Development of the Learning Health System Researcher Core Competencies.

OBJECTIVE To develop core competencies for learning health system (LHS) researchers to guide the development of training programs. DATA SOURCES/STUDY SETTING Data were obtained from literature review, expert interviews, a modified Delphi process, and consensus development meetings. STUDY DESIGN The competencies were developed from August to December 2016 using qualitative methods. DATA COLLECTION/EXTRACTION METHODS The literature review formed the basis for the initial draft of a competency domain framework. Key informant semi-structured interviews, a modified Delphi survey, and three expert panel (n = 19 members) consensus development meetings produced the final set of competencies. PRINCIPAL FINDINGS The iterative development process yielded seven competency domains: (1) systems science; (2) research questions and standards of scientific evidence; (3) research methods; (4) informatics; (5) ethics of research and implementation in health systems; (6) improvement and implementation science; and (7) engagement, leadership, and research management. A total of 33 core competencies were prioritized across these seven domains. The real-world milieu of LHS research, the embeddedness of the researcher within the health system, and engagement of stakeholders are distinguishing characteristics of this emerging field. CONCLUSIONS The LHS researcher core competencies can be used to guide the development of learning objectives, evaluation methods, and curricula for training programs.

[1]  Jennifer E. Moore,et al.  Agency for Healthcare Research and Quality , 2020, Definitions.

[2]  A. Bindman.  The Agency for Healthcare Research and Quality and the Development of a Learning Health Care System. , 2017, JAMA internal medicine.

[3]  Gregory P. Samsa,et al.  Development and Refinement of a Learning Health Systems Training Program , 2016, EGEMS.

[4]  Sarah M. Greene,et al.  Oversight on the borderline: Quality improvement and pragmatic research , 2015, Clinical trials.

[5]  J. Kirchner,et al.  A refined compilation of implementation strategies: results from the Expert Recommendations for Implementing Change (ERIC) project , 2015, Implementation Science.

[6]  Michael Seid,et al.  PEDSnet: how a prototype pediatric learning health system is being expanded into a national network. , 2014, Health affairs.

[7]  Keith Marsolo,et al.  PEDSnet: a National Pediatric Learning Health System , 2014, J. Am. Medical Informatics Assoc..

[8]  Richard Platt,et al.  Ethics, regulation, and comparative effectiveness research: time for a change. , 2014, JAMA.

[9]  S Claiborne Johnston,et al.  Transforming from centers of learning to learning health systems: the challenge for academic health centers. , 2014, JAMA.

[10]  Sarah M. Greene,et al.  Implementing the Learning Health System: From Concept to Action , 2012, Annals of Internal Medicine.

[11]  P. Margolis,et al.  Improved Outcomes in a Quality Improvement Collaborative for Pediatric Inflammatory Bowel Disease , 2012, Pediatrics.

[12]  Terry Rogers,et al.  Creating a learning healthcare system in surgery: Washington State's Surgical Care and Outcomes Assessment Program (SCOAP) at 5 years. , 2012, Surgery.

[13]  D. Blumenthal,et al.  Achieving a Nationwide Learning Health System , 2010, Science Translational Medicine.

[14]  A. Dutta,et al.  Pediatric inflammatory bowel disease in South India. , 2009, Indian pediatrics.

[15]  D. Berwick.  What 'patient-centered' should mean: confessions of an extremist. , 2009, Health affairs.

[16]  Diane P. Martin,et al.  Health services research doctoral core competencies , 2009, BMC health services research.

[17]  Elizabeth A McGlynn,et al.  The quality of ambulatory care delivered to children in the United States. , 2007, The New England journal of medicine.

[18]  L. Etheredge,et al.  A rapid-learning health system. , 2007, Health affairs.

[19]  James J Cimino,et al.  Collect once, use many. Enabling the reuse of clinical data through controlled terminologies. , 2007, Journal of AHIMA.

[20]  E. McGlynn,et al.  The quality of health care delivered to adults in the United States. , 2003, The New England journal of medicine.

[21]  R. Verheij,et al.  Implementing the learning health care system. , 2014 .

[22]  M. Brookhart,et al.  Study Design Considerations , 2013 .

[23]  Natural Experiments : Design Elements for Optimal Causal Inference , 2011 .

[24]  Natasa Rupcic,et al.  The fifth discipline-the art and practice of the learning organisation , 2002 .