Creating a purpose-driven learning and improving health system

The Johns Hopkins Medicine quality and safety experience

Research output: Contribution to journalArticle

Abstract

Health care has often relied on independent silos of medical research to drive progress and innovation. However, this approach does not adequately address the complexities and opportunities within the modern health care environment. We posit that creating a learning and improving health system that is purpose-driven will ultimately lead the next transformation in health care. We share the experience within Johns Hopkins Medicine that established a learning and improving health system in quality and safety. The system is built around a clear and compelling patient-centered purpose and leverages a fractal framework that provides horizontal links for peer learning and vertical links for accountability. It dismantles traditional research and clinical silos and combines basic and applied research with health system operations. As a result, the system aligns the goals and strengths of a diverse set of stakeholders including clinicians, patients, researchers, and administrators toward a common goal.

Original languageEnglish (US)
Article numbere10018
JournalLearning Health Systems
Volume1
Issue number1
DOIs
StatePublished - Jan 1 2017

Fingerprint

Medicine
Learning
Delivery of Health Care
Safety
Health
Fractals
Social Responsibility
Administrative Personnel
Research
Biomedical Research
Research Personnel
Drive

Keywords

  • learning health system
  • quality and safety

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health
  • Health Informatics
  • Health Information Management

Cite this

@article{934424e95ef945c6875642b369922d09,
title = "Creating a purpose-driven learning and improving health system: The Johns Hopkins Medicine quality and safety experience",
abstract = "Health care has often relied on independent silos of medical research to drive progress and innovation. However, this approach does not adequately address the complexities and opportunities within the modern health care environment. We posit that creating a learning and improving health system that is purpose-driven will ultimately lead the next transformation in health care. We share the experience within Johns Hopkins Medicine that established a learning and improving health system in quality and safety. The system is built around a clear and compelling patient-centered purpose and leverages a fractal framework that provides horizontal links for peer learning and vertical links for accountability. It dismantles traditional research and clinical silos and combines basic and applied research with health system operations. As a result, the system aligns the goals and strengths of a diverse set of stakeholders including clinicians, patients, researchers, and administrators toward a common goal.",
keywords = "learning health system, quality and safety",
author = "Pronovost, {Peter J.} and Simon Mathews and Christopher Chute and Antony Rosen",
year = "2017",
month = "1",
day = "1",
doi = "10.1002/lrh2.10018",
language = "English (US)",
volume = "1",
journal = "Learning Health Systems",
issn = "2379-6146",
publisher = "John Wiley and Sons Inc.",
number = "1",

}

TY - JOUR

T1 - Creating a purpose-driven learning and improving health system

T2 - The Johns Hopkins Medicine quality and safety experience

AU - Pronovost, Peter J.

AU - Mathews, Simon

AU - Chute, Christopher

AU - Rosen, Antony

PY - 2017/1/1

Y1 - 2017/1/1

N2 - Health care has often relied on independent silos of medical research to drive progress and innovation. However, this approach does not adequately address the complexities and opportunities within the modern health care environment. We posit that creating a learning and improving health system that is purpose-driven will ultimately lead the next transformation in health care. We share the experience within Johns Hopkins Medicine that established a learning and improving health system in quality and safety. The system is built around a clear and compelling patient-centered purpose and leverages a fractal framework that provides horizontal links for peer learning and vertical links for accountability. It dismantles traditional research and clinical silos and combines basic and applied research with health system operations. As a result, the system aligns the goals and strengths of a diverse set of stakeholders including clinicians, patients, researchers, and administrators toward a common goal.

AB - Health care has often relied on independent silos of medical research to drive progress and innovation. However, this approach does not adequately address the complexities and opportunities within the modern health care environment. We posit that creating a learning and improving health system that is purpose-driven will ultimately lead the next transformation in health care. We share the experience within Johns Hopkins Medicine that established a learning and improving health system in quality and safety. The system is built around a clear and compelling patient-centered purpose and leverages a fractal framework that provides horizontal links for peer learning and vertical links for accountability. It dismantles traditional research and clinical silos and combines basic and applied research with health system operations. As a result, the system aligns the goals and strengths of a diverse set of stakeholders including clinicians, patients, researchers, and administrators toward a common goal.

KW - learning health system

KW - quality and safety

UR - http://www.scopus.com/inward/record.url?scp=85061076182&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85061076182&partnerID=8YFLogxK

U2 - 10.1002/lrh2.10018

DO - 10.1002/lrh2.10018

M3 - Article

VL - 1

JO - Learning Health Systems

JF - Learning Health Systems

SN - 2379-6146

IS - 1

M1 - e10018

ER -