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  1. Bindman, Andrew B. MD


The need for systems to expand and improve their use of evidence was described comprehensively in the 2012 Institute of Medicine (IOM) report, Best Care at Lower Cost: The Path to Continuously Learning Health Care in America.1 The report defined a learning health system as one that “is designed to generate and apply the best evidence for the collaborative health care choices of each patient and provider; to drive the process of discovery as a natural outgrowth of patient care; and to ensure innovation, quality, safety, and value in health care.”