A practical model for research with learning health systems: Building and implementing effective complex case management

Appl Ergon. 2020 Apr:84:103023. doi: 10.1016/j.apergo.2019.103023. Epub 2019 Dec 5.


For researchers to contribute meaningfully to the creation of learning health systems, practical tools are required to operationalize existing conceptual frameworks. We describe a model currently in use by the University of Wisconsin Health Innovation Program (HIP). The HIP model consolidates and enhances existing learning health system frameworks by defining specific steps needed to create sustainable change based on research conducted within the health system. As an example of the model's application, we describe its use to improve patient identification for the University of Wisconsin health system's case management program. Our case study shows the importance of culture, infrastructure, and strong leadership support in realizing a learning health systems research project and creating sustainable change within the health system. By articulating the foundational elements and steps to conduct research with learning health systems, our model supports researchers in achieving the challenge of moving learning health systems from concept to action.

Keywords: Case management; Health services research; Learning health systems.

MeSH terms

  • Case Management / organization & administration*
  • Humans
  • Leadership
  • Learning Health System / organization & administration*
  • Models, Organizational*
  • Wisconsin