Table 2 Recommendations for operationalising an LHS in primary care settings
Domain | Description | Recommendation |
|---|---|---|
Science and Informatics | Real time access to knowledge | • Providing access to subscription based educational platforms. • Hosting lunchtime teaching sessions on topical health issues. • Upskilling clinicians to use clinical auditing tools to provide practitioners with overview of their patient cohort. |
Patient clinician partnerships | Digital capture of the care experience | • Implementing technology which provides patients with access to referrals, prescriptions, certificates. |
Engaged, empowered patients | • Encouraging patients to leave online reviews and provide staff with feedback. • Holding focus groups with patients to discuss the implementation of new initiatives within the practice. | |
Incentives | Incentives aligned for value | • Paying staff a salary so that their remuneration is not based on care volume. • Creating KPIs and incentives that apply to all staff, not just doctors. • Creating financial incentives that are based not only on care delivered, but engaging in research, teaching, and supervision. |
Full transparency | • Publishing or making available metrics on patient health outcomes, linked to the quadruple aim. | |
Culture | Leadership-instilled culture of learning | • Creating affiliations with academic institutions, providing teaching, research and learning opportunities for staff. |
Supportive system competencies | • Holding regular meetings involving clinical and non-clinical staff that address quality improvement. | |
Structure and governance | Policies, governance, and regulations aligned to facilitate research, collaboration, and learning | • Forming multidisciplinary working groups that involve both clinical and non-clinical staff. • Encouraging senior leadership staff to engage with research opportunities and collaborations. |