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Innovations in Health Care Delivery
December 20, 2016

Creating Local Learning Health SystemsThink Globally, Act Locally

Author Affiliations
  • 1The Research Institute at Nationwide Children’s Hospital, Columbus, Ohio
  • 2The Ohio State University, Columbus

Copyright 2016 American Medical Association. All Rights Reserved.

JAMA. 2016;316(23):2481-2482. doi:10.1001/jama.2016.16459

Transforming the delivery of health care to maximize value, by measurably improving clinical outcomes while simultaneously reducing costs, is fundamental to reforming health care. Achieving such a goal requires fundamental changes to health care delivery, through so-called clinical transformation efforts that better align people, processes, and technology.1 As such efforts continue to gain momentum, they increasingly demonstrate the importance of weaving continuous and systematic evidence-generating medicine activities into routine practice.2 This model creates a continuous cycle of systematic care improvement by coupling evidence generation with evidence application to health care that embodies and enables the goals of the learning health system (LHS).3

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