Promise Partnership Learning Health System
The Promise Partnership Learning Health System brings together the knowledge, skills, and experience of health leaders, clinicians, and researchers from Dartmouth-Hitchcock Health (D-HH), The Dartmouth Institute for Health Policy and Clinical Practice, and the Norris Cotton Cancer Center together with patients and families in support of D-HH’s strategic initiative “The Promise”—which seeks to provide the best care possible for the patients, people, and the communities it serves.
The Partnership is focused on implementing a learning health system across the Cancer Center’s 14 clinical oncology groups, with the goal of demonstrating improvement in key measures of health outcomes and service, including patient and family experience; team well-being/joy in work; clinical and functional health outcomes; diversity, equity, inclusion, and belonging; cost, resource utilization, and financial indicators; research and teaching engagement and productivity; and creating a learning culture and community of practice.
The Promise Partnership currently has six working groups testing and measuring different interventions as part of the Learning Health System:
Developing a robust interdisciplinary community of practice that learns, measures, shares, improves together to spread innovative practices amongst and between clinical oncology groups.
A digital engagement solution integrated into Epic providing care teams with a 20-second personal snapshot of the patient to support improved delivery, engagement, and experience of care for both patients and clinicians.
Capturing and displaying patients’ goals, concerns, health outcomes, and treatments over time.
To ensure patients with serious illnesses have conversations with their clinicians about what matters most.
Connecting care partners to peer support and trusted resources.
To promote data-driven, system-level improvements and scholarship.
For more information about the Promise Partnership Learning Health System, contact Megan Holthoff
The Susan & Richard Levy Health Care Delivery Incubator
The Susan & Richard Levy Health Care Delivery Incubator is a joint venture between The Dartmouth Institute for Health Policy & Clinical Practice and Dartmouth-Hitchcock Health (D-HH) to support the development of innovative health care delivery solutions. The Incubator’s primary goal is to provide rapid, scalable, and transformational redesign of health care services for populations experiencing serious illness.
By bringing together clinical leaders from Dartmouth-Hitchcock Health and Geisel School of Medicine along with experts from multiple disciplines at Dartmouth College, the Incubator supports projects that:
by developing and testing interventions at D-HH to improve serious illness care experience(s) for patients, family members, and providers
by ensuring alignment between patient goals and the medical care they receive
of the services delivered to patients
on unnecessary, ineffective, or unwanted interventions
to further expand Dartmouth’s leadership in health care delivery through design, implementation, and dissemination of health care delivery redesign projects
Preventing Overdiagnosis Conference
The international Preventing Overdiagnosis conference provides a forum to advance research, stimulate policy change, and promote effective communication about the problem of overdiagnosis and potential solutions. The conference is a collaboration between The Dartmouth Institute for Health Policy and Clinical Practice, The BMJ, Oxford’s Center for Evidence-based Medicine (CEBM), Bond University, Wiser Healthcare, and Consumer Reports and has a strict policy of no industry funding or sponsorship. At the annual conferences, clinicians, researchers, policy makers, citizens and citizen/consumer organizations gather to discuss overdiagnosis, implement evidence-based solutions to wind back its harms and improve communication between clinicians, patients, and the public to help them make more-informed decisions. The inaugural conference was held at Dartmouth in 2013. Subsequent annual conferences have been held in Oxford, England, the U.S. National Institutes of Health (Bethesda, MD), Barcelona, Spain, and Quebec City, Canada.
The Wennberg International Collaborative
The Wennberg International Collaborative (WIC) was founded in 2010 by Dartmouth Institute Professor David Goodman and Professor R. Gwyn Bevan of the London School of Economics and Political Science. The goal of the Collaborative is to accelerate research on the causes and consequences of unwarranted health care variation across regions and providers. The Collaborative seeks to reduce barriers in the field through sponsoring research and policy meetings, facilitating collaboration amongst members, advocating for health care data availability, and serving as a clearinghouse for research and policy findings. The primary focus of the WIC is variation in health system performance within countries, although some members also examine variation across countries. The WIC holds two annual meetings. The Fall Research Collaborative meeting, which is primarily directed at health care investigators and other interested researchers, and the Spring Policy Collaborative, which has open registration and rotates to a different country each year.
Photo credit (top images) www.RichardBudd.co.uk