The University of Alabama at Birmingham COVID‐19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemic
Abstract Introduction As a local response to the COVID‐19 global pandemic, the University of Alabama at Birmingham (UAB) established the UAB COVID‐19 Collaborative Outcomes Research Enterprise (CORE), an institutional learning health system (LHS) to achieve an integrated health services outcomes and...
| Main Authors: | , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2022-04-01
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| Series: | Learning Health Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lrh2.10292 |
| _version_ | 1811329844641792000 |
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| author | Jami L. Anderson Rebecca A. Reamey Emily B. Levitan Irfan M.Asif Monica S.Aswani Faith E. Fletcher Allyson G.Hall Kierstin C. Kennedy Dustin Long David Redden Alia Tunagur Molly Wasko James Willig Matthew Wyatt Michael J. Mugavero |
| author_facet | Jami L. Anderson Rebecca A. Reamey Emily B. Levitan Irfan M.Asif Monica S.Aswani Faith E. Fletcher Allyson G.Hall Kierstin C. Kennedy Dustin Long David Redden Alia Tunagur Molly Wasko James Willig Matthew Wyatt Michael J. Mugavero |
| author_sort | Jami L. Anderson |
| collection | DOAJ |
| description | Abstract Introduction As a local response to the COVID‐19 global pandemic, the University of Alabama at Birmingham (UAB) established the UAB COVID‐19 Collaborative Outcomes Research Enterprise (CORE), an institutional learning health system (LHS) to achieve an integrated health services outcomes and research response. Methods We developed a network of expertise and capabilities to rapidly develop and deploy an institutional‐level interdisciplinary LHS. Based upon a scoping review of the literature and the Knowledge to Action Framework, we adopted a LHS framework identifying contributors and components necessary to developing a system within and between the university academic and medical centers. We used social network analysis to examine the emergence of informal work patterns and diversified network capabilities based on the LHS framework. Results This experience report details three principal characteristics of the UAB COVID‐19 CORE LHS development: (a) identifying network contributors and components; (b) building the institutional network; and (c) diversifying network capabilities. Contributors and committees were identified from seven components of LHS: (a) collaborative and executive leadership committee, (b) research coordinating committee, (c) oversight and ethics committee, (d) thematic scientific working groups, (e) programmatic working groups, (f) informatics capabilities, and (g) patient advisory groups. Evolving from the topical interests of the initial CORE participants, scientific working groups emerged to support the learning system network. Programmatic working groups were charged with developing a comprehensive and mutually accessible COVID‐19 database. Discussion Our LHS framework allowed for effective integration of multiple academic and medical centers into a cohesive institutional‐level learning system. Network analysis indicated diversity of institutional disciplines, professional rank, and topical focus pertaining to COVID‐19, with each center leveraging existing institutional responsibilities to minimize gaps in network capabilities. Conclusion Incorporating an adapted LHS framework designed for academic medical centers served as a foundational resource supporting further institutional‐level efforts to develop agile and responsive learning networks. |
| first_indexed | 2024-04-13T15:51:13Z |
| format | Article |
| id | doaj.art-a2ae3d5d70ce4a03b984ed504b1af2e2 |
| institution | Directory Open Access Journal |
| issn | 2379-6146 |
| language | English |
| last_indexed | 2024-04-13T15:51:13Z |
| publishDate | 2022-04-01 |
| publisher | Wiley |
| record_format | Article |
| series | Learning Health Systems |
| spelling | doaj.art-a2ae3d5d70ce4a03b984ed504b1af2e22022-12-22T02:40:50ZengWileyLearning Health Systems2379-61462022-04-0162n/an/a10.1002/lrh2.10292The University of Alabama at Birmingham COVID‐19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemicJami L. Anderson0Rebecca A. Reamey1Emily B. Levitan2Irfan M.Asif3Monica S.Aswani4Faith E. Fletcher5Allyson G.Hall6Kierstin C. Kennedy7Dustin Long8David Redden9Alia Tunagur10Molly Wasko11James Willig12Matthew Wyatt13Michael J. Mugavero14Department of Health Services Administration, School of Health Professions University of Alabama at Birmingham Birmingham Alabama USADivision of Infectious Diseases, School of Medicine University of Alabama at Birmingham Birmingham Alabama USADepartment of Epidemiology, School of Public Health University of Alabama at Birmingham Birmingham Alabama USADepartment of Family and Community Medicine, School of Medicine University of Alabama at Birmingham Birmingham Alabama USADepartment of Health Services Administration, School of Health Professions University of Alabama at Birmingham Birmingham Alabama USACenter for Medical Ethics