Learn Health Syst. 2021 Feb 12;5(3):e10260. doi: 10.1002/lrh2.10260. eCollection 2021 Jul.

Jennie David ¹, Catalina Berenblum Tobi ², Samantha Kennedy ³, Alexander Jofriet ⁴, Madeleine Huwe ⁵, Rosa Kelekian ^6 7, Melissa Neihart ⁸, Michelle Spotts ⁹, Michael Seid ⁹, Peter Margolis ⁹, ImproveCareNow Pediatric IBD Learning Health System

Author information

• ¹Psychology Department Nationwide Children's Hospital Columbus Ohio USA.
• ²University of North Carolina at Chapel Hill School of Medicine Chapel Hill North Carolina USA.
• ³Nemours Children's Hospital Orlando Florida USA.
• ⁴The Ohio State University Columbus Ohio USA.
• ⁵Portland Community College Portland Oregon USA.
• ⁶University of California Berkeley Berkeley California USA.
• ⁷UCSF Benioff/Children's Hospital Oakland Oakland California USA.
• ⁸University of Denver Denver Colorado USA.
• ⁹Cincinnati Children's Hospital Medical Center Cincinnati Ohio USA.

Abstract

Background: Patient and Family Advisory Councils (PFACs) are an emerging mechanism to integrate patient and family voices into healthcare. One such PFAC is the Patient Advisory Council (PAC) of the ImproveCareNow (ICN) network, a learning health system dedicated to advancing the care of individuals with pediatric inflammatory bowel disease (IBD). Using quality improvement techniques and co-production, the PAC has made great strides in developing novel patient-led resources.

Methods: This paper, written by patients and providers from ICN, reviews current ICN data on PAC-generated resources, including creation processes and download statistics.

Results: Looking at different iterations of PAC infrastructure, this paper highlights specific leadership approaches used to increase patient involvement and improve resource creation. Emerging data suggests that the larger ICN learning health system has had limited interactions with these resources.

Conclusion: ICN provides a novel approach for meaningful integration of patient partners into learning health systems. This paper points to the incredible value of PFAC expertise in the resource creation process. Future work should seek to support PFAC development across other diseases and address the challenges of integrating patient-led resources into clinical care.