“While the environment is very intimate, the reach is very broad.” – Carrie Colla
“The class size and who it brings to the table really allows for an enriching experience.” – Diana Lam, TDI '12
“The system we have now simply rewards more care, but we need to align our system so it rewards better care.” – Elliott Fisher
“The health care changes we anticipate, a lot of those teachings come from The Dartmouth Institute. ” – Wayne Moschetti, TDI '11
“The Dartmouth Institute for Health Policy & Clinical Practice is where Knowledge Informs Change. ”
“We are looking across both time and geography to learn what's really happening with health care.” – H. Gilbert Welch
“The Institute at Dartmouth College stands on a 30-year history of asking challenging questions about medical care. ”
“I think that Dartmouth has an incredible commitment to education.” – Adam Keller
The Dartmouth Institute for Health Policy & Clinical Practice is where Knowledge Informs Change. The Institute stands on a 30-year history of asking challenging questions about medical care – now it is working to fix the problems.
How do we make a difference?
Advancing knowledge by asking good questions
- About the definition of disease – over-diagnosis, pseudo-disease and the challenges of screening
- About individual patients – risk communication, shared decision making
- About specific interventions – translational, clinical and comparative effectiveness research
- About practices, delivery systems, communities and policies and their impact on health, care and costs
Advancing our capacity to learn by developing better measures and approaches to measurement
- Better measures of health risks, health, decision quality, and care experience
- Better measures of health system performance – at the practice, hospital and regional level
Tracking the performance of the U.S. health care system
- The Dartmouth Atlas of Health Care
TDI Graduate, Certificate & Professional Development Programs
- Masters (MPH, MS); PhD program
- Certificate programs (e.g., Certificate in the Fundamentals of Value-Based Health Care)
- Leadership Preventive Medicine Residency at DHMC; Microsystem Academy; VA Quality Scholars
- Masters of Health Care Delivery Science (joint with Tuck)
TDI faculty teaching across the campus (number of faculty as course directors or lecturing)
- College (13); Tuck (5); GMS (27); Thayer (3); MHCDS (12); Executive Ed (5)
Convening and hosting ongoing symposia and learning networks
- Summer Institute for Informed Patient Choice
- Wennberg International Conference
- Medicine and the Media (A joint program of the NIH and Dartmouth)
- Brookings-Dartmouth Accountable Care Organization (ACO) Learning Network
- National College Health Improvement (NCHIP) Learning Collaborative
Engagement - innovation and implementation to improve practice and policy
Individual patients and consumers
- InShape: health coaching for individuals with severe mental illness at high risk of cardiovascular death
- Drug-Facts Box: concise, accurate and understandable information on prescription drugs
Practices and Health Systems
- Shared decision-making networks; Microsystem Collaborative; The Northern New England Accountable Care Collaborative; The High Value Health Collaborative; Dartmouth-Brigham Breast PROSPR (Population-based Research Optimizing Screening through Personalized Regimens); and with international health systems in Sweden, Uganda, Tanzania
- The Northern New England CDC Prevention Research Center
- ReThink Health in the Upper Valley (a joint project of TDI-TDC-DH and the Fannie Rippel Foundation)
- To maintain our position as the leading academic center monitoring and questioning current medical practice in the United States.
- To become the preferred academic partner for those building sustainable health care systems that address the challenges and measurably improve population health.
- Dartmouth is seen as representing the public's interest -- and has a central role in helping the United States lower health care costs and improve care.
- Dartmouth's partners are seen as models for health care systems and communities around the world.
- Students see Dartmouth as a place to make a difference -- and learn how to lead change.
- The public sees medical care in the proper perspective -- as one of many determinants of health.