and Health Policy College of Medicine, Baylor University Houston Texas USADepartment of Health Services Administration, School of Health Professions University of Alabama at Birmingham Birmingham Alabama USADepartment of Hospital Medicine, School of Medicine University of Alabama at Birmingham Birmingham Alabama USADepartment of Biostatistics, School of Public Health University of Alabama at Birmingham Birmingham Alabama USADepartment of Biostatistics, School of Public Health University of Alabama at Birmingham Birmingham Alabama USADivision of Infectious Diseases, School of Medicine University of Alabama at Birmingham Birmingham Alabama USADepartment of Management, Information Systems, and Quantitative Methods, Collat School of Business University of Alabama at Birmingham Birmingham Alabama USADivision of Infectious Diseases, School of Medicine University of Alabama at Birmingham Birmingham Alabama USAInformatics Institute, School of Medicine University of Alabama at Birmingham Birmingham Alabama USADivision of Infectious Diseases, School of Medicine University of Alabama at Birmingham Birmingham Alabama USAAbstract Introduction As a local response to the COVID‐19 global pandemic, the University of Alabama at Birmingham (UAB) established the UAB COVID‐19 Collaborative Outcomes Research Enterprise (CORE), an institutional learning health system (LHS) to achieve an integrated health services outcomes and research response. Methods We developed a network of expertise and capabilities to rapidly develop and deploy an institutional‐level interdisciplinary LHS. Based upon a scoping review of the literature and the Knowledge to Action Framework, we adopted a LHS framework identifying contributors and components necessary to developing a system within and between the university academic and medical centers. We used social network analysis to examine the emergence of informal work patterns and diversified network capabilities based on the LHS framework. Results This experience report details three principal characteristics of the UAB COVID‐19 CORE LHS development: (a) identifying network contributors and components; (b) building the institutional network; and (c) diversifying network capabilities. Contributors and committees were identified from seven components of LHS: (a) collaborative and executive leadership committee, (b) research coordinating committee, (c) oversight and ethics committee, (d) thematic scientific working groups, (e) programmatic working groups, (f) informatics capabilities, and (g) patient advisory groups. Evolving from the topical interests of the initial CORE participants, scientific working groups emerged to support the learning system network. Programmatic working groups were charged with developing a comprehensive and mutually accessible COVID‐19 database. Discussion Our LHS framework allowed for effective integration of multiple academic and medical centers into a cohesive institutional‐level learning system. Network analysis indicated diversity of institutional disciplines, professional rank, and topical focus pertaining to COVID‐19, with each center leveraging existing institutional responsibilities to minimize gaps in network capabilities. Conclusion Incorporating an adapted LHS framework designed for academic medical centers served as a foundational resource supporting further institutional‐level efforts to develop agile and responsive learning networks.https://doi.org/10.1002/lrh2.10292frameworkinterdisciplinary collaborationlearning healthcare systemnetwork developmentnetwork diversity |
| spellingShingle | Jami L. Anderson Rebecca A. Reamey Emily B. Levitan Irfan M.Asif Monica S.Aswani Faith E. Fletcher Allyson G.Hall Kierstin C. Kennedy Dustin Long David Redden Alia Tunagur Molly Wasko James Willig Matthew Wyatt Michael J. Mugavero The University of Alabama at Birmingham COVID‐19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemic Learning Health Systems framework interdisciplinary collaboration learning healthcare system network development network diversity |
| title | The University of Alabama at Birmingham COVID‐19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemic |
| title_full | The University of Alabama at Birmingham COVID‐19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemic |
| title_fullStr | The University of Alabama at Birmingham COVID‐19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemic |
| title_full_unstemmed | The University of Alabama at Birmingham COVID‐19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemic |
| title_short | The University of Alabama at Birmingham COVID‐19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemic |
| title_sort | university of alabama at birmingham covid 19 collaborative outcomes research enterprise developing an institutional learning health system in response to the global pandemic |
| topic | framework interdisciplinary collaboration learning healthcare system network development network diversity |
| url | https://doi.org/10.1002/lrh2.10292 |
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