Strengthening the Learning Health System Framework by Embedding Environmentally Sustainable Principles

Recent climate-related disasters are shedding light on the significant health and economic impacts they can have on our society. As climate change intensifies, healthcare systems must transform to deliver value-based care and also safeguard the planet. Our latest published article explores how Learning Health Systems (LHS) can drive this transformation. A Canadian LHS framework defines seven characteristics including: (1) engaged patients; (2) digital capture, linkage and timely sharing of relevant data; (3) timely production of research evidence; (4) appropriate decision supports; (5) aligned governance, financial and delivery arrangements; (6) culture of rapid learning and improvement; and (7) competencies for rapid learning and improvement.[1]

Through discussions with health leaders and professionals, we uncovered critical challenges and actionable recommendations for implementing climate-resilient, low-carbon healthcare.

Key takeaways:

1. Data as a Catalyst: Emissions data must be integrated into decision-making. Real-time tools, like emissions metrics in electronic medical records, can make low-carbon options the default.

2. Broadening Value in Healthcare: We must redefine "value" to include not just cost and patient outcomes but also environmental and social impacts".

3. Engaging Patients and Communities: Co-creating sustainable solutions with patients, especially those disproportionately affected by climate risks.

4. Centralized Coordination: Embedding sustainability into health system culture and competencies requires strong leadership, unified frameworks, and cross-functional collaboration.

   
   

We propose that environmental sustainability becomes a central pillar of the quintuple aim in healthcare. By prioritizing sustainability, we can align patient care with planetary health, achieving co-benefits like improved equity, reduced costs, and better outcomes. This shift demands bold action, but with frameworks like LHS guiding the way, health systems can accelerate progress towards climate-resilient and low-carbon care.

Explore the full article for detailed recommendations and challenges. Together, we can reimagine healthcare for a sustainable future.

Dr. Brittany Barber, strategy lead and sustainability advisor exploring the implementation of environmentally sustainable principles.

Source: [1] Lavis J, Gauvin FP, Mattison C, et al. Rapid Synthesis: Creating Rapid-Learning Health Systems in Canada. McMaster Health Forum;2018:36.