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“The use of the LFEP Program in our clinic has resulted in robust research data that can be used for publication and for implementing evidence-based improvements in clinical care,” says author Garey Noritz, MD, medical director of the Cerebral Palsy Program at Nationwide Children’s Hospital and associate professor at The Ohio State University. “For example, children with cerebral palsy are prone to hip dislocation, so our practice had been to perform x-rays on every child every year. An examination of our data revealed that this was excessive for children with mild CP. We have since changed our protocol for these patients, reducing their exposure to radiation, as well as costs.” https://www.youtube.com/embed/bN1f1rs_q2cyou could check here“These results demonstrate that a learning health system can be developed and implemented in a cost-effective manner, and can integrate clinical care and research to systematically drive simultaneous clinical quality improvement and reduced health care costs,” notes co-author Peter Embi, MD, MS, associate professor and interim chair of Biomedical Informatics and chief research information officer at The Ohio State University. As described in the journal article, the early experience of this local learning health system (i.e. a bottom-up approach) suggests that this method has the potential to be an effective complementary or alternative strategy to the top-down approach of learning health systems to achieve the overall goal of clinical transformation at the national level. The LFEP approach is being used as the foundation for the recently created Cerebral Palsy Research Network ( cpresearch.net ), which will connect multiple CP programs across the U.S. and Canada. “The adage that our local environment will affect our global health efforts has never been truer than now. With all of the externalities impacting health care, we need to be innovative, progressive and integrative relative to research and operations at every opportunity,” notes senior author, Susan Moffatt-Bruce, MD, PhD, MBA, professor of Surgery and Biomedical Informatics and chief quality officer at The Ohio State University Wexner Medical Center. “There are numerous future challenges related to demonstrating the potential value of using local learning health systems to develop a national adaptable learning health system,” says Dr.
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