Patient-Centered Network of Learning Health Systems (LHSNet) – Phase II

Network Name: Patient-Centered Network of Learning Health Systems (LHSNet)

Organization: Mayo Clinic

Principal Investigator: Veronique Roger, MD

Our proposed Clinical Data Research Network (CDRN)—The Patient-Centered Network of Learning Health Systems (LHSNet)— is designed to support research to improve health care in ways meaningful to patients, their families, and providers. Our network brings together diverse institutions including academic medical centers, health care systems, a public health department, and private health plans. Several million people are served by these partners, including patients in underserved and rural areas. Our goals are to build the infrastructure to (1) facilitate patient-centered outcomes research; (2) support large pragmatic clinical trials and observational and interventional comparative effectiveness research  studies embedded within the health care systems; and (3) enable the dissemination, implementation, and evaluation of clinical and community efforts to improve population health.

Through standing advisory councils, all stakeholders, including patients and families, clinicians, researchers, health systems, and payers, will collaborate to develop our network and conduct research. This will ensure that patient needs always drive our work which will in turn lead to trustworthy and relevant information most likely to be adopted clinically.

These goals can be accomplished rapidly because members of LHSNet have been collaborating for more than 10 years and have strong relationships with patients and communities, academic medical centers, universities, health care systems, and payers. LHSNet sites have extensive experience working within networks and consortia to improve health care delivery, and LHSNet has committed to partnerships with existing Phase I CDRNs (Chicago Area Patient Centered Outcomes Research Network, New York City CDRN) and patient-powered research networks (Health eHeart Alliance, Mood-Patient Powered Research Network, and NephCure Kidney Network) to support initial studies in 3 disease cohorts: heart failure (common condition), osteogenesis imperfecta (rare condition), and obesity.

Further, several members of LHSNet are industry-leaders in developing methods and tools for longitudinal health care data standardization, data linkage, data privacy, natural language processing (NLP) and computable phenotyping from electronic health records (EHRs). LHSNet sites have a long history of excellence in clinical research and expertise in conducting clinical trials, including centralized IRBs and the identification of patients eligible for trials using EHRs.

The members of our proposed LHSNet CDRN share mutual trust and commitment to generate patient-centered knowledge and disseminate it widely to rapidly and continuously optimize care. These powerful relationships along with our extensive collective experience optimally position our network to join the “PCORnet family” to create the research data networks of the future in support of a national learning health system designed to improve healthcare and health.

Clinical condition for high prevalence cohort: Heart Failure

Clinical condition for rare disorder cohort: Osteogenesis Imperfecta

Populations covered by network: Children 0-12, Children 13-18, Children 18-21, Adults >65, Disabled persons, Racial or ethnic minorities, Rural, Urban, Veterans, Women, LGBT, Socioeconomic/underserved, Individuals with multiple conditions, Individuals with rare diseases, Individuals whose genetic make-up affects medical outcomes, Patients with low health literacy/numeracy

State: Minnesota

Requested Project Budget: * $8,635,740

Year Awarded: 2015

Project Period: *3 Years

*All proposed projects, including requested budgets and project periods, are approved subject to a programmatic and budget review by PCORI staff and the negotiation of a formal award contract.

Last updated on August 25, 2015