LeaRRN: the Learning Health Systems Rehabilitation Research Network

项目总结 鉴于医疗保健的日益复杂，与质量和成本相关的持续问题，以及广泛的- 公认17年的实践证据差距，迫切需要一个康复资源中心， 支持开展学习卫生系统(LHS)康复研究并培养LHS研究人员 推进康复护理领域。布朗大学、匹兹堡大学(匹兹堡)和波士顿 大学(BU)与卫生系统/卫生组织合作伙伴正在将专业知识和 创建LeaRRN的资源：学习卫生系统康复研究网络。LeaRRN的 使命是通过促进利益相关者合作来提高康复护理的质量、结果和价值 在LHS内部和跨LHS进行研究。LeaRRN将建立在完善的基础设施和协作 在布朗、皮特和波士顿大学的关系；教师在卫生服务研究、实施科学、 利益攸关方参与和信息学；与不同群体建立和正在建立的伙伴关系 LHS。LeaRRN的首要目标是建立一个全国性的资源网络，以促进利益相关者- 合作的康复LHS研究，以提高护理质量，展示价值，并增强患者和 系统结果。LeaRRN将包括培训，以促进LHS的七项核心研究能力，包括 (1)使用系统科学方法，(2)提出有意义的问题，(3)应用适当的研究 方法，(4)利用信息学，(5)倡导研究伦理，(6)优化质量改进 和实施科学，以及(7)参与、领导和研究管理。LeaRNN还将 通过召集卫生系统利益攸关方确定要解决的优先主题来支持研究创新 通过有指导的合作(即LHS学者机会和试点研究)。最后，通过技术 发展方面，我们会评估康复研究界的需要，优先处理和设计我们的 响应这些需求的资源和活动，并评估我们的影响。LeaRRN的具体目标是：1) 创建一个LHS创新中心，让研究人员与医疗系统合作，并吸引利益相关者参与， 包括患者、提供者、管理者、付款人和政策制定者，以开发以康复为重点的LHS 研究问题；2)为LHS学者和初步研究提供资金和方法/技术支持 获奖者将研究想法转化为在现实世界实践中进行的全面研究；以及3)开发 知识库，为康复量身定做LHS资源，并传播材料以促进最佳 康复LHS研究实践。LeaRRN将作为康复的资源和孵化器 对LHS研究感兴趣的研究人员。知识库、调查经验、协作、 LeaRRN产生的证据将改变康复护理的交付、质量和结果。

PROJECT SUMMARY Given the growing complexity of healthcare, continued problems related to quality and cost, and a widely- recognized 17-year evidence to practice gap, there is an urgent need for a rehabilitation resource center that supports the conduct of learning health systems (LHS) rehabilitation research and develops LHS researchers to advance the field of rehabilitation care. Brown University, the University of Pittsburgh (Pitt) and Boston University (BU), together with health system/health organization partners, are combining expertise and resources to create LeaRRN: the Learning Health Systems Rehabilitation Research Network. LeaRRN’s mission is to improve the quality, outcomes and value of rehabilitation care by fostering stakeholder-partnered research within and across LHSs. LeaRRN will build upon a well-established infrastructure and collaborative relationships at Brown, Pitt, and BU; faculty expertise in health services research, implementation science, stakeholder engagement, and informatics; and established and emerging partnerships with a diverse group of LHSs. LeaRRN’s overarching objective is to establish a national resource network to advance stakeholder- partnered, rehabilitation LHS research to improve quality of care, demonstrate value, and enhance patient and system outcomes. LeaRRN will include training to promote seven core LHS research competencies, including (1) using a system science approach, (2) asking meaningful questions, (3) applying appropriate research methods, (4) capitalizing on informatics, (5) championing research ethics, (6) optimizing quality improvement and implementation science, and (7) engagement, leadership and research management. LeaRNN will also support research innovation by convening health system stakeholders to identify priority topics to address through mentored collaborations (i.e., LHS Scholar opportunities and pilot studies). Finally, through techniques development, we will assess the needs of the rehabilitation research community, prioritize and design our resources and activities to respond to those needs, and evaluate our impact. LeaRRN’s specific aims are to: 1) create a LHS Innovation Hub that partners researchers with healthcare systems and engages stakeholders, including patients, providers, administrators, payers, and policymakers, to develop rehabilitation-focused LHS research questions; 2) provide funding and methodological/technical support for LHS Scholars and Pilot Study Awardees to transform research ideas into full-scale studies conducted in real-world practice; and 3) develop a knowledge repository, tailor LHS resources for rehabilitation and disseminate materials to advance best practices in rehabilitation LHS research. LeaRRN will serve as a resource and incubator for rehabilitation researchers interested in LHS research. The knowledge repository, investigative experience, collaborations, and evidence generated by LeaRRN will transform the delivery, quality, and outcomes of rehabilitation care.