Chronic Health Improvement Research Program (CHIRP)

Better Health and Wellness for People with Chronic Conditions


The Chronic Health Improvement Research Program (CHIRP) is an improvement research group linked to a network of collaborations engaged in improving health and healthcare worldwide. We are people with chronic illnesses, clinicians, scientists and researchers, improvement and implementation specialists, innovators, leaders, teachers, and learners working to improve the quality, value, and equity of healthcare, health, and well-being for people with complex, chronic, and costly (“3C”) health conditions, including multiple sclerosis, inflammatory bowel disease, and many others.

At CHIRP, we engage in a variety of activities aimed to improve health and healthcare including innovation, improvement, implementation, research, education, and community service. We invite you to visit our site to learn more about our story, people, and work.

Please contact us if you want to learn more about CHIRP or explore collaborations with us.

Be well!




Director: Brant Oliver, PhD, MS, MPH, APRN-BC

Consultant Project Manager and Lead QI Coach: Falguni “Fal” Mehta, MS, MBA, CPHQ, CPPS

Research Program Specialist: Jabeen Ahmad, PhD, MPH

Research Project Manager: Bruce Jobse​, MPH


Our Mission

To improve the quality, value, and equity of healthcare, health, and wellbeing for people with complex, chronic, and costly (“3C”) health conditions.

Our Vision

  • Improving: we strive to innovate, improve, and implement creative approaches to maximize population health and wellness.
  • Coproducing: we actively partner with people with 3C conditions, families, professionals, and learners to lead, design, conduct, evaluate, and disseminate our work.
  • Investigating: we seek to conduct thoughtful, ethical, equitable, real-world research which integrates modern improvement, implementation, and rigorous health services research approaches
  • Educating: we are dedicated to open, respectful, and diverse academic discourse, an “all teach, all learn” environment, and developing the next generation of teachers, researchers, improvers, and leaders.
  • Serving: we believe in active participation, advocacy, collaboration, and volunteering to better health and well-being in our local communities and beyond.

Our Values

  • Adaptive
  • Community-oriented
  • Foster creativity
  • Dedication
  • Diversity
  • Fun (joy in work)
  • Promote growth
  • Humility
  • Inclusive
  • Open-minded
  • Respectful
  • Create safety in work



Our Work

Research and Improvement:

Community Service:

Educational Collaborations:



Our Frameworks and Models

We use a number of published conceptual models, research frameworks, and improvement methods derived from the “I3 disciplines” (improvement, implementation, and innovation), including our “Improvement Passport,” a practical improvement approach designed for busy healthcare teams engaged in I3 work, complimented by two textbooks published by Joint Commission Resources: (1) Ogrinc et al., Fundamentals of Healthcare Improvement (4th Ed.); and (2) Oliver and Ogrinc, Practical Measurement for Healthcare Improvement.




CHIRP has disseminated its work widely in the peer-reviewed research and academic literature and has presented internationally across a wide variety of academic and professional conferences including Academy Health, ISQua, IHI, CMSC, ECTRIMS, ACTRIMS, CMSC, AAN, and DDW.


Chronic Health Improvement Research Program (CHIRP) at Dartmouth Health

Brant Oliver, Director
Falguni Mehta, Consultant Project Manager and Lead Improvement Coach
Jabeen Ahmad, Research Program Specialist
Bruce Jobse, Research Project Manager


Department of Community and Family Medicine,
Geisel School of Medicine at Dartmouth
44 Mount Support Road
Lebanon, NH 03755