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.

中文翻译：

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学习型卫生系统的实用研究模型：建立和实施有效的复杂病例管理。

为了使研究人员为创建学习型健康系统做出有意义的贡献，需要实用工具来使现有的概念框架投入运营。我们描述了威斯康星大学健康创新计划（HIP）当前使用的模型。HIP模型通过根据卫生系统内进行的研究定义可持续变革所需的特定步骤，巩固和增强了现有的学习卫生系统框架。作为该模型应用的一个示例，我们描述了该模型在改善威斯康星大学卫生系统的病例管理程序的患者识别中的用途。我们的案例研究表明，文化，基础设施和强有力的领导支持对于实现学习型卫生系统研究项目和在卫生系统内创造可持续变化的重要性。