• 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

About

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?

Research

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

Education

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

Communities

  • 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)

Goals

  • 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