scholarly journals The University of Alabama at Birmingham COVID ‐19 Collaborative Outcomes Research Enterprise: Developing an institutional learning health system in response to the global pandemic

2021 ◽  
Author(s):  
Jami L. Anderson ◽  
Rebecca A. Reamey ◽  
Emily B. Levitan ◽  
Irfan Asif ◽  
Monica Aswani ◽  
...  
Keyword(s):  
Health System ◽  
Outcomes Research ◽  
University Of Alabama ◽  
Learning Health System ◽  
Global Pandemic ◽  
Institutional Learning ◽  
The University

scholarly journals COVID-19 Pandemic Spurs Evolution of an Academic Pathology Department and Laboratory

2021 ◽  
Vol 8 ◽  
pp. 237428952110370
Author(s):  
Gregory L. Blakey ◽  
Cindy B. McCloskey ◽  
Joel M. Guthridge ◽  
Christopher L. Williams ◽  
Rufei Lu ◽  
...  
Keyword(s):  
Health System ◽  
School Leadership ◽  
The United States ◽  
University Of Oklahoma ◽  
Global Pandemic ◽  
National Debate ◽  
The Subject ◽  
Pay Cuts ◽  
The University ◽  
Positive Evolution

The COVID-19 pandemic has caused much suffering through disease and death, disruption of daily life, and economic havoc. Global health infrastructure has been challenged, in some cases failing. In the United States, the inability of laboratories to provide adequate testing for the causative pathogen, severe acute respiratory syndrome coronavirus 2, has been the subject of negative press and national debate. Even so, these challenges have prompted pathology practices and clinical labs to change their organizations and operations for the better. The natural positive evolution of the University of Oklahoma Department of Pathology and OU Health Laboratories has been greatly accelerated by the global pandemic. While developing a substantial COVID testing response, our department of pathology and laboratories have evolved a much nimbler organizational structure, established an important research partnership, built a translational research resource, created a significant reference lab capability, and completed many key hires against a national background of hiring freezes and pay cuts. Also, the high visibility of the clinical lab and pathologists during the outbreak has reinforced the value of lab medicine to patient care across our health system. In the midst of significant ongoing changes to the structure and financing of our underlying organizations, high trust among departmental, hospital, health system, and medical school leadership during the pandemic has promoted these positive changes, allowing us to emerge much stronger from this crisis.

scholarly journals 3428 Adopting a learning health system architecture: a scoping review and pre-implementation framework to reduce readmissions within academic hospitals

2019 ◽  
Vol 3 (s1) ◽  
pp. 138-138
Author(s):  
Jami Anderson ◽  
Becky Reamy ◽  
Michael Mugavero
Keyword(s):  
Knowledge Translation ◽  
Health System ◽  
Health Systems ◽  
Scoping Review ◽  
Outcomes Research ◽  
Academic Hospital ◽  
Patient Centered ◽  
Implementation Framework ◽  
Learning Health System ◽  
Academic Hospitals

OBJECTIVES/SPECIFIC AIMS: Of the six Centers for Medicare and Medicaid Services (CMS) monitored diagnoses targeted for readmissions reductions, reasons for readmissions within academic hospitals are poorly understood and reflect complex interactions between the patient, provider and organizational-level responses to initial hospitalization. Learning health systems (the organizational and orchestrated integration of research into evidence-based practice) can address the complexities of readmissions through an innovative approach to knowledge translation and patient-centered outcomes research. The objective of this review is to define and optimize the architecture of learning health systems to produce a dynamic pre-implementation framework of knowledge translation and patient-centered outcomes research, leveraging two engines (research and learning) within the academic and clinical settings for reducing readmissions. METHODS/STUDY POPULATION: Three databases were utilized for this scoping review (PubMed, Academic Search Premier, and Scopus) focusing on 1.) learning health systems and the methods of defining and building these systems within an academic hospital setting and 2.) the use of learning health systems in reducing readmissions within academic hospitals. Empirical articles and reviews pertaining to the architecture, development, conceptualization, definition, and translation of learning health systems were identified and compiled into a scoping review and proposed framework. RESULTS/ANTICIPATED RESULTS: The scoping review yielded 139 articles; from which 28 articles were retained. No articles were found utilizing learning health systems to address readmissions. Thus, a new architectural framework was developed incorporating common architectural themes from the literature with adaptations to fit the interests of patients, providers, and researchers in reducing readmissions within academic hospitals (Figure 1). DISCUSSION/SIGNIFICANCE OF IMPACT: Given the dearth of information applying learning health systems to readmissions, the proposed architecture for an integrative learning health system can be utilized as a dynamic foundation for adoption and pre-implementation planning for reducing readmissions within academic hospital settings. Additionally, the authors expect this model to be tested and continually refined to address historical and emerging issues for clinically-relevant and clinically-effective approaches to patient-centered practice and research.

The Oral History Tradition at the University of Alabama in Huntsville

2006 ◽  
Author(s):  
Anne M. Coleman ◽  
Robert L. Middleton ◽  
Charles A. Lundquist ◽  
David L. Christensen
Keyword(s):  
Oral History ◽  
University Of Alabama ◽  
The University

Generating Knowledge from Best Care: Advancing the Continuously Learning Health System

2016 ◽  
Vol 6 (9) ◽  
Author(s):  
Edward Abraham ◽  
◽  
Carlos Blanco ◽  
Celeste Castillo Lee ◽  
Jennifer B. Christian ◽  
...  
Keyword(s):  
Health System ◽  
Learning Health System

EXPLORING THE CONTENTS OF THE BALTIMORE AND OHIO RAILROAD ANNUAL REPORTS: 1827–1856

2000 ◽  
Vol 27 (1) ◽  
pp. 1-42 ◽  
Author(s):  
Gary John Previts ◽  
William D. Samson
Keyword(s):  
Annual Report ◽  
Annual Reports ◽  
Corporate Disclosure ◽  
University Of Alabama ◽  
Complete Collection ◽  
Archival Collection ◽  
Annual Reporting ◽  
The University ◽  
Disclosure Practice ◽  
Corporate Practice

In 1995, a nearly complete collection of the annual reports of the earliest interstate and common carrier railroad in the U. S., the Baltimore and Ohio (B&O), was rediscovered in the archival collection at the Bruno Library of the University of Alabama. Dating from the company's inception in 1827 to its acquisition by the Chessie System in 1962, the reports present a unique opportunity for the exploration, study, and analysis of early U.S. corporate disclosure practice. This paper represents a study of the annual report information made publicly available by one of America's first railroads, and one of the first modern U.S. corporations. In this paper, early annual reports of the B&O which detail its formation, construction, and operation are catalogued as to content and evaluated. Mandated in the corporate charter, the annual “statement of affairs” presented by the management and directors to stockholders is studied as a process and as a product that instigated the institutional corporate practice recognized today as “annual reporting.” Using a single company methodology for assessment of reporting follows a pattern developed by Claire [1945] in his analysis of U.S. Steel and utilized by other researchers. This study demonstrates the use of archival information to improve understanding about the origins and contents of early annual reports and, therein, related disclosure forms.

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