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About The Dartmouth Institute for Health Policy and Clinical Practice (TDI)
For more than 30 years, The Dartmouth Institute for Health Policy & Clinical Practice (TDI) has been a dynamic force within Dartmouth College dedicated to the delivery of patient-centered, high-quality, cost-effective health care.
TDI's unique community of clinician-scholars, epidemiologists, economists, social scientists, statisticians, and others are putting forth solutions, offering innovative and achievable policy changes, and proving through demonstration how health care can be delivered more effectively, with better outcomes, at less cost, and improved patient and provider satisfaction.
For more information on the work of The Dartmouth Institute please visit, www.tdi.dartmouth.edu
TDI Research Highlights
Conversations on Health Care: Dr. Elliot Fisher, Director of Population Health and Policy at TDI
The High Value Health Collaborative (HVHC)
In 2010, TDI announced a national collaborative—the first-of-its-kind—to improve health care quality while reducing costs. Dartmouth-Hitchcock, Cleveland Clinic, Denver Health, Intermountain Healthcare, and Mayo Clinic joined The Dartmouth Institute for Health Policy and Clinical Practice to share data on outcomes, quality, and costs across a range of common and costly conditions and treatments.
In June 2012, the Collaborative announced that its members will share in a $26 million Innovation Grant announced by the Center for Medicare and Medicaid Innovation (CMMI). The grant will fund a program to engage patients and implement shared decision making for patients facing hip, knee or spine surgery, and for patients with diabetes or congestive heart failure. The 16 members of the Collaborative collectively serve 50 million patients in health systems across the United States.
TDI History
The Dartmouth Institute for Health Policy and Clinical Practice (TDI) was founded in 1988 by Dr. John E. Wennberg as the Center for the Evaluative Clinical Sciences (CECS). Among its 30 years of accomplishments, it has established a new discipline and educational focus in the Evaluative Clinical Sciences, introduced and advanced the concept of shared decision-making for patients, demonstrated unwarranted variation in the practice and outcomes of medical treatment, and shown that more health care is not necessarily better care. Healthy skepticism about new treatments and medical “breakthroughs,” an understanding of the risks and benefits of many common therapies and surgeries, and unique educational programs have produced more informed agents of change among physicians, health professionals, the media, and the public.
For more than 20 years, the Dartmouth Atlas Project has documented glaring variations in how medical resources are distributed and used in the United States. The project uses Medicare data to provide information and analysis about national, regional, and local markets, as well as hospitals and their affiliated physicians. This research has helped policymakers, the media, health care analysts and others improve their understanding of our health care system and forms the foundation for many of the ongoing efforts to improve health and health systems across America. (www.dartmouthatlas.org)