The Dartmouth Institute for Health Policy and Clinical Practice

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The Dartmouth Institute for Health Policy and Clinical Practice (TDI) is an organization within Dartmouth College "dedicated to improving health care through education, research, policy reform, leadership improvement, and communication with patients and the public." [1] It was founded in 1988 by John Wennberg as the Center for the Evaluative Clinical Sciences (CECS); a reorganization in 2007 led to TDI's current structure. [2]

The institute provides a graduate-level education program involving elements of both Dartmouth's Graduate Arts and Sciences Programs and the Geisel School of Medicine. It grants Masters in Public Health degrees as well as Master of Science and Doctor of Philosophy in Health Policy and Clinical Science degrees. The institute is located at One Medical Center Drive, WTRB, Level 5 on the Dartmouth Hitchcock Hospital campus, Lebanon, NH. The institute's largest policy product is the Dartmouth Atlas of Health Care, [3] which documents unwarranted variation in the American health care system. [4] [5] [6] [7] [8] [9] [10] [11] [12] [13]

Dr. Anna Tosteson has served as interim director since October 2018, when former director Elliott S. Fisher and chief of strategy Adam Keller were placed on paid administrative leave following a complaint about conduct in the workplace. The investigation into misconduct concluded in April 2019 and resulted in Fisher's demotion and Keller's resignation. [14] This followed the resignation of Professor H. Gilbert Welch in 2018 after Dartmouth College concluded he committed plagiarism. [15] As a condition of his return directly set by the Geisel School of Medicine, Fisher has been banned physically from the 5th floor of the Williamson Building, where most of TDI is housed, for a period of two years.

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  1. The Dartmouth Institute for Health Policy and Clinical Practice. Official Web site. Accessed 29 July 2009.
  2. The Dartmouth Institute for Health Policy and Clinical Practice. History of The Dartmouth Institute. Accessed 29 July 2009.
  3. The Dartmouth Institute for Health Policy and Clinical Practice. The Dartmouth Atlas of Health Care. Accessed 29 July 2009.
  4. Fisher, E.S. et al., ''Variations in the Longitudinal Efficiency of AcademicMedical Centers,'' Health Affairs, 7 October 2004. (7 October 2004). Retrieved on 6 January 2012.
  5. ''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. (PDF). Retrieved on 6 January 2012.
  6. 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.. (PDF) . Retrieved on 6 January 2012.
  7. 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 Archived 20 November 2008 at the Wayback Machine . Retrieved on 6 January 2012.
  8. 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. Retrieved on 6 January 2012.
  9. Wennberg, JE et al., ''Unwarranted variations in healthcare delivery: implications for academic medical centres'', BMJ. 2002 October 26; 325(7370): 961–964.. None. Retrieved on 6 January 2012.
  10. Wennberg, JE, ''Geography and the Debate over Medicare Reform,'' J.E.Wennberg, E.S. Fisher, and J.S. Skinner, HealthAffairs, 13 February 2002. (13 February 2002). Retrieved on 6 January 2012.
  11. Wennberg, JE et al., Hospital use and mortality among Medicare beneficiaries in Boston and New Haven. N Engl J Med 1989;321:116873.
  12. Wennberg, JE at al., Are hospital services rationed in New Haven or overutilized in Boston?, Lancet 1987;i:11858.
  13. "The Dartmouth Team Responds (Again)" J.S. Skinner. June 2010. Archived 26 June 2010 at the Wayback Machine
  14. "College completes misconduct investigation". Valley News. 29 April 2019. Retrieved 26 July 2019.
  15. "Dartmouth Health Researcher Resigns; Welch Denies Wrongdoing in Plagiarism Investigation". Valley News. 13 September 2018. Retrieved 26 July 2019.