Interested in Learning More about Health and Health Care: Be Part of Our World-Class Research and Learning Environment!
We’re working to find a way forward in health care! Our work is challenging, but it also has the potential to improve the health and well-being of numerous people in the U.S. and around the world. We try to better understand how health care is performing, and where and how improvements can be made. We work with hospitals, health systems, clinicians, community and national organizations to develop, test, and scale up new models of health care delivery. What starts out as a pilot program may become a new model of care implemented in health care systems and communities throughout the country. Some of our innovative research is being conducted by Dartmouth Institute graduate students who come here to be part of our tight-knit research and learning environment. Often working in partnership with other health care innovators across the country, they carry out independent research aimed at improving health and health care in their own communities. Here are some of the areas in which Dartmouth Institute researchers and students are working to improve health and health care right now:
Texas Neonatal Intensive Care Project
Led by Dartmouth Institute researchers, the Texas Neonatal Intensive Care Project is the first large-scale, population-based study of Medicaid-insured newborn and neonatal intensive care in the U.S. Depending simply on where they are born, newborns today face real, but invisible differences in their outcomes while payers (e.g. state Medicaid programs, insurance plans, and parents) face wide variations in costs, this study provides rich descriptions of patterns of newborn care and spending across all levels of illness severity.
Recall of medical information during a doctor’s office or clinic visit is often low, with between 40–80% of medical information forgotten immediately by patients. To help them remember what’s said during health care visits, patients are now beginning use their cell phones to audio-record clinic visits, and a number of clinics across the United States routinely offer patients recordings of their office visits. Yet, to date there is no dedicated system to facilitate recordings. We plan to develop such a system. Known as the Open Recording Automated Logging System (ORALS), it will consist of software that utilizes automated machine-learning technology to enable accurate and automatic tagging of in-clinic audio recordings.
Online MPH Practicum Highlight
As an integrative nutrition health coach, Chelsea Strandberg, MPH’18, understands well that what we consume on a daily basis now can impact our health decades later. She views college as a critical intervention point—and opportunity—at which many young people begin to exert dietary autonomy for the first time in their lives. Working under the direction of Sacramento State’s Student and Health and Wellness Services (The Well), she designed a survey to help The Well better understand the factors that are influencing students’ dietary choices. She hopes to pitch an integrative nutrition health coaching program—one that would include one-to-one services and the integration of peer health coaches—for the prevention of overweight and obesity to college wellness centers across the country.
MPH Internship Highlight
Allison LaRussa, MPH’17, knew she wanted to be in Boston working on quality improvement in health care after graduation. Leveraging professional and alumni contacts, LaRussa was able to spend her internship working with the Quality Improvement team in Critical Care Medicine at Boston Children’s Hospital to assess current practices and develop improvement strategies related to sedation weaning practices for children in the ICU. Providers have varying perspectives regarding best practices as they prepare to remove the ventilator and get their patients ready to breathe on their own again, which can affect the quality of care given. As part of her final deliverable, LaRussa worked with the team to develop next steps for improving the monitoring tools used for sedation weaning.