{"id":14323,"date":"2020-12-15T16:47:59","date_gmt":"2020-12-15T21:47:59","guid":{"rendered":"https:\/\/geiselmed.dartmouth.edu\/news\/?p=14323"},"modified":"2020-12-16T15:28:31","modified_gmt":"2020-12-16T20:28:31","slug":"dartmouth-led-research-featured-in-national-journal-focused-on-health-system-performance","status":"publish","type":"post","link":"https:\/\/geiselmed.dartmouth.edu\/news\/2020\/dartmouth-led-research-featured-in-national-journal-focused-on-health-system-performance\/","title":{"rendered":"Dartmouth-led Research Featured in National Journal Focused on Health System Performance"},"content":{"rendered":"

New findings published by Dartmouth researchers are featured in a special issue of Health Services Research<\/em><\/a>\u2014a top journal that reports on original investigations that enhance understanding of the healthcare field and help improve the health of individuals and communities.<\/p>\n

The special issue focuses on new research highlighting the role and impact of integrated health systems in the U.S.\u2014a type of organization that has grown dramatically in recent years and includes hospitals and outpatient physician practices.<\/p>\n

In the paper<\/a>, \u201cOrganizational Integration, Practice Capabilities and Outcomes in Clinically Complex Medicare Beneficiaries,\u201d Carrie Colla, PhD, a professor of The Dartmouth Institute for Health Policy and Clinical Practice at the Geisel School of Medicine,\u00a0and colleagues assessed the association between clinical integration and financial integration, quality\u2010focused care delivery processes, and beneficiary utilization and outcomes.<\/p>\n

Physician practices have become increasingly financially integrated through ownership relationships in recent years. Health system leaders have argued this financial integration improves patient care through better clinical integration.<\/p>\n

However, the results of the study show that financial integration and clinical integration were not well-correlated, while financial integration had few positive effects on health or spending indicators. \u201cWe found that within multi-physician practices, higher levels of financial integration were not associated with improved care delivery or better outcomes for Medicare patients,\u201d explains Colla. \u201cGreater clinical integration, however, was associated with greater use of quality-focused care delivery processes and less spending.\u201d<\/p>\n

Clinical integration deserves greater attention, she says, as organizations with high clinical integration are more likely to adopt care processes to improve the experience and outcomes of patients.<\/p>\n

Colla\u2019s paper is one of 10 peer-reviewed journal articles featured in the special issue that together examine health systems from multiple perspectives, including impacts on quality, costs, and care delivery.<\/p>\n

While collectively the findings show that healthcare systems as they currently exist are not yet a cure for the problems that ail healthcare across the country, Colla\u2019s paper and the others\u2019, including<\/a> recently published research<\/a> by Dartmouth professor Elliott Fisher, are leading to new understandings about the prevalence, roles, and impacts of integrated health systems.<\/p>\n

The U.S. Agency for Healthcare Research and Quality (AHRQ)\u2014the lead federal agency responsible for improving the safety and quality of the U.S. healthcare system\u2014supported this research by creating the Comparative Health System Performance (CHSP) initiative.<\/p>\n

Dartmouth is one of three centers of excellence established by the CHSP that are tasked with taking different approaches to studying the landscape, impact, and trends across health systems\u2014including factors that impact use of evidence-based practices in care delivery.<\/p>\n

The Dartmouth Institute for Health Policy and Clinical Practice<\/strong> is a world leader in studying and advancing models for disruptive change in healthcare delivery. The work of Dartmouth Institute faculty and researchers includes developing the concept of shared decision-making between patients and healthcare professionals, creating the model for Accountable Care Organizations (ACOs), and introducing the game-changing concept that more healthcare is not necessarily better care.<\/p>\n","protected":false},"excerpt":{"rendered":"

New findings published by Dartmouth researchers and featured in a special issue of Health Services Research<\/em>, are helping to generate new insights and knowledge about the prevalence, roles, and impact of integrated health systems. <\/p>\n","protected":false},"author":26,"featured_media":14324,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2}},"categories":[1,182,8],"tags":[45],"class_list":["post-14323","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-press-release-news","category-research","tag-tdi","author-26"],"jetpack_publicize_connections":[],"jetpack_featured_media_url":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-content\/uploads\/sites\/2\/2020\/12\/CarrieColla_featured.jpg","jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/p4r3h1-3J1","_links":{"self":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/14323","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/users\/26"}],"replies":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/comments?post=14323"}],"version-history":[{"count":3,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/14323\/revisions"}],"predecessor-version":[{"id":14338,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/posts\/14323\/revisions\/14338"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/media\/14324"}],"wp:attachment":[{"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/media?parent=14323"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/categories?post=14323"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/geiselmed.dartmouth.edu\/news\/wp-json\/wp\/v2\/tags?post=14323"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}