Becoming a Learning Healthcare System

Becoming a Learning Healthcare System

• 1.
  BIRNBAUM LECTURE 2013 Prologue: Becominga learning healthcare system Unlocking the power of research @GHResearch #Birnbaum13
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  What is alearning healthcare system? “Each patient care experience naturally reflects the best available evidence, and, in turn, adds seamlessly to learning what works best in different circumstances.” IOM Roundtable on Evidence-Based Medicine, 2008 Unlocking the power of research @GHResearch #Birnbaum13
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  With the accenton: “Each patient care experience naturally reflects the best available evidence, and, in turn, adds seamlessly to learning what works best in different circumstances.” IOM Roundtable on Evidence-Based Medicine, 2008 Unlocking the power of research @GHResearch #Birnbaum13
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  Seamless integration means: •No boundary between practice and research. • Patients and providers are both creators and consumers of the latest information. • All experience contributes to evidence. Unlocking the power of research @GHResearch #Birnbaum13
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  An example: Unlocking thepower of research @GHResearch #Birnbaum13
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  An example: I wantinformation that is: • Up to the minute • Unbiased • Personalized to me • When & where I want Unlocking the power of research @GHResearch #Birnbaum13
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  An example: I wantinformation that is: • Up to the minute • Unbiased • Personalized to me • When & where I want Clinical trials won’t get there, so we should stop waiting. Unlocking the power of research @GHResearch #Birnbaum13
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  The pieces arecoming into place • Systematic assessment of outcomes • Well-organized data resources • Sophisticated analytic methods • Effective health communication But…technology changes faster than culture. Unlocking the power of research @GHResearch #Birnbaum13
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  Two cultural challenges: •Acting under uncertainty • Transparency & trust Unlocking the power of research @GHResearch #Birnbaum13
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  Two cultural challenges: •Acting under uncertainty o Quickly commit to action – knowing we might be wrong o Change direction – immediately and with no regrets Unlocking the power of research @GHResearch #Birnbaum13
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  Two cultural challenges: •Acting under uncertainty o Quickly commit to action – knowing we might be wrong o Change direction – immediately and with no regrets o Or – learn to play like Mauro Unlocking the power of research @GHResearch #Birnbaum13
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  Two cultural challenges •Acting under uncertainty o Quickly commit to action – knowing we might be wrong o Change direction – immediately and with no regrets • Transparency & trust Unlocking the power of research @GHResearch #Birnbaum13
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  Two cultural challenges •Acting under uncertainty o Quickly commit to action – knowing we might be wrong o Change direction – immediately and with no regrets • Transparency & trust It’s not really about patient privacy. It’s about our own issues: o Providers’ fear of scrutiny o Health systems’ “reputational risk” o The business model of traditional research Unlocking the power of research @GHResearch #Birnbaum13
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  Why Group Health? •We are an integrated system Unlocking the power of research @GHResearch #Birnbaum13
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  Why Group Health? •We are an integrated system o So the financial incentives are aligned Unlocking the power of research @GHResearch #Birnbaum13
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  Why Group Health? •We are an integrated system o So the financial incentives are aligned • We are a cooperative Unlocking the power of research @GHResearch #Birnbaum13
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  Why Group Health? •We are an integrated system o So the financial incentives are aligned • We are a cooperative o So we know that it’s our members’ data, our members’ money, and our members’ health Unlocking the power of research @GHResearch #Birnbaum13
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  THANK YOU @GHResearch #Birnbaum13