Establishing a Learning Health System Within the National Dental PBRN

This luncheon symposium combines the features of a traditional symposium with the hands-on features of a lunch and learn session. The symposium focuses on describing the features and benefits of a Learning Health System (LHS) and its application to the National Dental Practice-based Research Network (National Dental PBRN). The Institute of Medicine has advanced the LHS concept as an organizational structure to: identify important clinical questions; identify, collect and analyze relevant data; interpret and disseminate results; and implement practice change. The National Dental PBRN exemplifies the purpose, structure and collaborative relationship inherent to learning health systems.

The symposium will include a brief welcome, introduction to the National Dental PBRN by Gregg Gilbert, director; an overview of NIDCR's Big Data initiative by Martha Somerman, NIDCR director; and a keynote address on LHS by Charles Friedman, chair, Department of Learning Sciences, University of Michigan. These will be followed by interactive sessions at tables of 8-10 participants each focusing on a key component of the Learning Health System within the National Dental PBRN: identifying and developing study questions; relevant study design and data; data analysis and interpretation; dissemination and implementation. Each table brings together dental practitioners, faculty researchers and clinicians, and other stakeholders, in order to build collaborations and identify common issues and strategies. Each table is led by an expert who will lead a topic specific discussion on opportunities and challenges. The symposium will end with a moderated panel discussion of table leaders to summarize table discussions and lead a discussion with attendees of linkages between activities. The ultimate goal is to identify strategies to improve the effectiveness of the National Dental PBRN toward achieving its goals of empowering collaboration among practitioners, clinical researchers and other stakeholders, to expand evidence and improve patient care and outcomes.

Learning Objectives:

Understanding the key elements of a dynamic Learning Health System (LHS) as applied to the National Dental PBRN.

Gain experience with research design, conduct, dissemination and implementation within the National Dental PBRN Learning Health System.

Improve the collaboration between practitioners and academicians in order to maximize the network’s impact on dentistry and patient care.

Program

Welcome and Introductions: Jeffrey Fellows

Introduction to the National Dental Practice-Based Research Network: Gregg Gilbert

NIDCR: Advancing the Integration of Big Data, Precision Medicine, and Clinical Practice: Martha Somerman

The Learning Health System: Charles Friedman

Breakout Session Introduction and Panel Discussion: Daniel Pihlstrom
(participants will be assigned to one of the groups below by the event organizers)

  • Group 1: Identifying Problems of Interest and Making the Decision to Study: General Dentistry Topics

  • Group 2: Identifying Problems of Interest and Making the Decision to Study: Pediatric Dentistry Topics

  • Group 3: Assembling Data and Analyzing Results: Example from Oral HPV Detection Study

  • Group 4: Assembling Data and Analyzing Results: Example from Electronic Dental Record Data Study

  • Group 5: Interpreting and Delivering Tailored Messages: Example from the Factors for Successful Crowns study

  • Group 6: Interpreting and Delivering Tailored Messages: Example from the Anterior Openbite Malocclusion Study

  • Group 7: Interpreting and Delivering Tailored Messages: Example from the Management of Dentin Hypersensitivity Study

  • Group 8: Taking Action to Change Practice: Example from the Isolation Techniques Study

  • Group 9: Taking Action to Change Practice: Example from the Cracked Tooth Registry Study

  • Group 10: Taking Action to Change Practice: Example from the Suspicious Occlusal Caries Lesions Study

  • Group 11: Establishing a Learning Health System: PBRNs in a Global Context

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