CHRT assembles stakeholders—patients, clinicians, researchers, public health professionals, and payers—in Lansing, Mich., to create an action plan to innovatively and collaboratively tackle challenges affecting the health of the people of Michigan through continuous learning and improvement. The group discusses ways to apply the idea of the learning health system at a state level: to turn Michigan into what might be called a “learning health state.” The initiative was named “Learning Health for Michigan,” or LH4M. Later, in 2018, the initiative publishes a brief proposing the use of a learning health system approach to address persistent health care problems in Michigan.