A Learning Health Care Community: Integrating Research and Practice at Scale

We describe a variation on the learning health system concept that engaged various stakeholders in a single state to work together on simultaneous knowledge generation and dissemination built on research questions that arose from the user community. Study Design:, Observational study. This community developed a research proposal for an observational study about how to improve care coordination in primary care. We describe how this collaborative implemented and disseminated the study findings. Conclusions:, By employing 12 strategies to answer questions that arose from the health care community, we opened a door between the 2 halves of the house of medicine.