. Andrew Bindman: Director of
AHRQ
“When we create new knowledge, it can’t sit for years
in the knowledge garage, waiting for someone to
discover it” (Sept 22, 2016)
12
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

13. The Takeaway
• From a campus perspective, we should view
the LHS as a scientific challenge, not as a
build-out
• The University of Michigan could be the
academic epicenter for addressing these
challenges
13
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

14. The Sociotechnical Challenge
• Success will require:
–Focus on health as well as care
–Engagement of all fields of medical care and
practice
–Appropriate policies & and distributed
governance
–Successful communication strategy
–Individual and social incentive structures
14
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

15. The Sociotechnical Challenge
• And….
–Effective business models
–Large scale IT infrastructure
• Data, networking, security, cloud computing
–Device integration
• Sensors, implants & smart phones
–An opportunity for University leadership!
15
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

16. Structure for Leadership
• Required: An all-University process and
structure to link research and action – The
Collaboratory
• Process:
– Quarterly all hands meetings
– Regular seminar series
– Active pursuit of funding opportunities
– Monthly workgroup meetings
16
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

17. Structure for Leadership
• Suggested Working Groups
– Sociotechnical infrastructure
– Ethical, legal, and social policy
– Large scale funding
– Your suggestions on process and structure
17
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn

18. Closing Activity
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn 18
A.__________________
B.__________________
C.__________________
D.__________________
E.__________________

19. Thank You!
1. Welcome 2. Introductions and
Background
3. Vision, Mission, Value
and Opportunity
4. Closing Activity 5. Adjourn 19