Catalyzing Innovation in Learning Health Systems through Research.

Krelle, Holly; Tsuruo, Sarah; Sorensen, Asta; Horwitz, Leora I · NEJM Catal Innov Care Deliv · 2026

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Abstract

Learning health systems (LHSs) integrate evidence generation, implementation, and evaluation into routine care, enabling health systems to continuously improve quality of care and patient safety. Advances in artificial intelligence (AI), data infrastructure, and rapid evaluation methods have created a pivotal opportunity to accelerate this transformation. Effective LHSs embed pragmatic trials, human-centered design, and continuous monitoring to deploy innovations efficiently while maintaining ethical and operational standards. Key challenges include premature deployment, poor ethical oversight, a lack of funding, clinician burden, and misaligned incentives for payers and providers. Strategic actions - investing in infrastructure, scaling learning, aligning collaborators, and leveraging AI - can bridge the gap between discovery and practice, ensuring that health systems translate innovation into measurable value.

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