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Dartmouth Center for Health Care Delivery Science

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Dartmouth Center for Health Care Delivery Science
NameDartmouth Center for Health Care Delivery Science
Established2012
TypeResearch center
AffiliationDartmouth College; Dartmouth Health; Geisel School of Medicine
LocationHanover, New Hampshire, United States

Dartmouth Center for Health Care Delivery Science is an academic research center affiliated with Dartmouth College, Dartmouth Health, and the Geisel School of Medicine at Dartmouth focused on improving health care delivery, value, and outcomes. The center integrates methods from clinical Hopkins Hospital? and Brigham and Women's Hospital-style quality improvement with policy analysis used by Centers for Medicare and Medicaid Services and economic evaluation practiced at Harvard Kennedy School. It collaborates with health systems, payers, and government agencies to translate research into operational change at institutions such as Mayo Clinic, Cleveland Clinic, Kaiser Permanente, and international partners including NHS England and World Health Organization.

History

The center was launched amid trends exemplified by the Affordable Care Act debates and operational innovations from Institute for Healthcare Improvement initiatives. Its formation drew on lineage from the Dartmouth Atlas of Health Care work and leaders with ties to Geisel School of Medicine at Dartmouth and Dartmouth College governance. Founding activities connected to national movements represented by Robert Wood Johnson Foundation, National Institutes of Health, Agency for Healthcare Research and Quality, and the Commonwealth Fund. Early collaborations involved clinical networks like Partners HealthCare and policy groups including The Brookings Institution.

Mission and Goals

The center's mission aligns with goals common to institutes such as RAND Corporation, Johns Hopkins Bloomberg School of Public Health, and London School of Hygiene & Tropical Medicine: to generate evidence that improves clinical effectiveness, system performance, and patient outcomes. Strategic aims echo priorities from Centers for Disease Control and Prevention, Food and Drug Administration, and World Bank health system strengthening programs. It seeks to inform stakeholders including State of New Hampshire agencies, regional health systems like Dartmouth-Hitchcock Medical Center, and federal bodies such as Department of Health and Human Services.

Research and Programs

Research themes mirror topics addressed by Institute of Medicine reports and include comparative effectiveness research similar to work at Agency for Healthcare Research and Quality and Patient-Centered Outcomes Research Institute. Programs span care pathways previously studied by Veterans Health Administration researchers, population health initiatives akin to Blue Cross Blue Shield pilots, and digital health evaluations comparable to projects at Google Health and Apple Health. Specific projects have methodological kinship with randomized evaluations from Stanford Medicine and health economics analyses from Harvard Medical School.

Education and Training

The center offers clinician-scientist mentorship modeled after programs at Massachusetts General Hospital and executive education paralleling offerings from Wharton School, Harvard T.H. Chan School of Public Health, and Yale School of Medicine. Trainee pathways engage students from Geisel School of Medicine at Dartmouth, scholars affiliated with Dartmouth College departments, and visiting fellows from institutions like Columbia University Irving Medical Center and University of California, San Francisco. Curriculum components reflect competencies promoted by Association of American Medical Colleges and accreditation standards similar to Liaison Committee on Medical Education expectations.

Partnerships and Collaborations

Collaborative networks include regional providers such as Dartmouth-Hitchcock Medical Center and national research consortia like those involving Mayo Clinic, Cleveland Clinic, and Kaiser Permanente. Policy and funding partnerships have linked the center with Robert Wood Johnson Foundation, National Institutes of Health, Patient-Centered Outcomes Research Institute, and state health departments including New Hampshire Department of Health and Human Services. International collaboration has engaged entities like World Health Organization and NHS England, and academic exchange with Imperial College London, University of Toronto, and University of Oxford.

Funding and Governance

Funding streams reflect a mix familiar to centers funded by National Institutes of Health, philanthropic sources such as Robert Wood Johnson Foundation and Bill & Melinda Gates Foundation, and contracts with payers like Medicare and Blue Cross Blue Shield. Governance structures align with university-affiliated centers at Geisel School of Medicine at Dartmouth and board arrangements similar to those at Johns Hopkins Medicine, incorporating oversight from Dartmouth College leadership, health system executives from Dartmouth Health, and external advisors from organizations like Institute for Healthcare Improvement.

Impact and Outcomes

The center's outputs include peer-reviewed publications comparable to those from New England Journal of Medicine and JAMA, policy briefs informing agencies such as Centers for Medicare and Medicaid Services and Department of Veterans Affairs, and operational improvements adopted by partners including Dartmouth-Hitchcock Medical Center and regional health networks. Measured outcomes parallel metrics used by The Commonwealth Fund and Agency for Healthcare Research and Quality for access, quality, and cost, and its translational work has influenced payer reforms akin to demonstrations by Centers for Medicare and Medicaid Services Innovation Center.

Category:Medical research institutes in the United States