Journal of General Internal Medicine

, Volume 34, Issue 1, pp 154–158 | Cite as

The Care and Learn Model: a Practice and Research Model for Improving Healthcare Quality and Outcomes

  • Victor M. MontoriEmail author
  • Ian Hargraves
  • Robert J. McNellis
  • Theodore G. Ganiats
  • Janice Genevro
  • Therese Miller
  • Richard Ricciardi
  • Arlene S. Bierman
Health Policy


The Agency for Healthcare Research and Quality conducted internal work to formulate a model that could be used to analyze the Agency’s research portfolio, identify gaps, develop and prioritize its research agenda, and evaluate its performance. Existing models described the structure and components of the healthcare system. Instead, we produced a model of two functions: caring and learning. Central to this model is the commitment to and participation of people—patients, communities, and health professionals—and the organization of systems to respond to people’s problems using evidence. As a product of caring, the system produces evidence that is then used to adapt and continuously improve this response, closely integrating caring and learning. The Agency and the health services research and improvement communities can use this Care and Learn Model to frame an evidence-based understanding of vexing clinical, healthcare delivery, and population health problems and to identify targets for investment, innovation, and investigation.


health services research healthcare delivery health policy evidence-based medicine quality improvement 


Compliance with Ethical Standards


The views expressed in this article are those of the authors, who are responsible for its content, and do not necessarily represent the views of AHRQ. No statement in this article should be construed as an official position of AHRQ or of the US Department of Health and Human Services.

Conflict of Interest

The authors declare that they do not have a conflict of interest.


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Copyright information

© Society of General Internal Medicine (This is a U.S. government work and not under copyright protection in the U.S.; foreign copyright protection may apply) 2018

Authors and Affiliations

  • Victor M. Montori
    • 1
    • 2
    Email author
  • Ian Hargraves
    • 2
  • Robert J. McNellis
    • 1
  • Theodore G. Ganiats
    • 1
  • Janice Genevro
    • 1
  • Therese Miller
    • 1
  • Richard Ricciardi
    • 1
  • Arlene S. Bierman
    • 1
  1. 1.Department of Health and Human ServicesCenter for Evidence and Practice Improvement of the Agency for Healthcare Research and QualityRockvilleUSA
  2. 2.Knowledge and Evaluation Research UnitRochesterUSA

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