university of michigan department of learning health sciences
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Post on 14-Apr-2017
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The Department of Learning Health Sciences Charles P. Friedman, PhD
Josiah Macy Jr. Professor of Medical Education
Chair, Department of Learning Health Sciences, Medical School
Professor of Information and Public Health
Skating to Where the Puck is Going to Be
Wayne Gretzky
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In this Spirit,
The UMMS Department of Medical Education
has evolved into a first-in-the-nation
Department of Learning Health
Sciences 3
A New Perspective on Learning • Learning is a process of study and
change, leading to improvement • Learning occurs at different levels of scale:
– Individual -Group
– Organization
– Ultra-large scale
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We Broadened the Department to Focus on Learning at All Levels of Scale
• At individual and team levels, this invokes the original focus on medical education
• At organization and ultra-large (system) scale, this extends the mission to include the Learning Health System
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Department Organization
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Pre-existing • Division of Professional Education:
Learning by individuals and groups • Clinical Simulation Center: Developing
and deploying advanced simulation technology to promote learning by individuals and groups
New • Division of Learning and Knowledge
Systems: Learning at the organizational level and at ultra-large scale
We Are a Basic Science Department • Research: Generate and communicate
new knowledge that advances the sciences of learning applied to health – New Academic Journal
• Education: Prepare a next generation of educators and learning scientists; fold learning science into health professional curricula – Graduate programs
• Service: Promote learning and learning systems at all levels of scale
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The Learning Health System
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Where learning meets health. Health systems become learning systems when they can continuously study and improve themselves
Perspective: Jan 3, 2013"“Code Red and Blue — Safely Limiting Health Care’s GDP Footprint”"
"Arnold Milstein, M.D., M.P.H." …U.S. health care needs to adopt new work methods, outlined in the Ins9tute of Medicine’s vision for a learning health system…
Reduce Bench to Bedside Latency: 17 Years to 17 Months to 17 Weeks to 17 Days to 17 Hours
A Health System That Can Learn • Every consenting patient’s characteristics
and experience are available for study
• Best practice knowledge is immediately available to support decisions
• Improvement is continuous through ongoing study
• This happens routinely, economically and almost invisibly
• All of this is part of the culture 9
Learning Health Systems Require Platforms to Support Learning Cycles
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Different Problems
Rapid Cycle
Slower Cycle
SUPPORTING PLATFORM
People
Process Technology
Policy
Example: Learning “Islands” • Organizations that have become Learning
Health Systems at their level of scale. • But don’t routinely connect with other islands.
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Example: Inter-organizational Data Federations and Networks
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The Challenge Is…
We’re still figuring out how to do this
High functioning learning
health systems raise many deep scientific challenges
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The New Learning Science • How to enable learning that is effective,
continuous, sustainable, routine • And at any level of scale
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SemanNcs, Knowledge RepresentaNon and
Management
Decision Science CommunicaNon and Behavior Change
ImplementaNon Science
Complexity & System Science Economics
Policy Science
Data Science Machine Learning
& AnalyNcs
Funding Opportunities and an Emerging National Community
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Reaching Across the University A “Legion” of 80+ UM Collaborators
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