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Clinical Improvement of Health Care  
     

Following up on the work of their fellow faculty within the Outcomes Research and Health Policy side of the Institute, the research scientists and clinician-scholars of the Clinical Improvement of Health Care section work to translate observed research into tangible action throughout the health care system. Utilizing measurement outcomes work to determine clinical performance, and applying it to the cardiac surgery arena, has reduced cardiac bypass graft (CABG) surgery mortality within the New England region. Measuring clinical performance has now expanded into the treatment of Cystic Fibrosis and other areas. Incorporating the principles of shared decision making into a clinical setting, a nation-wide research project centered on 11 clinical centers was initiated to determine the best treatments for low-back and leg pain. Underlying these initiatives is the continual work of improving the process of health care delivery at the micro-unit, where patients, doctors and health care providers interact. Here the focus is on how the smallest care-giving unit can improve, and is best exemplified by operations of the Spine Center at Dartmouth-Hitchcock Medical Center. From the beginning, these faculty members at the Institute were determined to put its research to use, in order to improve health care for the sake of patients and of providers.


Clinical Initiatives
  • Health Care Improvement Leadership Development
    HCILD's goal is developing knowledge and leadership for the improvement of health care systems that result in cost effective, patient-centered quality care both nationally and internationally.

  • Clinical Microsystems
    A clinical microsystem is a small group of people who work together on a regular basis to provide care to discrete subpopulations of patients. Microsystems evolve over time and are often embedded in larger organizations.

  • Northern New England Cardiovascular Disease Study Group
    The Northern New England Cardiovascular Disease Study Group is a regional, voluntary, multi-disciplinary group of clinicians, hospital administrators, and health care research personnel who seek to improve the quality, safety, effectiveness, and cost of medical interventions in cardiovascular disease.

  • Northern New England Cystic Fibrosis Consortium
    The Northern New England Cystic Fibrosis Consortium (NNECFC) is a regional, voluntary, multi-disciplinary group of clinicians and health care professionals committed to the evaluation and improvement of care and outcomes for patients with cystic
    fibrosis.

  • Spine Patient Outcomes Research Trial
    The Spine Patient Outcomes Research Trial, or SPORT, is a randomized trial for low back/leg pain. Based on this trial we will, for the first time, have scientific evidence as to the relative effectiveness/efficacy of surgical versus non-surgical treatment for the three most commonly diagnosed lumbar spine conditions.