Abstract
The Institute of Medicine (now the National Academy of Medicine) has proposed a Learning
Heath system (LHS) as a model to improve health care. A LHS focuses on capturing data
from the clinical encounter and applying those data to improve practice. The process
can be described as an iterative learning cycle composed of 3 areas: performance to
data, data to knowledge, and knowledge to performance or often knowledge translation.
Adoption of new knowledge in medicine is notoriously slow, and the relatively new
field of knowledge translation is systematically examining the critical success factors.
In this issue of the Archives, Moore reports a knowledge translation project in a key aspect of rehabilitation:
implementing standardized outcome measures. We report on the challenges and benefits
of that project from a practical perspective and identify the critical success ingredient,
leadership for implementation, which was composed of 3 key behaviors: setting clear
expectations, engaging stakeholders, and providing support. Furthermore, the additional
benefits, challenges, and costs are addressed.
Keywords
List of abbreviations:
Co-PI (coprincipal investigator), EMR (electronic medical record), GAB (gait assessment battery), KT (knowledge translation), LHS (learning health system), MFB (Mary Free Bed Rehabilitation Hospital), OT (occupational therapist), PT (physical therapist), RA (research assistant), SNF (skilled nursing facility)To read this article in full you will need to make a payment
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Article info
Publication history
Published online: November 25, 2020
Footnotes
Presented in part to the Combined Sections Meeting of the American Physical Therapy Association, February 12-15, 2020, Denver, CO.
Supported by the Department of Health and Human Services, National Institute on Disability, Independent Living, and Rehabilitation Research (grant no. 90RT5027).
Disclosures: none.
This paper is part of a supplement from the American Congress of Rehabilitation Medicine.
Identification
Copyright
© 2020 by the American Congress of Rehabilitation Medicine
