Creating a provincial post COVID‐19 interdisciplinary clinical care network as a learning health system during the pandemic: Integrating clinical care and research
Abstract Introduction Coronavirus Disease‐2019 (COVID‐19) affects multiple organ systems in the acute phase and also has long‐term sequelae. Research on the long‐term impacts of COVID‐19 is limited. The Post COVID‐19 Interdisciplinary Clinical Care Network (PC‐ICCN), conceived in July 2020, is a pro...
| Main Authors: | , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2023-01-01
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| Series: | Learning Health Systems |
| Subjects: | |
| Online Access: | https://doi.org/10.1002/lrh2.10316 |
| _version_ | 1797955174759661568 |
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| author | Adeera Levin Michelle Malbeuf Alison M Hoens Christopher Carlsten Christopher J Ryerson Alessandro Cau Stirling Bryan Jaclyn Robinson Tamsin Tarling Joanne Shum Danielle C Lavallee |
| author_facet | Adeera Levin Michelle Malbeuf Alison M Hoens Christopher Carlsten Christopher J Ryerson Alessandro Cau Stirling Bryan Jaclyn Robinson Tamsin Tarling Joanne Shum Danielle C Lavallee |
| author_sort | Adeera Levin |
| collection | DOAJ |
| description | Abstract Introduction Coronavirus Disease‐2019 (COVID‐19) affects multiple organ systems in the acute phase and also has long‐term sequelae. Research on the long‐term impacts of COVID‐19 is limited. The Post COVID‐19 Interdisciplinary Clinical Care Network (PC‐ICCN), conceived in July 2020, is a provincially funded resource that is modelled as a Learning Health System (LHS), focused on those people with persistent symptoms post COVID‐19 infection. Methods The PC‐ICCN emerged through collaboration among over 60 clinical specialists, researchers, patients, and health administrators. At the core of the network are the post COVID‐19 Recovery Clinics (PCRCs), which provide direct patient care that includes standardized testing and education at regular follow‐up intervals for a minimum of 12 months post enrolment. The PC‐ICCN patient registry captures data on all COVID‐19 patients with confirmed infection, by laboratory testing or epi‐linkage, who have been referred to one of five post COVID‐19 Recovery Clinics at the time of referral, with data stored in a fully encrypted Oracle‐based provincial database. The PC‐ICCN has centralized administrative and operational oversight, multi‐stakeholder governance, purpose built data collection supported through clinical operations geographically dispersed across the province, and research operations including data analytics. Results To date, 5364 patients have been referred, with an increasing number and capacity of these clinics, and 2354 people have had at least one clinic visit. Since inception, the PC‐ICCN has received over 30 research proposal requests. This is aligned with the goal of creating infrastructure to support a wide variety of research to improve care and outcomes for patients experiencing long‐term symptoms following COVID‐19 infection. Conclusions The PC‐ICCN is a first‐in‐kind initiative in British Columbia to enhance knowledge and understanding of the sequelae of COVID‐19 infection over time. This provincial initiative serves as a model for other national and international endeavors to enable care as research and research as care. |
| first_indexed | 2024-04-10T23:29:03Z |
| format | Article |
| id | doaj.art-f1e0c71f811b43b19d62afd92b72c097 |
| institution | Directory Open Access Journal |
| issn | 2379-6146 |
| language | English |
| last_indexed | 2024-04-10T23:29:03Z |
| publishDate | 2023-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Learning Health Systems |
| spelling | doaj.art-f1e0c71f811b43b19d62afd92b72c0972023-01-12T10:42:28ZengWileyLearning Health Systems2379-61462023-01-0171n/an/a10.1002/lrh2.10316Creating a provincial post COVID‐19 interdisciplinary clinical care network as a learning health system during the pandemic: Integrating clinical care and researchAdeera Levin0Michelle Malbeuf1Alison M Hoens2Christopher Carlsten3Christopher J Ryerson4Alessandro Cau5Stirling Bryan6Jaclyn Robinson7Tamsin Tarling8Joanne Shum9Danielle C Lavallee10Division of Nephrology University of British Columbia Vancouver British Columbia CanadaProvincial Health Services Authority Vancouver British Columbia CanadaMichael Smith Health Research BC Vancouver British Columbia CanadaDepartment of Medicine University of British Columbia Vancouver British Columbia CanadaDepartment of Medicine University