In 2013, the Duke Health System leadership team established the Learning Health System Training Program (LHSTP) to train a new generation of physician leaders with skills in using data to understand and inform care delivery.

Goals of the Learning Health Care Training Program Curriculum:

  • To teach basic concepts of the Learning Health Care System (LHCS) to residents (data, clinical informatics, data quality, statistics, PDSA-cycles, EHRs) and how to use IT solutions to collect and review data;
  • To provide an infrastructure for residents to participate, design and lead LHCS projects with dedicated faculty and administrative staff mentors in both the ambulatory and inpatient setting;
  • To ensure that each participating resident conducts a LHCS project that combines the basic LHSC concepts and utilizes the established infrastructure, thereby reinforcing the concepts of the practice of evidence-based medicine within a LHCS; and,
  • To ensure that the LHCS training program and its outcomes align with residency and health system objectives as well as quality improvement efforts to perform continuous review of individual, departmental, and health system quality metrics.

The curriculum trajectory involves the following areas of focus longitudinally throughout the 9 month program:

Acquisition of Analytic Skills
– Introduction of core LHS concepts
– Sessions on research and statistical methods
– Understanding of regulatory boundaries for Quality Improvement (QI) work

Familiarity with Health System Data
– Introduction to health system operational improvement team (“Performance Services”)
– Connections with key informants in the health system who can further access systems-based data

Project Development/Delivery
– Working with health system operational leaders to determine system-wide priorities for projects
– Using analytic skills and data to understand problems and possible solutions
– Applying project results to drive iterative improvement and outcomes assessments