TY - JOUR T1 - Building an integrated methodology of learning that can optimally support improvements in healthcare JF - BMJ Quality & Safety JO - BMJ Qual Saf SP - i58 LP - i61 DO - 10.1136/bmjqs.2010.046508 VL - 20 IS - Suppl 1 AU - Joanne Lynn Y1 - 2011/04/01 UR - http://qualitysafety.bmj.com/content/20/Suppl_1/i58.abstract N2 - The methods for healthcare reform are strikingly underdeveloped, with much reliance on political power. A methodology that combined methods from sources such as clinical trials, experience-based wisdom, and improvement science could be among the aims of the upcoming work in the USA on comparative effectiveness and on the agenda of the Center for Medicare and Medicaid Innovation in the Centers for Medicare and Medicaid Services. Those working in quality improvement have an unusual opportunity to generate substantial input into these processes through professional organisations such as the Academy for Healthcare Improvement and dominant leadership organisations such as the Institute for Healthcare Improvement. ER -