The fourth workshop of the IOM’s Evidence-Based Medicine Roundtable’s Learning Healthcare System series, entitled, Redesigning the Clinical Effectiveness Research Paradigm: Innovation and Practice-Based Approaches, was held on December 12-13, 2007. Participants examined the role of innovative research designs and tools that can expedite the development of evidence on clinical effectiveness by streamlining approaches and bringing research and practice closer together.

The Roundtable on Value and Science-Driven Healthcare met for its 5th meeting on February 28 and 29, 2008. Participants discussed the transformational opportunities that could be available by evolving large and potentially interoperable clinical and administrative data sets, held in multiple activities and many institutions. 

The Roundtable on Evidence-Based Medicine held a workshop on the Learning Healthcare System on April 29-30, 2008. This workshop was a collaboration between the Institute of Medicine and the National Academy of Engineering. The meeting discussed how system design and information technology must be structured to assure application of the best evidence, continuous learning, and research insights as a natural by-product of the care process.

The Roundtable on Evidence-Based Medicine convened three meetings to consider inefficiency in the health care system, methods to improve efficiency within the control of the health care system, and public policies that would mobilize these methods. The first meeting was held on May 21-22, 2009 at the Keck Center of the National Academies.

Strategies that Work is the second meeting in the Roundtable’s three-part workshop series, The Healthcare Imperative: Lowering Costs and Improving Outcomes. Based on the incongruency of health costs and health outcomes in the United States, the series is exploring how U.S. per capita health spending might be lowered by 10% within 10 years. The meeting was convened on July 16-17, 2009.

The Learning Healthcare System in 2010 and Beyond: Understanding, engaging, and communicating the possibilities was held on April 1 and 2, 2010. The meeting looked back on progress toward the learning healthcare system; explore the integral links among the three key aims of care delivered—science-driven, patient-centered, and value-enhancing; and identify priorities, policy levers and public engagement strategies necessary for advancement.