Strategy

This tool is a guide to using the Theoretical Domains Framework of behavior change to assess implementation problems and support intervention design.

This tool is a paper that presents a conceptual framework that has been developed in Canada to support the implementation of value-creating LHSs. The framework describes four elements that characterize LHSs: (1) core values, (2) pillars and accelerators, (3) processes, and (4) outcomes.

This tool presents the PARiHS (Promoting Action on Research Implementation in Health Services) framework as a way to implement research into practice. It examines interactions between three key elements for knowledge translation: evidence, context, and facilitation.

This tool presents a logic model for evaluating LHSs based on Kaiser Permanente Washington’s experience. It may be helpful for organizations that want to establish, implement, or evaluate an LHS.

This tool is a scoping review that identifies and describes the requisite individual competencies (knowledge, skills, and attitudes) and system competencies (capacities, characteristics, and capabilities) described for operationalizing LHS.

This tool is a health equity roadmap developed by NYU Langone. It can serve as an organizing framework for pragmatic research in healthcare systems wishing to target and eliminate health inequities. This article outlines each element of the roadmap.

This tool provides readers with suggestions to better integrate patient, caregiver, and community involvement into learning health systems. It offers questions and recommendations to determine if and how health systems actively include patients, caregivers, and communities in their LHS.

This tool defines and describes organizational readiness for change (ORC), including the conditions that promote ORC and the outcomes expected to result from it.

This tool introduces the behavior change wheel (BCW), a framework that can be used to characterize and design behavior change interventions. This may be a useful framework for LHS’s given that behavior change at several levels is integral to the development of a learning health system.

This case study describes the Alliance for Healthier Communities’ journey to a learning health system in primary care. The case study provides useful examples from organizational culture, data and analytics, people and partnerships, and other areas.