 I am going to go out on a limb and suggest that many of us have been neglecting this timely resource for developing an effective architecture for healthcare-provider learning and the framework for content that influences clinical decisions at the point of care. The Learning Healthcare System is a summary document from 2007 that fuels all of my collaborations and should be a "go to" guide for all stakeholders committed to making a positive difference in how we deliver healthcare in the US and beyond. As I caution in all my posts "your mileage may vary" but many colleagues have left comments that lead me to believe some of the best practices highlighted in this humble blog are actually making a difference. This post is special. Those of us working on the weekend are likely tending to a persistent business need, a last minute client request (guilty), or find the quiet time away from the office--best time to catch up on reading. I thought I would share a few best practices and a few highlights from this book (dog-eared for quick access) that will unequivocally influence your mindset. 3 business practices to adopt for immediate benefit...I hate these "5 ways to", "How to" headings. They tease you into believing that you have been missing important short-cuts. I created this title to encourage you to read on with the hope that you will now stick around for the discussion. But since I started it I will see it through...
Determinants of health—like physical activity levels and living conditions—have traditionally been the concern of public health and have not been linked closely to clinical practice. However, if standardized social and behavioral data can be incorporated into patient electronic health records (EHRs), those data can provide crucial information about factors that influence health and the effectiveness of treatment.Such information is useful for diagnosis, treatment choices, policy, health care system design, and innovations to improve health outcomes and reduce health care costs. I continue to collaborate with physician practices to capture EHR data to inform practice decisions. Capturing Social and Behavioral Domains in Electronic Health Records Part 1 and Part 2 is a helpful resource that I use to create disease specific templates. As healthcare practices transition EHR from digital filing cabinets to improving patient outcomes, social and behavioral health data will bring true "meaning" to meaningful data... At the point of care, healthcare providers engage in decision processes that exist outside of available evidence. As research evolves at a dizzying pace in the context of health policy, economics, and clinical medicine, the gap widens. Adapting the EHR in practice (beyond administrative and process data) can narrow this gap by substantially increasing real-time access to knowledge directly relevant to everyday clinical decisions. Standardized social and behavioral data...Sociodemographic Domains
Thoughtful discussions about content development and outcomes analytics that apply the principles and frameworks of health policy and economics to persistent and perplexing health and health care problems
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In a world of "evidence-based" medicine I am a bigger fan of practice-based evidence.
Remember the quote by Upton Sinclair... “It is difficult to get a man to understand something, when his salary depends upon his not understanding it!” 
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