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Digital Infrastructure for the Learning Health System The Foundation for Continuous Improvement in Health and Health Care: Workshop Series Summary (2011) / Chapter Skim
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Appendix A: The Learning Health System and the Digital Health Utility
Pages 251-254

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From page 251...
... A The Learning Health System and the Digital Health Utility 251
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From page 252...
... ) Outpatient medicines electronically Automated medication safeguard/ Visit-specific Automated patient e-Record patient prescribed econciliation information reminders access (copy or to patients patient portal)
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From page 253...
... Next-Generation Digital Infrastructure LHS Digital Health Utility Strategy Elements Stakeholder Next generation requirements Activities that advance: Responsibilitiesb Technical Ultra-large-scale system perspective Ultra-large-scale system ONC works with NIST, other Progress Distributed, local data maintenance perspective agencies and IT community to Virtual interoperability Functionality focus advance interoperability and Reliable use and system security System specifications/ security protocols protocols interoperability NSF works with ONC/NIH on test Standards vehicles for setting/ Workflow and usability beds for digital infrastructure revising, metadata, vocabulary, Security and privacy safeguards component technologies data transport, common core System innovation including ULS system approach datasets, sentinel indicators, access Interoperability agreements authorization/authentication, data among delivery systems utilizing quality review protocols EHRs CMS develops test beds for digital infrastructure application in care coordination/delivery model innovation Knowledge Core clinical data elements available Shared learning environment NIH, NSF, AHRQ, and FDA work Generation/Use for quality improvement and Point of decision support and on innovative approaches to research guidance research insights from clinical Channels and protocols for integrating Research-ready records for data data clinical and public health data reuse CDC develops templates/protocols Capacity and protocols for query- Patient-generated data for integrating population and driven data use in quality and Integration/use of data across clinical data research and monitoring of sentinel sources Healthcare organizations form indicators Distributed data repositories research collaboratives Novel statistical and database tools for Sentinel indicators reliable new insights Query capacity Analytical tools and methods innovation 253 continued
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From page 254...
... b Sample list, neither definitive nor complete. See page xxiii for list of acronyms.
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Key Terms

  • automated patient
  • specific data
  • medicines electronically
  • nor complete
  • embedded clinical

  • neither definitive
  • clinical quality
  • automated medication
  • patient portal
  • outpatient medicines

  • security safeguards
  • definitive nor
  • sample list
  • patient prescribed
  • quality measures

  • public health
  • page xxiii


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