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.
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
To improve the quality, value, and equity of healthcare, health, and wellbeing for people with complex, chronic, and costly (“3C”) health conditions.
- 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.
- Foster creativity
- Fun (joy in work)
- Promote growth
- Create safety in work
Research and Improvement:
- COVID Collaboration
- Division of Care Experience - DH Value Institute
- IBD Qorus
- ICoHN CO-VALUE
- Mindfulness-based Stress Reduction (MBSR) for MS
- Next Gen-MS
- PROMISE Partnership
- D-H LPM Residency
- HPEER Fellowship
- Jefferson College of Population Health
- MGH Institute of Health Professions
- The Dartmouth Institute (TDI)
- TDI Coproduction Laboratory
- VAQS Fellowship
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 Passport Applied Improvement Curriculum
- Clinical Microsystems
- Coproduction of Healthcare Services
- Coproduction Value Creation
- Dynamic Sustainability Framework (DSF)
- Ellstrom’s Action and Interactive Research Models
- Institute for Healthcare Improvement (IHI) Model for Improvement
- IHI Breakthrough Series
- Lean Six Sigma
- Learning Health Systems (LHS)
- Coproduction Learning Health System (CLHS)
- Model for Understanding Success in Quality (MUSIQ)
- Reach, Effectiveness, Adoption, Implementation, and Maintenance (RE-AIM)
- Wagner Chronic Care
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.
- Abstracts (Posters)
- Books & Book Chapters
- Oliver National Library of Medicine (NLM) Publications Page
- Peer-Reviewed Journal Articles
- Platform Presentations
- Spotify Podcast: The Cure, by Dartmouth Health- Episode 34 'The Lived Experience of Care'
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