# OnTrackNY's LearningHealthcareSystem

> **NIH NIH R01** · NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC · 2020 · $1,587,234

## Abstract

This application proposes OnTrackNY as a regional scientific hub for the Early Psychosis Intervention Network
(EPINET) program as part of NIMH's creation of a national learning health care system (LHS) for early
psychosis care. OnTrackNY has grown into a 21-site network, under the leadership of Lisa Dixon, MD, MPH.
Created and supported by the New York State's Office of Mental Health (OMH), OnTrackNY is a nationally
recognized model providing coordinated specialty care (CSC) for adolescents and young adults within two
years of the onset of non-affective psychosis. OMH regulates and licenses all mental health programs in New
York and is a direct-services provider via state-operated programs statewide. This makes OMH an ideal
partner for establishing a statewide learning health care system for early psychosis care. Further, OnTrackNY's
administration, OnTrackCentral, operates within the OMH-supported Center for Practice Innovations at
Columbia Psychiatry. This location within a vibrant academic research enterprise supports OMH's mission of
scaling up CSC services statewide while addressing key practice-based research questions in the delivery of
CSC care. In this model, OnTrackCentral serves as the hub and the 21 OnTrackNY programs serve as the
spokes. Since 2014, the still-growing OnTrackNY network has served over 1,200 individuals. From its
inception, OnTrackNY has aimed to deliver high-quality, data-driven, accountable and culturally competent
care consistent with an LHS. As a condition of funding, all OnTrackNY providers follow established protocols
that require submission of patient- and site-level standard measures of early psychosis clinical features,
services, and treatment outcomes. Notwithstanding OnTrackNY's considerable strengths, it lacks key supports
and resources needed to fully implement the Institute of Medicine's (IOM's) model for a continuously learning
healthcare system that connects multiple stakeholders from across a healthcare system to capture and review
data, identify new technologies and approaches, and develop and apply strategies to improve quality and
increase efficiency. Our proposed EPINET regional hub, the OnTrackNY LHS, will emphasize and enhance
two critical foundational components - Aim 1: proactively engage stakeholders to optimize understanding of
key problems and their solutions at every LHS phase; and Aim 2: develop data systems with enhanced
standardized data collection, including post-discharge data and linkages to external data systems, and
enhancing data analytics that will allow for client-level treatment planning and prospective analytics, delivering
real time, dynamic and actionable information to stakeholders. These LHS components do not follow in a step-
wise sequence but instead operate in parallel and interact to facilitate and enhance quality improvement
processes. This backbone will support the development of practice-based research (Aim 3); the initial project
will address the knowledge gap in ad...

## Key facts

- **NIH application ID:** 9993646
- **Project number:** 5R01MH120597-02
- **Recipient organization:** NEW YORK STATE PSYCHIATRIC INSTITUTE DBA RESEARCH FOUNDATION FOR MENTAL HYGIENE, INC
- **Principal Investigator:** Iruma Bello
- **Activity code:** R01 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $1,587,234
- **Award type:** 5
- **Project period:** 2019-08-15 → 2024-07-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9993646

## Citation

> US National Institutes of Health, RePORTER application 9993646, OnTrackNY's LearningHealthcareSystem (5R01MH120597-02). Retrieved via AI Analytics 2026-05-24 from https://api.ai-analytics.org/grant/nih/9993646. Licensed CC0.

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