Chronic Health Improvement Research Program (CHIRP)

Learning Health System science for the coproduction of better health, care, and wellness.

 

The Chronic Health Improvement Research Program (CHIRP) is a Learning Health System Science group that engages in collaborations worldwide to improve care, wellness, and coproduction of healthcare using Learning Health System approaches. We engage in a variety of activities aimed to improve health and healthcare including innovation, improvement, implementation, research, education, and community service. Our work began with a focus on complex, chronic, and costly (“3C”) health conditions, including multiple sclerosis, inflammatory bowel disease, and Long COVID, and in recent years has expanded to include applications across populations in rural health systems.

We invite you to visit our site to learn more about our work and to contact us if you want to learn more or explore collaborations with us.

 

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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

 

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Our Work

Research and Improvement:

• COVID Collaboration
• Human Experience
• IBD Qorus
• ICoHN CO-VALUE
• MS-CQI
• PROMISE Partnership

Community Service:

• MS Peer Wellness Network

Educational Collaborations:

• D-H LPM Residency
• Geisel School of Medicine at Dartmouth
• Geisel School of Medicine Center for Implementation Science
• HPEER Fellowship (2000-2023)
• Jefferson College of Population Health
• MGH Institute of Health Professions 
• The Dartmouth Institute (TDI)
• TDI Coproduction Laboratory
• VAQS Fellowship

 

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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 (5th Ed.); and (2) Oliver and Ogrinc, Practical Measurement for Healthcare Improvement.

• Complexity Theory
• Consolidated Framework for Implementation research (CFIR)
• Coproduction of Healthcare Services
• Dynamic Sustainability Framework
• High Reliability Organizations (HRO)
• Institute for Healthcare Improvement (IHI) Care Operating System (Care OS) 
• Learning Health Systems
• Learning Organization (Senge)
• National Academy of Medicine Trust Framework for Learning Health Systems
• Promoting Action on research Implementation in Health Services (PariHS)
• Partners for Advancing Health Equity Storytelling Guide
• RE-AIM & PRISM Frameworks
• The Model for Understanding Success in Quality (MUSIQ)

 

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