The Center of Excellence in Promoting LHS Operations and Research at Einstein/Montefiore (EXPLORE)

“学习型健康系统”(LHS)模式代表了一种相对较新的、非常有前途的、范式转变的模式。 提供保健服务的方法。LHS的特点是能够持续学习每一个 卫生保健互动，以产生客观证据和可操作的知识，吸引利益相关者，以及 制定有针对性的流程，以改善结果。LHS要求在下列情况下发展基础设施 科学、信息学、激励和文化是一致的，卫生信息技术的进步(HIT) 促进产生新的证据，作为提供护理的一个不可或缺的副产品。实现这一愿景也 需要对医疗保健提供和学术追求的许多现有驱动因素进行戏剧性转变， 特别是建立一支训练有素的多样化调查人员队伍，他们将成为 LHS研究和运营领域的领导者。我们建议设立卓越中心，以促进LHS的运作 在爱因斯坦/蒙特菲奥里的研究(探索)是阿尔伯特·爱因斯坦学院 医学和Montefiore Health System(MHS)，一家大型、集成、以责任为导向的学术机构 为布朗克斯和纽约下哈德逊河谷地区提供服务的医疗中心。我们将充分利用这些努力 卫生部向以少数族裔为主的社会经济弱势群体提供高质量的服务， 同时应对负责任护理的财务和服务交付要求。我们的 拟议的计划将参与并建立在爱因斯坦和 MHS的创新信息学和基于价值的护理提供基础设施。我们将利用教育 和爱因斯坦临床与翻译研究所(卢旺达问题国际法庭)的研究支持资源 我们的临床和翻译科学奖(CTSA)，包括临床硕士的教学内容 研究及其由AHRQ/PCORI赞助的以患者为中心的R25结果研究课程， 健康数据创新中心的信息学基础设施，以及Montefiore的资源 网络性能组(负责医疗质量、卓越运营和患者安全，请访问 MHS)，在LHS研究中创建一个新的职业发展计划。我们将评选出最有才华、 积极、多学科的临床医生和其他教职员工注册，为他们提供知识和技能 进行、实施和传播高质量和可操作的LHS研究，并为他们提供 作为LHS研究领导者的可持续职业道路。我们的学者和导师将为国家LHS做出贡献 研究合作，爱因斯坦-蒙特菲奥里的贡献由内部的专业知识和经验驱动 从我们独特的机构方案和资源中收集。这将通过课程来实现 分享和跨机构教育；机构间PI/PD和学者-导师互动，包括 在可行和适当的情况下进行跨机构指导；研究合作，包括传播 研究成果和多中心研究举措；分享变革和组织振兴/经济、社会和文化权利委员会的方法进步。 好了！

The “learning health system” (LHS) model represents a relatively new, highly promising, and paradigm-shifting approach to the delivery of health care. A LHS is characterized by its capacity to continuously study every health care interaction to generate objective evidence and actionable knowledge, engage stakeholders, and develop targeted processes to improve outcomes. The LHS requires development of infrastructure where science, informatics, incentives and culture are aligned, and advances in Health Information Technology (HIT) facilitate the generation of new evidence as an integral byproduct of care delivery. Realizing this vision also requires dramatic transformation of many existing drivers of healthcare delivery and scholarly pursuit, in particular the creation of an appropriate workforce of well trained, diverse investigators who will become leaders in LHS research and operations. Our proposed Center of Excellence in Promoting LHS Operations and Research at Einstein/Montefiore (EXPLORE) is a collaboration between the Albert Einstein College of Medicine and Montefiore Health System (MHS), a large, integrated, accountable-care-oriented academic medical center that serves the Bronx and New York's Lower Hudson Valley region. We will leverage the efforts of MHS to deliver high quality services to a largely minority, socioeconomically disadvantaged community, while at the same time responding to the financial and service delivery imperatives of accountable care. Our proposed program will engage and build upon a strong education and training infrastructure at Einstein and an innovative informatics and value-based care delivery infrastructure at MHS. We will leverage the educational and research support resources of Einstein's Institute for Clinical and Translational Research (ICTR), the home our Clinical and Translational Science Award (CTSA), including didactic components of its Masters in Clinical Research and its AHRQ/PCORI- sponsored R25 patient-centered outcomes research coursework, the informatics infrastructure of the Center for Health Data Innovations, and the resources of Montefiore's Network Performance Group (responsible for quality of care, operational excellence, and patient safety at MHS), to create a novel career development program in LHS research. We will identify the most talented, motivated, and multidisciplinary clinicians and other faculty to enroll, equip them with the knowledge and skills to conduct, implement, and disseminate high quality and actionable LHS research, and provide them a sustainable career path as LHS research leaders. Our Scholars and mentors will contribute to a national LHS Research Collaborative, with Einstein-Montefiore's contribution driven by the expertise within and experience gleaned from our unique institutional program and resources. This will be accomplished through curriculum sharing and cross-institutional education; inter-institutional PI/PD and Scholar-Mentor interactions, including cross-institutional mentoring when feasible and appropriate; research cooperation, including dissemination of research findings and multi-center research initiatives; and sharing PCOR/CER methodological advances. !