Learning Health System Implementation: Building a Hub-and-Spoke Model for Hypertension Management Through the QI Hub
Implementing a hub-and-spoke LHS model within a large academic health system was feasible and associated with sustained gains in hypertension control over 18 months. Centralized analytics, adaptive QI support, and statewide peer learning were key enablers, whereas workforce instability remained a barrier. Early results support the model's potential to build LHS capacity in primary care, with ongoing work needed to strengthen uniform impact and long-term sustainability.
Authors
- Gabriel Alain (ORCID: https://orcid.org/0000-0001-6458-6897)
- Shalina Nair (ORCID: https://orcid.org/0000-0002-7128-8414)
- Anne VanBuren
- Keri Cooper
- Laura J. Rush (ORCID: https://orcid.org/0000-0003-3859-6885)
- Jennifer L. Eramo (ORCID: https://orcid.org/0000-0002-2436-2247)
- Lauren Teuschler
- Riley Summers
- Catherine Quatman-Yates
- Crystal Smarr
- Najhee Purdy
- Sarah Jonaus
- Jamileh Alain
- Ashley Sneed
Institutions
- The Ohio State University Wexner Medical Center (US)
- Vermont Oxford Network (US)
- Vermont Department of Health (US)
- The Ohio State University (US)
Publication Details
- Journal
- Journal of General Internal Medicine
- Published
- 2026-01-13
- DOI
- https://doi.org/10.1007/s11606-025-10152-1
- Primary Topic
- Health Policy Implementation Science
- Type
- article
- Field-Weighted Citation Impact
- 0.00
Funders
- Ohio State University