policy capacity in the learning healthcare system; comment on “health reform requires policy capacity”

pierre-gerlier forest and his colleagues make a strong argument for the need to expand policy capacity among healthcare actors. in this commentary, i develop an additional argument in support of forest et al view. forest et al rightly point to the need to have embedded policy experts to successfully translate healthcare reform policy into healthcare change. translation of externally generated innovation policy into local solutions is only one source of healthcare system change. we also need to build learning healthcare systems that can discover new health solutions at the frontline of care. enhanced policy capacity staffing in those organizations will be key to building continuously learning health systems.