The Dartmouth Institute for Health Policy and Clinical Practice explained

The Dartmouth Institute for Health Policy and Clinical Practice (TDI) has garnered significant accomplishments since its inception. Established in 1988 by John Wennberg as the Center for the Evaluative Clinical Sciences (CECS) and later reorganized in 2007 to its current form as TDI, the institute has made substantial strides in the realms of healthcare education, research, and policy [1]

One of its major accomplishments is the development and dissemination of the Dartmouth Atlas of Health Care, a seminal publication widely regarded for its documentation of unwarranted variations in the American healthcare system. The Atlas has played a crucial role in illuminating disparities in healthcare delivery and has influenced policy discussions and reforms within the healthcare landscape.

Additionally, TDI offers a robust graduate-level education program, incorporating elements from both Dartmouth College's Graduate Arts and Sciences Programs and the Geisel School of Medicine. The program awards Masters in Public Health degrees, as well as Master of Science and Doctor of Philosophy degrees in Health Policy and Clinical Science, contributing to the development of a skilled and knowledgeable healthcare workforce.

In furthering its mission of improving healthcare, TDI engages in comprehensive research endeavors, aiming to enhance the understanding of healthcare systems and practices. This research often culminates in influential academic publications, fostering informed discourse and driving evidence-based policy recommendations in the healthcare domain. Through these collective efforts, TDI continues to be a formidable force in advancing healthcare through education, research, and policy reforms.[2] [3] [4] [5] [6] [7] [8] [9] [10] [11]

Several notable individuals have been associated with The Dartmouth Institute for Health Policy and Clinical Practice (TDI), contributing to its significant impact in the field of healthcare research, education, and policy reform.

  1. John Wennberg: The founder of TDI, John Wennberg was a pioneer in healthcare research and played a fundamental role in establishing the Center for the Evaluative Clinical Sciences (CECS), which eventually evolved into TDI. His work focused on variations in healthcare delivery and its implications for policy and practice, laying the foundation for the Dartmouth Atlas of Health Care.
  2. Elliot S. Fisher: A prominent figure associated with TDI, Elliot S. Fisher is a healthcare researcher and policy expert. He has made substantial contributions to understanding healthcare delivery and has been a driving force behind initiatives related to accountable care organizations (ACOs) and health system reform.
  3. Jonathan Skinner: Jonathan Skinner is an influential health economist and researcher affiliated with TDI. His research primarily revolves around healthcare spending, Medicare policy, and the implications of healthcare disparities. He has made noteworthy contributions to understanding regional variations in healthcare utilization and spending.
  4. Elliott S. Fisher: Elliott S. Fisher, a researcher and healthcare policy expert, has been associated with TDI. His research focuses on health system transformation, regional variations in healthcare, and health policy evaluation. He has contributed significantly to the understanding of accountable care organizations and health system improvements.
  5. Julie P.W. Bynum: Julie P.W. Bynum is a respected researcher and physician associated with TDI. Her work encompasses understanding healthcare utilization patterns, particularly among older adults. She has made significant contributions to the study of aging and healthcare, with an emphasis on improving care for elderly populations.

These individuals, along with many others associated with The Dartmouth Institute for Health Policy and Clinical Practice (TDI),[12] have collectively made significant strides in research, education, and policy reform, impacting the healthcare landscape and promoting improved healthcare outcomes.

Notes and References

  1. The Dartmouth Institute for Health Policy and Clinical Practice. Official Web site. Accessed 29 July 2009.
  2. http://content.healthaffairs.org/cgi/content/abstract/hlthaff.var.19 Fisher, E.S. et al., "Variations in the Longitudinal Efficiency of AcademicMedical Centers," Health Affairs, 7 October 2004
  3. http://content.healthaffairs.org/cgi/reprint/hlthaff.var.63v1.pdf "Modifying Unwarranted Variations In Health Care: Shared Decision Making Using Patient Decision Aids: A review of the evidence base for shared decision making", O’Connor, AM et al., Health Affairs, 7 October 2004
  4. http://content.healthaffairs.org/cgi/reprint/hlthaff.var.5v1.pdf Wennberg, JE et al., "Use Of Medicare Claims Data To Monitor Provider-Specific Performance Among Patients With Severe Chronic Illness: Analyses of seventy-seven of America’s "best hospitals" document extensive variation in the amount of care provided to patients with three common chronic conditions", Health Affairs, 7 Oct. 2004.
  5. http://annals.highwire.org/cgi/content/summary/138/4/273 Fisher, ES et al., "The Implications of Regional Variations in Medicare Spending. Part 1: The Content, Quality, and Accessibility of Care", The Annals of Internal Medicine, 2003; 138: 273–287
  6. https://web.archive.org/web/20081120094304/http://annals.highwire.org/cgi/content/summary/138/4/288 Fisher, ES et al., "The Implications of Regional Variations in Medicare Spending. Part 2: Health Outcomes and Satisfaction with Care", The Annals of Internal Medicine, 2003; 138: 288–298
  7. http://www.pubmedcentral.nih.gov/picrender.fcgi?artid=1124450&blobtype=pdf Wennberg, JE et al., "Unwarranted variations in healthcare delivery: implications for academic medical centres", BMJ. 2002 October 26; 325(7370): 961–964.
  8. http://content.healthaffairs.org/cgi/content/abstract/hlthaff.w2.96 Wennberg, JE, "Geography and the Debate over Medicare Reform," J.E.Wennberg, E.S. Fisher, and J.S. Skinner, HealthAffairs, 13 February 2002
  9. Wennberg, JE et al., Hospital use and mortality among Medicare beneficiaries in Boston and New Haven. N Engl J Med 1989;321:116873.
  10. Wennberg, JE at al., Are hospital services rationed in New Haven or overutilized in Boston?, Lancet 1987;i:11858.
  11. http://www.thehealthcareblog.com/the_health_care_blog/2010/06/the-dartmouth-team-responds-again-to-mr-harris-of-the-new-york-times-.html "The Dartmouth Team Responds (Again)" J.S. Skinner. June 2010.
  12. The Dartmouth Institute for Health Policy and Clinical Practice. The Dartmouth Atlas of Health Care. Accessed 29 July 2009.

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