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In this Issue: Learning Healthcare System
The Institute of Medicine defines a Learning Healthcare System as “... one in which progress in science, informatics, and care culture align to generate new knowledge as an ongoing, natural by‚Äźproduct of the care experience, and seamlessly refine and deliver best practices for continuous improvement in health and healthcare.” This month's issue sheds light on the Learning Healthcare Community movement, and what healthcare providers need to accomplish in order for a Learning Healthcare System to be realized.

State of the Industry

A Grassroots Movement Is Underway to Realize a Nationwide Learning Healthcare System
By Charles P. Friedman, PhD; and Joshua C. Rubin, JD, MBA, MPH, MPP


As the nation's health system goes digital, a clear consensus is emerging: Our historic investment of over $150 billion in health IT will yield the anticipated benefits only if we harmonize efforts nationwide into a national-scale Learning Healthcare System (LHS). Just as the internet had transformative impacts on numerous and diverse stakeholders' ways of working, communicating and interacting, the LHS promises to have broad and far-reaching impacts on health.

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Meet an Informaticist

Why do we need a Learning Healthcare System?
By Joyce Sensmeier MS, RN-BC, CPHIMS, FHIMSS, FAAN


I represented HIMSS at the invitational Learning Healthcare System Summit, convened by the Joseph H. Kanter Family Foundation, in Washington, DC on May 2012. Through a consensus process involving summit participants, the core values of a Learning Healthcare System were developed and published for endorsement by key stakeholders. In September 2012, HIMSS Board of Directors unanimously endorsed these core values.

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Trend Spotter

Learning Healthcare System Far Off Without U.S. Hospital Adoption of Required Technology
By Lorren Pettit


Years ago, I was introduced to the idea of using Neural Network computing. Neural Networks use human-like trial and error learning methods to detect patterns existing within a data set which can be used to identify desired “dormant” customers/patients. Back then I thought how great would it be if we could positively influence “high-risk” people even before they start to exhibit destructive behaviors?

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HIMSS CEO Envisions Innovation Center as Worldwide Hub for Health IT Testing
Chalk one up for interoperability – hands-on interoperability. It is one of many gains HIMSS President and CEO H. Stephen Lieber envisions with the opening of the HIMSS Innovation Center in Cleveland, slated for October.

HIMSS Launches New Patient Engagement Podcast Series
HIMSS has launched a new podcast series on e-engaging with patients through health IT. Available episodes include "Creating, Implementing and Evaluating a Web-Enabled System of Care to Transform Substance Abuse Treatment," and "Patient Engagement for Pediatrics–Asynchronous Communication.

Hot Off the Presses – Six New Books Published by HIMSS
The on-site bookstore at the Annual HIMSS Conference & Exhibition offers a great opportunity for talking with HIMSS members about health IT books, exploring book ideas with potential authors and launching new books. And the on-site bookstore at HIMSS13 was no exception. HIMSS launched six new books on-site in New Orleans last month.


Tool Box Picks

Compiled by Cheryl D. Parker, RN, MSN, PhD, FHIMSS

Best Care at Lower Cost: The Path to Continuously Learning Healthcare in America
This Institute of Medicine 4-page PDF report provides 10 recommendations to achieve a Learning Healthcare System in America.

Characteristics of a Continuously Learning Healthcare System
This Institute of Medicine Table provides additional information on the four characteristics of the Learning Healthcare System.

Patient-Centered Outcomes Research in a Learning Healthcare System
In this HIMSS12 presentation, PCORI Executive Director Joe Selby, MD, MPH:

  • Defines patient-centered outcomes research
  • Highlights how secondary use of data can be applied to comparative effectiveness and patient-centered outcomes research
  • Identifies information gaps in building patient-centered healthcare systems

Missing Steps on the Path to Continuously Learning Healthcare in America
In this blog post, James E. Lewis, PhD, provides commentary on the fundamental role clinicians would need to play to move the Learning Healthcare System forward.

Digital Data Improvement Priorities for Continuous Learning in Health and Healthcare
This publication summarizes discussions from the March 2012 IOM workshop to identify and characterize the current deficiencies in the reliability, availability, and usability of digital health data and consider strategies, priorities, and responsibilities to address such deficiencies.

Fostering Systems Change to Drive Continuous Learning in Healthcare
This chapter from the Engineering a Learning Healthcare System: A Look at the Future Workshop Summary looks closely at how specific aspects of feedback and performance can be improved in:

  • Healthcare organizational culture
  • Development of accessible knowledge
  • Management of information and technology
  • Organization of information systems

Research, Evaluate, and Share New and Improved Practices
The Research on Care Community website has key definitions and sections on Developing a Learning Healthcare System including:

Cheryl D. Parker, RN, MSN, PhD, FHIMSS, is chief nursing informatics officer at Rubbermaid Medical Solutions.

Big Data And Healthcare Analytics Forum. Improving Care. Reducing Costs. Uncovering Opportunity. June 4 - 5, 2013. Gaylord National Resort & Convention Center Washington DC Area.

Join the Discussion

What will drive the next wave of healthcare innovations?
Merriam-Webster defines innovation simply: the introduction of something new; a new idea, method or device. While the dictionary defines what innovation is, it doesn't lay out where it comes from – leaving the observations of where it comes from and what it looks like to us. At HIMSS13, HIT X.0 unveiled some of healthcare's innovations – some from less traditional settings than we may think – to help professionals and forward thinkers plot the course for future change. What will innovation look like, and where will it come from?

Connect with HIMSS
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Upcoming Events

CE-IT Community Town Hall: Clinician Concerns with Medical Device Integration
April 10, 2013

Meaningful Use in Action – Exploring the Possibilities of Nutrition Informatics Town Hall
April 11, 2013

Clinical Business Intelligence Virtual Briefing
April 24, 2013

New Era of Partnering with Patients for Better Health Virtual Briefing
May 1, 2013

HIMSS Virtual Career Fair
May 8, 2013

Big Data and Healthcare Analytics Forum
June 4-5, 2013
Washington, DC

HIMSS Chapter Events

Webinars and Audio Conferences

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Clinical Informatics Insights is a monthly e-newsletter published by the Healthcare Information and Management Systems Society (HIMSS) that provides timely and comprehensive coverage on the effective integration of informatics across the continuum of care.

Editor's Note: The inclusion of an organization name, product, resource or service in this e-newsletter should not be construed as a HIMSS endorsement of such organization, product or service, nor is the failure to include an organization name, product or service to be construed as disapproval.
Copyright© 2013 by the Healthcare Information and Management Systems Society.

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Members of HIMSS Informatics Team
Joyce Sensmeier, RN–BC, MS, CPHIMS, FAAN, FHIMSS, Vice President, Informatics
Christel Anderson, Director, Clinical Informatics
Jennifer Roniger, Program Manager, Informatics

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