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Table 2 Table of extra quotes from participants

From: Leaders’ perspectives on learning health systems: a qualitative study

ID 03: ‘You try and then you try again and then you try again and again and then you do it again and then you take a breath and then you do it again and again and again and again and again, and again and again and again and again. I’ve been doing this for 17 years now.’

ID 01: ‘If you set something up and it just goes into a black hole and no one ever sees it you have problems. Not only are clinicians not interested in it, but the data you get will be rubbish. You need that loop, you need that feedback, so that the people who are entering the data can see the value of it and they start acting on it, and they start making sure the data is of a high quality when it goes in.’

ID 05: ‘Strong multidisciplinary approaches are really important. And then I think obviously a really important aspect of the team is having clinicians involved.’

ID 06: ‘There’s got to be initially a really clear vision about what is it you want to achieve from it, and not just in the next 2 years but the next five to 8 years.’

ID 09: ‘It’s all about expert leadership.’

ID 05: ‘Sometimes I will know what I want and I will be trying to say, ‘Can we do this? Can we do this this way?’

ID 06: ‘And data doesn’t come for free. It’s expensive in terms of the setup of it and also the ongoing stories of that data in whatever form it is.’

ID 12: ‘But right now, the situation is the funding for these things comes from multiple sources and sustainability is a major issue because people are usually unwilling to commit funding for more than a year, 2 years, 2 years and after that, they need to revisit things’

ID 13: ‘It takes a brave CEO, who tends to have an appointment term of about 5 years, to invest in something that may not bear fruit for a few years.’

ID 04: ‘There’s nothing more powerful than demonstrating a positive outcome.’

ID 06: ‘The informatics profession is an emerging profession and is going through its own process of specialisation. Where you previously would’ve had people putting data in and then you’ve had people getting data out, there’s now a growing community. This includes data scientists, perhaps a visualisation expert, structural infrastructure expert, as well as those who design the architecture of the warehouse. There’s growing specialisation. Historically, things were pretty simple. Whereas now that’s probably about 10 different professions along that line.’

ID 15: ‘Sustainability requires that this produces value which can be quantified that can then turn into profits or savings or increased values, which can go back into this spot. But it can’t be left for the people in the periphery to find that money because the people in the periphery will always be short of money and will use this money to soak up their deficits wherever they happen to have them. Has to be allocated centrally, for that purpose.’

ID 02: ‘It needs to be embedded in the business that information is valuable.’