The Dartmouth Institute for Health Policy and Clinical Practice Professional Education and Non-Degree Programs

TDI Courses

Click on the course titles below to view course descriptions.

TDI 101: Understanding the Implications of Variation: Dr. Jack Wennberg's Tracking Medicine

Explore Dr. Wennberg's groundbreaking book, Tracking Medicine, as he reviews his and his colleagues' work on practice variations, beginning with small area variation in Vermont, extending through efforts to evaluate the reasons behind variation in surgical procedures, and concluding with the more recent work associated with overuse of supply sensitive care as described in the Dartmouth Atlas of Health Care.

TDI 102: Leadership Systems and Management Competencies for Organizational Performance

With the number of forces affecting change in health care today, an integrated approach to increasing organizational capability is essential. Leaders' and managers' line of sight into organizational performance typically is limited to their own level without a wider view of their sphere of influence. Aligning leaders' and managers' efforts (at the systems level and in process improvements) with relevant competencies at the individual level creates staff performance and patient satisfaction by design. This course offers a holistic view and integrated intervention for leaders and managers to improve and sustain organizational capability.

ETH 1000: Organizational Ethics: the Foundation and Framework for Health Care Quality

How does your organization resolve ethical conflicts? What guidelines and resources are available to you as a health care professional? In this course, you will become versed in recognizing, critically evaluating and progressively responding to contemporary clinical and organizational ethics conflicts. Practical ethical reasoning skills, strategies and tools will be presented to develop the managerial and clinical ethical leadership necessary for fostering an ethical organization. Recognize the ways recurring ethics conflicts can be detrimental to organizational success by contributing to wasted resources, high costs, and diminished quality of care; and the value in anticipating and working to decrease the presence of those conflicts in the future.

Dates: TBA

ETH 2000: In Depth: Establishing and Cultivating a Hospital Ethics Committee

Clinical measures only reflect part of an outcome from a health intervention. The patient's assessment is essential to determine the effectiveness, impact and value of that intervention. Learn how to implement and analyze these patient reported measures.

Workshop: Moving Upstream: The Application of Quality Improvement Thinking to Address Ethics Conflicts

In this 1-2 day workshop participants will see how ethics and quality are linked and how quality improvement methods can help to reduce the ethics conflicts that affect clinicians, patients, and the organization's culture and reputation. Workshop activities will challenge students to apply a systems-oriented approach to form clinical and organizational practice guidelines to address an ethics-quality gap, and increase the quality of care delivered.

Contact William A. Nelson for more information.

SDM 1000: Shared Decision Making in Patient-Centered Care

Understand the current context, concepts, tools, techniques, roles and processes used to effectively partner clinicians/facilitators with patients in health care decision making. Cases will highlight major preference sensitive medical issues. Explore how the use of decision aids can supplement a decision-making conversation, and how to communicate risks and benefits clearly and effectively.

SDM 3000: Action Learning: Implementing Shared Decision Making

Once you have mastered the basics of shared decision making, you will be ready to design and implement a shared decision making project in your setting. This course will take you through the steps of a shared decision making clinical implementation project by providing templates and customized guidance as each participant or team works on a pilot.

Dates TBA

MICR 1000: Quality By Design

This course covers clinical microsystem concepts, tools, techniques, and processes within the context of a clinical or supporting microsystem.

Online/Onsite: TDIMA: The Dartmouth Institute Microsystem Academy

More than ever, health systems need to improve care, increase efficiencies, and reduce costs. In partnership with organizations and front line teams, TDIMA strategically targets activities to improve care, value and outcomes through the adaptation and implementation of field-tested concepts from microsystem theory based in the sentinel research conducted in 2000 to identify "success characteristics" of 20 exemplary clinical microsystems in the United States and Canada. TDIMA provides expertise from decades of experience; research and evaluation has led to proven tools, processes and methods to meet the accelerating demand for high functioning microsystems in an organized, sustainable fashion.

Coach-The-Coach: Improve value and quality of healthcare outcomes through development of coaching knowledge, skills and abilities to coach front line interdisciplinary clinical and supporting microsystems with knowledge, processes, and tools including the Dartmouth Microsystem Improvement Curriculum.

Through a blended electronic and face-to-face Coach-The-Coach series, we will provide an experiential developmental program with education and action learning. Our commitment is to develop coaching skills for those who wish to coach interdisciplinary clinical and supporting microsystem groups to provide exceptional care and continuously improve health care.