A learning health system model for addressing substance use: Denver Health Center for Addiction Medicine
Introduction Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs requires health systems that can efficiently and effectively assess data and integrate evidence to practice. This paper describes the implemen...
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| Veröffentlicht in: | Learning health systems Jg. 9; H. 3; S. e70003 - n/a |
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| Sprache: | Englisch |
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United States
John Wiley & Sons, Inc
01.07.2025
John Wiley and Sons Inc Wiley |
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| Abstract | Introduction
Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs requires health systems that can efficiently and effectively assess data and integrate evidence to practice. This paper describes the implementation of a learning health systems model of SUD care at an urban, safety‐net, integrated health system in Denver, Colorado.
Methods
The health system created the Center for Addiction Medicine (CAM) to coordinate comprehensive services for patients with SUD, including research, evaluation, and quality improvement efforts. CAM implemented a hub‐and‐spoke model of care and developed four strategic areas to identify, integrate, and grow SUD services. CAM also created a process for engaging community members with lived experience with SUDs and a CAM Academy to educate partners within the health system and across the region.
Results
CAM successfully implemented processes for gathering and assessing evidence, informing clinical practice, fostering community partnerships, and strategically expanding services and reach. Key factors driving success include strategic planning, leadership buy‐in, data infrastructure, and community partnerships.
Conclusions
Integrated SUD care at a safety‐net institution is a continued challenge. Persistent barriers include the SUD policy and regulatory landscape, addressing co‐occurring social and health circumstances when treating SUDs, and accurate clinical documentation of SUDs. Applying a learning health system model can help health systems adapt to these challenges. |
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| AbstractList | Introduction Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs requires health systems that can efficiently and effectively assess data and integrate evidence to practice. This paper describes the implementation of a learning health systems model of SUD care at an urban, safety‐net, integrated health system in Denver, Colorado. Methods The health system created the Center for Addiction Medicine (CAM) to coordinate comprehensive services for patients with SUD, including research, evaluation, and quality improvement efforts. CAM implemented a hub‐and‐spoke model of care and developed four strategic areas to identify, integrate, and grow SUD services. CAM also created a process for engaging community members with lived experience with SUDs and a CAM Academy to educate partners within the health system and across the region. Results CAM successfully implemented processes for gathering and assessing evidence, informing clinical practice, fostering community partnerships, and strategically expanding services and reach. Key factors driving success include strategic planning, leadership buy‐in, data infrastructure, and community partnerships. Conclusions Integrated SUD care at a safety‐net institution is a continued challenge. Persistent barriers include the SUD policy and regulatory landscape, addressing co‐occurring social and health circumstances when treating SUDs, and accurate clinical documentation of SUDs. Applying a learning health system model can help health systems adapt to these challenges. Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs requires health systems that can efficiently and effectively assess data and integrate evidence to practice. This paper describes the implementation of a learning health systems model of SUD care at an urban, safety-net, integrated health system in Denver, Colorado. The health system created the Center for Addiction Medicine (CAM) to coordinate comprehensive services for patients with SUD, including research, evaluation, and quality improvement efforts. CAM implemented a hub-and-spoke model of care and developed four strategic areas to identify, integrate, and grow SUD services. CAM also created a process for engaging community members with lived experience with SUDs and a CAM Academy to educate partners within the health system and across the region. CAM successfully implemented processes for gathering and assessing evidence, informing clinical practice, fostering community partnerships, and strategically expanding services and reach. Key factors driving success include strategic planning, leadership buy-in, data infrastructure, and community partnerships. Integrated SUD care at a safety-net institution is a continued challenge. Persistent barriers include the SUD policy and regulatory landscape, addressing co-occurring social and health circumstances when treating SUDs, and accurate clinical documentation of SUDs. Applying a learning health system model can help health systems adapt to these challenges. Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs requires health systems that can efficiently and effectively assess data and integrate evidence to practice. This paper describes the implementation of a learning health systems model of SUD care at an urban, safety-net, integrated health system in Denver, Colorado.IntroductionSubstance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs requires health systems that can efficiently and effectively assess data and integrate evidence to practice. This paper describes the implementation of a learning health systems model of SUD care at an urban, safety-net, integrated health system in Denver, Colorado.The health system created the Center for Addiction Medicine (CAM) to coordinate comprehensive services for patients with SUD, including research, evaluation, and quality improvement efforts. CAM implemented a hub-and-spoke model of care and developed four strategic areas to identify, integrate, and grow SUD services. CAM also created a process for engaging community members with lived experience with SUDs and a CAM Academy to educate partners within the health system and across the region.MethodsThe health system created the Center for Addiction Medicine (CAM) to coordinate comprehensive services for patients with SUD, including research, evaluation, and quality improvement efforts. CAM implemented a hub-and-spoke model of care and developed four strategic areas to identify, integrate, and grow SUD services. CAM also created a process for engaging community members with lived experience with SUDs and a CAM Academy to educate partners within the health system and across the region.CAM successfully implemented processes for gathering and assessing evidence, informing clinical practice, fostering community partnerships, and strategically expanding services and reach. Key factors driving success include strategic planning, leadership buy-in, data infrastructure, and community partnerships.ResultsCAM successfully implemented processes for gathering and assessing evidence, informing clinical practice, fostering community partnerships, and