Dartmouth-Hitchcock constantly seeks and engages partners who share our commitment to population health, creating innovative methods and models of care that provide the highest quality and best results at a fair cost to our patients. That commitment has resulted in a growing number of collaborations, nationally and regionally. Our current collaborations and affiliations include the following.
The High Value Healthcare Collaborative
In December, 2010, Dartmouth-Hitchcock, along with Mayo Clinic, Denver Health, Intermountain Healthcare, and The Dartmouth Institute for Health Policy and Clinical Practice (TDI) announced the formation of the High Value Healthcare Collaborative (HVHC) to improve health care, lower costs, and move best practices out to the national provider community. The collaborative identified nine high volume, high cost, high variation conditions to focus on, with the goal of improving care and outcomes, reducing variation, and lowering costs. Since its founding, HVHC has expanded to nearly 20 health systems. And its first research, on total knee replacement, has been published.
Learn more about HVHC:
- Quality Variations Exist, Even Among Leading Health Systems (May 2012)
- High Value Healthcare Collaborative Expands (June 2011)
Dartmouth-Hitchcock and Mayo Clinic
Dartmouth-Hitchcock is a member of the Mayo Clinic Healthcare Network, a growing network of like-minded organizations that share a commitment to serving patients and their families. Announced in the summer of 2012, the collaboration between Dartmouth-Hitchcock and Mayo Clinic leverages the strengths of the two health systems to improve the health of our populations regionally and nationally.
This collaboration gives Mayo Clinic a unique relationship in the Northeast corridor of the United States and strengthens long-standing ties between the two organizations that date back to the founding of the Dartmouth-Hitchcock Clinic in 1927. In addition to their collaboration through the Care Network, Mayo and D-H are discussing a number of future joint projects, including advancing population health using large data systems, expanded clinical and basic research, joint educational initiatives and advancement of the science of health care delivery.
Learn more about the collaboration between Dartmouth-Hitchcock and Mayo Clinic:
Accountable Care Organizations
The term "accountable care organization" was first used at Dartmouth-Hitchcock, through the work of Dr. Elliott Fisher at The Dartmouth Institute for Health Policy & Clinical Practice. Today the ACO has become the model for finding new ways to deliver and pay for health care, focusing on provider reimbursements tied to quality metrics and reductions in the total cost of care for an assigned population of patients. Dartmouth-Hitchcock is currently involved in two ACOs.
Dartmouth-Hitchcock Health is among 23 organizations selected by the Centers for Medicare and Medicaid Services (CMS) Innovation Center to participate in the Pioneer Accountable Care Organization (ACO) Model. Providers who band together through this model will be required to meet quality standards based upon, among other measures, patient outcomes and care coordination among the provider team. In its first year of operation, Dartmouth-Hitchcock's ACO, now named "allwell," earned more than $1 million in savings and met all quality metrics. And in 2014, allwell expanded to include three other health systems in New Hampshire
Learn more about allwell:
- Dartmouth-Hitchcock Health Pioneer ACO
- D-H Expands ACO with Three New Members (Jan 2014)
- Dartmouth-Hitchcock Shows Savings, Meets Quality Measures in First Year of Pioneer ACO Program (July 2013)
- Dartmouth-Hitchcock to Participate as Medicare Pioneer Accountable Care Organization (Dec 2011)
Dartmouth-Hitchcock has partnered with Fletcher Allen Health Care at the University of Vermont to create OneCare Vermont, covering 42,000 of Vermont's 118,000 Medicare beneficiaries with primary and specialty care. For network providers and hospitals, OneCare Vermont represents an opportunity to develop the clinical and business relationships that will enable all member health care organizations to be successful in the accountable care environment.
Dartmouth-Hitchcock and Fletcher Allen anticipate that the knowledge gained through OneCare Vermont will translate to improvements in clinical delivery and reimbursement systems that can eventually benefit all payers and patients in Vermont by improving the health of Vermonters with high quality care while achieving lower cost growth.
Learn more about OneCare Vermont:
Regional / State Collaborations and Affiliations
The Center for Rural Emergency Services and Trauma (CREST)
The Center for Rural Emergency Services and Trauma (CREST) is a Dartmouth-Hitchcock based collaborative program of 17 critical access hospitals and community hospitals. Founded at Dartmouth-Hitchcock Medical Center (DHMC) in 2007, CREST is designed to improve the emergency care of patients in rural New England and is one of the Center for Telehealth's primary educational and outreach partners. CREST is located at DHMC in Lebanon, NH, within the Emergency Department and the DHMC Trauma Center, a Level I, university-affiliated trauma center.
To learn more about CREST and see the full CREST membership list:
New England Alliance for Health
The New England Alliance for Health (NEAH) is a group of community hospitals, behavioral health centers, and home healthcare agencies that came together in a shared commitment to improve the quality, efficiency, and availability of health care in New Hampshire, Vermont, and western Massachusetts. As a group, NEAH members share knowledge, resources, and solutions to challenging healthcare issues. In our local communities, we treat illness and improve wellness. We work with tax-exempt charitable healthcare organizations in thoughtful, patient focused collaboration to improve patient care systems and the health status of all communities in the region.
To learn more about NEAH and see the full NEAH membership list:
For information about our relationships with community hospitals and providers throughout the region, see Our Affiliations.