Linking dissemination and implementation science to Learning Health Systems: Opportunities for Clinical and Translational Science Award institutions

Author:

Bennett Nancy M.,Orlando Elissa,Meissner PaulORCID

Abstract

AbstractLearning Health Systems (LHS) iteratively implement and evaluate health improvement projects. Dissemination and implementation (D&I) science is the study of evidence-based practices in real-world settings, a critical tool for LHS. This paper explores intersections between LHS and D&I science in Clinical and Translational Science Awards (CTSAs) institutions and identifies critical components of collaboration. We conducted website scans of 34 CTSAs and their home institutions that had Dissemination, Implementation, and Knowledge Translation (DIKT) Workgroup members. We identified linkages between CTSAs and their institutions’ LHS. We interviewed six CTSA leaders experienced in LHS and D&I sciences. Nearly half of CTSAs identified an LHS structure on their websites, but only one-third indicates CTSA involvement in these efforts. Interviewees identified key components for successful integration of LHS and D&I sciences: leadership, infrastructure, balance between rigor and efficiency, and aligned incentives. The need for research integration in LHS, to improve evaluation and increase knowledge, is an emerging opportunity for D&I scientists and CTSAs. CTSAs that are engaged in D&I science can introduce and/or expand the role of D&I science in LHS. Collaboration between CTSAs and clinical leaders could result in strengthened relationships between clinical and research enterprises, effective and efficient health care delivery, and improved health.

Publisher

Cambridge University Press (CUP)

Subject

General Medicine

Reference5 articles.

1. Situating dissemination and implementation sciences within and across the translational research spectrum;Leppin;Journal of Clinical and Translational Science

2. 1. Institute of Medicine, Committee on the Learning Health Care System in America. Best Care at Lower Cost: The Path to Continuously Learning Health Care in America. Washington, DC: National Academies Press, 2013.

3. Creating a Learning Health System through Rapid-Cycle, Randomized Testing

4. Dissemination and Implementation Research in Health

5. 2. Clinical and Translational Science Awards Program (CTSA). CTSA Program in Action [Internet], 2019 [cited Oct 29, 2019]. (https://ncats.nih.gov/ctsa/action/)

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