strategically expanding services and reach. Key factors driving success include strategic planning, leadership buy-in, data infrastructure, and community partnerships.Integrated SUD care at a safety-net institution is a continued challenge. Persistent barriers include the SUD policy and regulatory landscape, addressing co-occurring social and health circumstances when treating SUDs, and accurate clinical documentation of SUDs. Applying a learning health system model can help health systems adapt to these challenges.ConclusionsIntegrated SUD care at a safety-net institution is a continued challenge. Persistent barriers include the SUD policy and regulatory landscape, addressing co-occurring social and health circumstances when treating SUDs, and accurate clinical documentation of SUDs. Applying a learning health system model can help health systems adapt to these challenges. Introduction Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs requires health systems that can efficiently and effectively assess data and integrate evidence to practice. This paper describes the implementation of a learning health systems model of SUD care at an urban, safety‐net, integrated health system in Denver, Colorado. Methods The health system created the Center for Addiction Medicine (CAM) to coordinate comprehensive services for patients with SUD, including research, evaluation, and quality improvement efforts. CAM implemented a hub‐and‐spoke model of care and developed four strategic areas to identify, integrate, and grow SUD services. CAM also created a process for engaging community members with lived experience with SUDs and a CAM Academy to educate partners within the health system and across the region. Results CAM successfully implemented processes for gathering and assessing evidence, informing clinical practice, fostering community partnerships, and strategically expanding services and reach. Key factors driving success include strategic planning, leadership buy‐in, data infrastructure, and community partnerships. Conclusions Integrated SUD care at a safety‐net institution is a continued challenge. Persistent barriers include the SUD policy and regulatory landscape, addressing co‐occurring social and health circumstances when treating SUDs, and accurate clinical documentation of SUDs. Applying a learning health system model can help health systems adapt to these challenges. Abstract Introduction Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs requires health systems that can efficiently and effectively assess data and integrate evidence to practice. This paper describes the implementation of a learning health systems model of SUD care at an urban, safety‐net, integrated health system in Denver, Colorado. Methods The health system created the Center for Addiction Medicine (CAM) to coordinate comprehensive services for patients with SUD, including research, evaluation, and quality improvement efforts. CAM implemented a hub‐and‐spoke model of care and developed four strategic areas to identify, integrate, and grow SUD services. CAM also created a process for engaging community members with lived experience with SUDs and a CAM Academy to educate partners within the health system and across the region. Results CAM successfully implemented processes for gathering and assessing evidence, informing clinical practice, fostering community partnerships, and strategically expanding services and reach. Key factors driving success include strategic planning, leadership buy‐in, data infrastructure, and community partnerships. Conclusions Integrated SUD care at a safety‐net institution is a continued challenge. Persistent barriers include the SUD policy and regulatory landscape, addressing co‐occurring social and health circumstances when treating SUDs, and accurate clinical documentation of SUDs. Applying a learning health system model can help health systems adapt to these challenges. |
| Author | Thurstone, Christian Bacon, Emily Blum, Joshua Tillman, Alexandra R. Bender, Brooke Shlay, Judith Podewils, Laura J. Mills, John Al‐Tayyib, Alia |
| AuthorAffiliation | 3 Denver Health and Hospital Authority Behavioral Health Services Denver Colorado USA 4 Denver Health and Hospital Authority Public Health Institute at Denver Health Denver Colorado USA 1 Denver Health and Hospital Authority Center for Addiction Medicine Denver Colorado USA 2 Denver Health and Hospital Authority Office of Research Denver Colorado USA |
| AuthorAffiliation_xml | – name: 2 Denver Health and Hospital Authority Office of Research Denver Colorado USA – name: 4 Denver Health and Hospital Authority Public Health Institute at Denver Health Denver Colorado USA – name: 1 Denver Health and Hospital Authority Center for Addiction Medicine Denver Colorado USA – name: 3 Denver Health and Hospital Authority Behavioral Health Services Denver Colorado USA |
| Author_xml | – sequence: 1 givenname: Emily orcidid: 0000-0001-6197-1650 surname: Bacon fullname: Bacon, Emily email: emily.bacon@dhha.org organization: Center for Addiction Medicine – sequence: 2 givenname: Laura J. surname: Podewils fullname: Podewils, Laura J. organization: Office of Research – sequence: 3 givenname: Brooke surname: Bender fullname: Bender, Brooke organization: Center for Addiction Medicine – sequence: 4 givenname: Joshua surname: Blum fullname: Blum, Joshua organization: Behavioral Health Services – sequence: 5 givenname: Christian surname: Thurstone fullname: Thurstone, Christian organization: Behavioral Health Services – sequence: 6 givenname: Alia surname: Al‐Tayyib fullname: Al‐Tayyib, Alia organization: Public Health Institute at Denver Health – sequence: 7 givenname: John surname: Mills fullname: Mills, John organization: Center for Addiction Medicine – sequence: 8 givenname: Alexandra R. orcidid: 0000-0001-5699-6466 surname: Tillman fullname: Tillman, Alexandra R. organization: Center for Addiction Medicine – sequence: 9 givenname: Judith surname: Shlay fullname: Shlay, Judith organization: Public Health Institute at Denver Health |
| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/40677601$$D View this record in MEDLINE/PubMed |
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| Keywords | opioid use disorder substance use learning health system quality improvement implementation science |
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Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs... Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs requires... Introduction Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment for SUDs... Abstract Introduction Substance use disorders (SUDs) continue to place heavy burdens on patients, health systems, and communities. Rapidly evolving treatment... |
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| SubjectTerms | Addictions Community Drug overdose Drug use Drug withdrawal Electronic health records Emergency medical care Experience Report Health facilities Health services Hospitals implementation science Knowledge management Leadership learning health system Medicine Mental health Narcotics opioid use disorder Patients Primary care Public health quality improvement substance use Substance use disorder |
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| Title | A learning health system model for addressing substance use: Denver Health Center for Addiction Medicine |
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