• 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 and Clinical Practice works to improve patient care by researching how health care systems are performing and using that information to develop new models for health care delivery and payment.

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


Dartmouth Institute 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)

Dartmouth Institute 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 The Dartmouth Institute, Dartmouth-Hitchcock 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.

Desired Outcomes

  • 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.
knowledge informs change