Shared Commitments for a Learning Health System Initiative
Building a movement to accelerate transformation of health and health care outcomes to improve quality, safety, patient-centeredness, and affordability through the Learning Health System Shared Commitments.

About the Initiative
The Shared Commitments Initiative is a multi-phased, multi-year project to facilitate widespread adoption of the pillars, operational features, and Shared Commitments of a Learning Health System by engaging with a broad range of health sectors, disciplines, and stakeholders. The Shared Commitments were developed using nearly two decades of consensus reports—including To Err is Human, Crossing the Quality Chasm, and Best Care at Lower Cost—workshops, and committees, and offer a trust framework for health and health care, representing the expectations and commitments for health systems on behalf of all health stewards. Implementation is guided by a Strategy Group comprising individuals from leading organizations from across the health ecosystem.
A Learning
Health System is...
“one in which science, informatics, incentives, and culture are aligned for continuous improvement, innovation, and equity—with best practices and discovery seamlessly embedded in the delivery process, individuals and families active participants in all elements, and new knowledge generated as an integral by-product of the delivery experience.”
Working Groups
The collaborative Strategy Group of health leaders shape the initiative’s overall direction and inform activities of cooperative working groups to address gaps and priorities for spreading and scaling the Shared Commitments. Current working groups focus on communication and messaging, operational requirements, and strategies for infrastructure investment.
Communication and Messaging
- Describing the shared benefits of the learning health system in plain language informed by stakeholder priorities, responsibilities, and values needed to advance progress
- Demonstrating what the Shared Commitments look like in practice, including how the LHS approach can help improve health system performance and achieve people’s health goals.
Operational Requirements
- Showing how the Shared Commitments bolster and reinforce existing goals and frameworks for health care quality and improvement.
- Providing insights for understanding and evaluating progress toward the anchor features of the LHS in various real-world settings and sectors.
Infrastructure Investment Strategies
- Identifying sustainable financial models and aligned incentive structures to advance the LHS.
- Demonstrating a business model and strategies that highlight the financial benefits and return on investment made possible by the LHS approach.
Engage with us!
Share your reflections and priorities for the Learning Health System & Shared Commitments
Take our survey to share how you and/or your organization are interested in becoming or working toward becoming a Learning Health System. Collaboration and partnerships are more important now than ever to foster transformative progress around common ground priorities. Your perspective is critical to shape the NAM’s activities to spread and scale the Shared Commitments as a trust bond for all health stakeholders.
Latest Resources

Contact Information
Questions?
For more information, please contact [email protected].