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Developing Capacity for Learning Community Systems: Experiences from the 100 Million Healthier Lives SCALE Initiative

Carr T, Holly M, Reed K, et al. Developing capacity for learning community systems: Experiences from the 100 Million Healthier Lives SCALE initiative. Learning Health Systems. November 17, 2021. Online ahead of print.

This paper explores the capabilities that contribute to community transformation and the common pathways followed by communities in the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative in their transformation journeys towards a “Culture of Health.”

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Organizational Trustworthiness in Health Care

The Institute for Healthcare Improvement partnered with the American Board of Internal Medicine Foundation to identify key organizational-level drivers and change ideas that repair, build, and strengthen trust between health care organizations and clinicians, and between health care organizations and the communities they serve. This report describes a theory of how to repair, build, and strengthen trust, presented as a three-step approach with specific change ideas and associated measures for improvement.
Getting Serious about Producing Health: The Ten Teams Challenge

In this article, Dr. Don Berwick makes the case that every US hospital and integrated health system with the means to do so should immediately establish and support Ten Teams, focused on 10 social influences on health in the region served by the organization.
Blending Participatory Action Synthesis and Meta-Ethnography: An Innovative Approach to Evaluating Complex Community Health Transformation

This article describes an innovative participatory approach to evaluation of a community transformation initiative, the 100 Million Healthier Lives SCALE (Spreading Community Accelerators through Learning and Evaluation) initiative, that involved up to 18 communities across the US.
Working with Community Partners to Improve Health

This article distills five critical takeaways to guide health care leaders in working with community partners to improve health.
Accelerating Population Health Improvement

This article describes how applying improvement methods to population health improvement efforts could help close equity gaps.

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Developing Capacity for Learning Community Systems: Experiences from the 100 Million Healthier Lives SCALE Initiative