Toward an ontology of collaborative learning healthcare systems

Abstract Objective To establish a basis for a domain ontology ‐ a formal, explicit specification of a shared conceptualization ‐ of collaborative learning healthcare systems (CLHSs) in order to facilitate measurement, explanation, and improvement. Methods We adapted the “Methontology” approach to be...

Full description

Bibliographic Details
Main Authors: Alexandra H. Vinson, Michael Seid, Breck Gamel, Shehzad Saeed, Brandy Fureman, Susan C. Cronin, Katherine Bates, David Hartley
Format: Article
Language:English
Published: Wiley 2022-07-01
Series:Learning Health Systems
Subjects:
Online Access:https://doi.org/10.1002/lrh2.10306
_version_ 1818108831894339584
author Alexandra H. Vinson
Michael Seid
Breck Gamel
Shehzad Saeed
Brandy Fureman
Susan C. Cronin
Katherine Bates
David Hartley
author_facet Alexandra H. Vinson
Michael Seid
Breck Gamel
Shehzad Saeed
Brandy Fureman
Susan C. Cronin
Katherine Bates
David Hartley
author_sort Alexandra H. Vinson
collection DOAJ
description Abstract Objective To establish a basis for a domain ontology ‐ a formal, explicit specification of a shared conceptualization ‐ of collaborative learning healthcare systems (CLHSs) in order to facilitate measurement, explanation, and improvement. Methods We adapted the “Methontology” approach to begin building an ontology of CLHSs. We specified the purpose of an ontology, acquired domain knowledge via literature review, conceptualized a common framework of CLHSs using a grounded approach, refined these concepts based on expert panel input, and illustrated concept application via four cases. Results The set of concepts identified as important to include in an ontology includes goals, values, structure, actors, environment, and products. To establish this set of concepts, we gathered input from content experts in two ways. First, expert panel methods were used to elicit feedback on these concepts and to test the elicitation of terms for the vocabulary of the Values concept. Second, from these discussions we developed a mapping exercise to test the intuitiveness of the concepts, requesting that network leaders from four CLHSs complete a mapping exercise to associate characteristics of their networks with the high‐level concepts, building the vocabulary for each concept in a grounded fashion. We also solicited feedback from these participants on the experience of completing the mapping exercise, finding that the exercise is acceptable and could aid in CLHS development and collaboration. Respondents identified opportunities to improve the operational definitions of each concept to ensure that corresponding vocabularies are distinct and non‐overlapping. Discussion Our results provide a foundation for developing a formal, explicit shared conceptualization of CLHSs. Once developed, such a tool can be useful for measurement, explanation, and improvement. Further work, including alignment to a top‐level ontology, expanding the vocabulary, and defining relations between vocabulary is required to formally build out an ontology for these uses.
first_indexed 2024-12-11T02:21:37Z
format Article
id doaj.art-f28e0ee994b34dc1a113f6555533a3b6
institution Directory Open Access Journal
issn 2379-6146
language English
last_indexed 2024-12-11T02:21:37Z
publishDate 2022-07-01
publisher Wiley
record_format Article
series Learning Health Systems
spelling doaj.art-f28e0ee994b34dc1a113f6555533a3b62022-12-22T01:24:03ZengWileyLearning Health Systems2379-61462022-07-0163n/an/a10.1002/lrh2.10306Toward an ontology of collaborative learning healthcare systemsAlexandra H. Vinson0Michael Seid1Breck Gamel2Shehzad Saeed3Brandy Fureman4Susan C. Cronin5Katherine Bates6David Hartley7Department of Learning Health Sciences University of Michigan Ann Arbor Michigan USADivision of Pulmonary Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USACo‐Chair, Network Leadership Team Cystic Fibrosis Learning Network USADepartment of Medical Affairs Dayton Children's Hospital Dayton Ohio USAMission Outcomes Team Epilepsy Foundation Bethesda Maryland USADivision of Pulmonary Medicine Cincinnati Children's Hospital Medical Center Cincinnati Ohio USADepartment of Pediatrics, C.S. Mott Children's Hospital University of Michigan Medical School Ann Arbor Michigan USAJames M Anderson Center for Health Systems Excellence Cincinnati Children's Hospital Medical Center Cincinnati Ohio USAAbstract Objective To establish a basis for a domain ontology ‐ a formal, explicit specification of a shared conceptualization ‐ of collaborative learning healthcare systems (CLHSs) in order to facilitate measurement, explanation, and improvement. Methods We adapted the “Methontology” approach to begin building an ontology of CLHSs. We specified the purpose of an ontology, acquired domain knowledge via literature review, conceptualized a common framework of CLHSs using a grounded approach, refined these concepts based on expert panel input, and illustrated concept application via four cases. Results The set of concepts identified as important to include in an ontology includes goals, values, structure, actors, environment, and products. To establish this set of concepts, we gathered input from content experts in two ways. First, expert panel methods were used to elicit feedback on these concepts and to test the elicitation of terms for the vocabulary of the Values concept. Second, from these discussions we developed a mapping exercise to test the intuitiveness of the concepts, requesting that network leaders from four CLHSs complete a mapping exercise to associate characteristics of their networks with the high‐level concepts, building the vocabulary for each concept in a grounded fashion. We also solicited feedback from these participants on the experience of completing the mapping exercise, finding that the exercise is acceptable and could aid in CLHS development and collaboration. Respondents identified opportunities to improve the operational definitions of each concept to ensure that corresponding vocabularies are distinct and non‐overlapping. Discussion Our results provide a foundation for developing a formal, explicit shared conceptualization of CLHSs. Once developed, such a tool can be useful for measurement, explanation, and improvement. Further work, including alignment to a top‐level ontology, expanding the vocabulary, and defining relations between vocabulary is required to formally build out an ontology for these uses.https://doi.org/10.1002/lrh2.10306collaborative learning health systemlearning networksontology
spellingShingle Alexandra H. Vinson
Michael Seid
Breck Gamel
Shehzad Saeed
Brandy Fureman
Susan C. Cronin
Katherine Bates
David Hartley
Toward an ontology of collaborative learning healthcare systems
Learning Health Systems
collaborative learning health system
learning networks
ontology
title Toward an ontology of collaborative learning healthcare systems
title_full Toward an ontology of collaborative learning healthcare systems
title_fullStr Toward an ontology of collaborative learning healthcare systems
title_full_unstemmed Toward an ontology of collaborative learning healthcare systems
title_short Toward an ontology of collaborative learning healthcare systems
title_sort toward an ontology of collaborative learning healthcare systems
topic collaborative learning health system
learning networks
ontology
url https://doi.org/10.1002/lrh2.10306
work_keys_str_mv AT alexandrahvinson towardanontologyofcollaborativelearninghealthcaresystems
AT michaelseid towardanontologyofcollaborativelearninghealthcaresystems
AT breckgamel towardanontologyofcollaborativelearninghealthcaresystems
AT shehzadsaeed towardanontologyofcollaborativelearninghealthcaresystems
AT brandyfureman towardanontologyofcollaborativelearninghealthcaresystems
AT susanccronin towardanontologyofcollaborativelearninghealthcaresystems
AT katherinebates towardanontologyofcollaborativelearninghealthcaresystems
AT davidhartley towardanontologyofcollaborativelearninghealthcaresystems