Custom Programs

Some organizations and health systems require a more tailored approach to meet their unique contexts and settings. The Dartmouth Institute Microsystem Academy works collaboratively with teams, organizations, health systems, and countries to co-design Custom Programs to meet their specific needs.

Our work is focused on creating the conditions for successful improvement at all levels of the organization. We have developed and executed custom programs for organizations across the globe. An overview of some of our services include:

  • Leadership Development Through Coaching     
  • Registries and Improvement
  • Learning Collaboratives
  • Relational Coordination
  • Asynchronous Learning

Leadership Development Through Coaching

Individual leadership skills specific to leading quality improvement are honed through partnering leaders with a team coach, enabling a pace and rhythm to the improvement work to evolve – all in support of frontline team development and success. 

TDIMA’s decade-long partnership with the Cystic Fibrosis Foundation includes a program supported by team coaching that is designed specifically to cultivate improvement capabilities at the frontline, as well as the development of leaders who can effectively empower and support such improvement efforts. Since the program began, over 90% of cystic fibrosis care centers across the U.S. have participated in improvement, coaching, and leadership development programs offered by TDIMA.

Chief Nursing Officers at several large health systems are also finding value in the development of nurse managers and leaders with new knowledge and the skills necessary to lead the redesign of health care as full partners with other health professionals.

Registries and Improvement

Translating data and information contained in patient registries for use at a local, daily work level to improve quality of care, as well as to enhance the future utility of such registries, is at the core of an innovative program developed by TDIMA for the Quality Research Center (QRC) in Stockholm, Sweden. The program blends the parallel development of leaders, coaches, and interprofessional frontline improvement teams focused on national registry data. The QRC initiative is aimed at increasing the capabilities of its participants to integrate national registry data in continuous quality improvement across all levels of the Swedish healthcare system.

Learning Collaboratives

TDIMA has extensive experience in leading learning collaboratives across a variety of contexts and sub-populations, including patients with mental health issues, hemophilia, and cystic fibrosis. 

TDIMA is currently leading three, 18-month-long learning collaboratives to support implementation of InSHAPE® (Self Health Action Plan for Empowerment), a comprehensive program to improve the health and longevity of people experiencing mental illness, in 24 health organizations across the U.S. This activity is part of a 5-year NIMH grant awarded to Stephen Bartels, MD, Director of the Dartmouth Centers of Health and Aging, to perform a randomized controlled study of how best to implement the InSHAPE® program.

Relational Coordination

Relational coordination strengthens communication and work across boundaries and relationships, including relationships within work groups, between work groups, and across patient pathways and service lines.

TDIMA assisted the Department of Surgery at Dartmouth-Hitchcock Medical Center in assessing relational coordination across eleven surgical sections using structured team coaching. Seventeen members representing the eleven sections were enrolled in TDIMA’s eCTC program. Coaches met weekly with their frontline section interdisciplinary improvement teams, and used assessment data including results from a validated relational coordination survey to identify and make improvements to processes of care for surgical patients. Phase 2 of this work continues, with coaches enrolled in TDIMA’s From Tools to Relationships (TTR) program.

Asynchronous Learning

The Virtual Improvement Program–Fundamentals was developed for busy frontline Cystic Fibrosis care teams to support asynchronous learning in the fundamentals of quality improvement and clinical microsystems, for completion at a rhythm and pace that works best for the team. 

Contact Us to learn more about how we can help you and your organization achieve your goals through adapting and customizing a program to meet your local needs.