of British Columbia Vancouver British Columbia CanadaDepartment of Medicine University of British Columbia Vancouver British Columbia CanadaMichael Smith Health Research BC Vancouver British Columbia CanadaProvincial Health Services Authority Vancouver British Columbia CanadaDepartment of Medicine University of British Columbia Vancouver British Columbia CanadaProvincial Health Services Authority Vancouver British Columbia CanadaMichael Smith Health Research BC Vancouver British Columbia CanadaAbstract Introduction Coronavirus Disease‐2019 (COVID‐19) affects multiple organ systems in the acute phase and also has long‐term sequelae. Research on the long‐term impacts of COVID‐19 is limited. The Post COVID‐19 Interdisciplinary Clinical Care Network (PC‐ICCN), conceived in July 2020, is a provincially funded resource that is modelled as a Learning Health System (LHS), focused on those people with persistent symptoms post COVID‐19 infection. Methods The PC‐ICCN emerged through collaboration among over 60 clinical specialists, researchers, patients, and health administrators. At the core of the network are the post COVID‐19 Recovery Clinics (PCRCs), which provide direct patient care that includes standardized testing and education at regular follow‐up intervals for a minimum of 12 months post enrolment. The PC‐ICCN patient registry captures data on all COVID‐19 patients with confirmed infection, by laboratory testing or epi‐linkage, who have been referred to one of five post COVID‐19 Recovery Clinics at the time of referral, with data stored in a fully encrypted Oracle‐based provincial database. The PC‐ICCN has centralized administrative and operational oversight, multi‐stakeholder governance, purpose built data collection supported through clinical operations geographically dispersed across the province, and research operations including data analytics. Results To date, 5364 patients have been referred, with an increasing number and capacity of these clinics, and 2354 people have had at least one clinic visit. Since inception, the PC‐ICCN has received over 30 research proposal requests. This is aligned with the goal of creating infrastructure to support a wide variety of research to improve care and outcomes for patients experiencing long‐term symptoms following COVID‐19 infection. Conclusions The PC‐ICCN is a first‐in‐kind initiative in British Columbia to enhance knowledge and understanding of the sequelae of COVID‐19 infection over time. This provincial initiative serves as a model for other national and international endeavors to enable care as research and research as care.https://doi.org/10.1002/lrh2.10316interdisciplinary careknowledge translationlearning health systempost‐COVID‐19 careprovincial network |
| spellingShingle | Adeera Levin Michelle Malbeuf Alison M Hoens Christopher Carlsten Christopher J Ryerson Alessandro Cau Stirling Bryan Jaclyn Robinson Tamsin Tarling Joanne Shum Danielle C Lavallee Creating a provincial post COVID‐19 interdisciplinary clinical care network as a learning health system during the pandemic: Integrating clinical care and research Learning Health Systems interdisciplinary care knowledge translation learning health system post‐COVID‐19 care provincial network |
| title | Creating a provincial post COVID‐19 interdisciplinary clinical care network as a learning health system during the pandemic: Integrating clinical care and research |
| title_full | Creating a provincial post COVID‐19 interdisciplinary clinical care network as a learning health system during the pandemic: Integrating clinical care and research |
| title_fullStr | Creating a provincial post COVID‐19 interdisciplinary clinical care network as a learning health system during the pandemic: Integrating clinical care and research |
| title_full_unstemmed | Creating a provincial post COVID‐19 interdisciplinary clinical care network as a learning health system during the pandemic: Integrating clinical care and research |
| title_short | Creating a provincial post COVID‐19 interdisciplinary clinical care network as a learning health system during the pandemic: Integrating clinical care and research |
| title_sort | creating a provincial post covid 19 interdisciplinary clinical care network as a learning health system during the pandemic integrating clinical care and research |
| topic | interdisciplinary care knowledge translation learning health system post‐COVID‐19 care provincial network |
| url | https://doi.org/10.1002/lrh2.10316 |
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