In 2016, the National Academy of Medicine (NAM) hosted a series of meetings, which was sponsored by the Patient-Centered Outcomes Research Institute, with support from NAM's Executive Leadership Network. The series underscored the importance of partnerships between researchers and health system leadership and considered opportunities to build institutional capacity, cross-institutional synergy, and system-wide learning. During these meetings, health system executives, researchers, and others discussed building infrastructure that simultaneously facilitates care delivery, care improvement and evidence development. The vision is a digital system-wide progress toward continuous and seamless learning and improvement throughout health and health care. This publication aims to answer the following questions:

1.

How can evidence development be accelerated, given current knowledge and resources?

2.

What might that mean for better outcomes for patients and greater efficiency in health care?

3.

What system and culture changes are required to generate evidence from the care experience?

4.

How much progress has been made in preparing the field for the paradigm shift?

5.

What are the hallmarks of successful partnerships among care executives and research leaders?

6.

What are the priorities in advancing executive leadership to the next level for continuously learning health and health care?

Contents

• ABOUT THE NATIONAL ACADEMY OF MEDICINE
• PLANNING COMMITTEE
• REVIEWERS
• ACRONYMS AND ABBREVIATIONS
• 1. INTRODUCTION AND OVERVIEW
  • SCOPE AND OBJECTIVES OF THE MEETINGS
  • ORGANIZATION OF THE MEETING SERIES
• 2. EXECUTIVE DECISION NEEDS AND DATA PRIORITIES
  • A HEALTH EXECUTIVE'S PERSPECTIVE
  • GENERATING EVIDENCE IN HEALTH SYSTEMS
  • DATA TRANSFORMING PRACTICE: CHILDHOOD OSTEOMYELITIS EXAMPLE
  • DISCUSSION
• 3. EVIDENCE GENERATION RETURNS-ON-INVESTMENT
  • THE VALUE OF THE RESEARCH AND DATA INFRASTRUCTURE
  • SCALE AND SPREAD: A NETWORK OF CONTINUOUS LEARNING
  • DISCUSSION
• 4. NEEDS, OPPORTUNITIES, AND STRATEGIES FOR ACCELERATING PROGRESS
  • PCORNET: HARNESSING THE POWER OF HEALTH CARE DATA
  • BREAKOUT DISCUSSIONS
  • HEALTH CARE SYSTEM RESEARCH QUESTIONS
  • OPEN DISCUSSION OF NEEDS, OPPORTUNITIES, AND STRATEGIES
  • TRAINING AND WORKFORCE DEVELOPMENT
• 5. HARMONIZED PERFORMANCE MEASUREMENT FOR CONTINUOUS LEARNING
  • INFRASTRUCTURES FOR DATA COLLECTION
  • TAPPING NEW DATA SOURCES TO IMPROVE HEALTH QUALITY
  • ACCELERATING MEDICAL EVIDENCE GENERATION AND USE
  • DISCUSSION
• 6. FOLLOW-ON, THEMES, AND STRATEGIC EXPANSION
  • STRATEGIC EXPANSION
  • OPEN DISCUSSION OF NEEDS, OPPORTUNITIES, AND STRATEGIES
  • SUMMARY AND NEXT STEPS
• REFERENCES
• APPENDIX A:. JANUARY MEETING AGENDA
• APPENDIX B:. SEPTEMBER MEETING AGENDA
• APPENDIX C:. MEETING SERIES PARTICIPANTS

Suggested citation:

Selby, J., E. Larson, R. Kaushal, M. Zirkle, M. Hamilton Lopez, and D. Whicher, editors. 2017. Accelerating medical evidence generation and use: Summary of a meeting series. Washington, DC: National Academy of Medicine.

Support for this activity was provided by the Patient-Centered Outcomes Research Institute.

Library of Congress Cataloguing-in-Publication Data:

Names: Selby, Joe, editor. | Larson, Eric B., editor. | Kaushal, Rainu, editor. | Zirkle, Maryan, editor. | Lopez, Marianne Hamilton, editor. | National Academy of Medicine (U.S.), publisher. | Accelerating Medical Evidence

Generation and Use (Conference) (2016 : Washington, D.C.)

Title: Accelerating medical evidence generation and use : summary of a meeting series / Joe Selby, Eric Larson, Rainu Kaushal, Maryan Zirkle, Marianne Hamilton Lopez, and Danielle Whicher, editors.

Description: Washington, DC : National Academy of Medicine, [2017] | Summary of 2 meetings hosted by the National Academy of Medicine on January 21 and September 8, 2016. The meetings were sponsored by PCORI and held under the auspices of the NAM Executive Leadership Network (ELN) for Continuously Learning Health Care, an executive-level initiative of the Leadership Consortium for a Value & Science-Driven Health System. | Includes bibliographical references.

Identifiers: LCCN 2017042175 (print) | LCCN 2017041416 (ebook) | ISBN 9781947103047 (pbk.) | ISBN 9781947103054 (Ebook)

Subjects: | MESH: Biomedical Research--methods | Evidence-Based Medicine | Data Collection | Information Dissemination | Health Information Management | Delivery of Health Care--organization & administration | United States | Congresses

Classification: LCC R850 (ebook) | LCC R850 (print) | NLM W 20.5 | DDC 610.72/4--dc23

LC record available at https://lccn.loc.gov/2017041416

Printed in the United States of America.

“Knowing is not enough; we must apply.

Willing is not enough; we must do.”

—GOETHE