About Us

Our Vision & Mission

Our Vision: To partner with complex health and social systems to help populations live a good life in a good place 

Our Mission: To enhance and develop individual and team capabilities for research, practice, improvement and innovation



  • Prepare interprofessional learners to be the future workforce through educational, leadership and coaching programs that leverage applied and deliberate learning between practice and research.
  • Develop meaningful relationships with health care providers, patients, their families, and communities
  • Meet systems, teams, patients, their families, and communities where they are with customized programs that acknowledge their experiences and unique contexts
  • Use action research to explore models of leadership development and team coaching that enable problem-solving, sustainable improvement based in improvement science, and learning across people, systems, and processes
  • Develop national and international Learning Health System networks to connect leading thinkers and doers


Improving and disseminating new knowledge widely so others may easily benefit

Evaluating our work and rapidly incorporating new learning

Honoring the unique contexts and needs of those we work with

Seeking equity and collaboration in health and social systems to co-design and improve population health

Seeking to advance knowledge of continuous sustainable improvement with interprofessional and populations across all levels of health and social systems

What is...

A Clinical Microsystem?

A small, functional, frontline unit. Clinical Microsystems provide most health care to most people. They are the essential building blocks of larger organizations and of the health system. They are the place where patients, families, and care teams meet. The quality and value of care produced by a large health system can be no better than the services generated by the small systems of which it is composed (Nelson, Batalden, & Godfrey, 2007). Additional system levels include macrosystems (representing the whole organization) and mesosystems (represents whole clusters of work or major divisions.)

Nelson, E. C., Batalden, P. B., & Godfrey, M. M. (2007). Quality by Design A Clinical Microsystems Approach. San Francisco, CA,: Jossey-Bass/Wiley.

A Learning Health System?

A health system that learns through internal and external studies and integrates this knowledge into practice.

A Complex Health and Social System?

Health care includes going to the doctor, but it is much more than that. Our health also depends on our educate system, government agencies, non-profits, and other organizations. Coordinating care across this complex system is imperative to ensuring the health of individuals and communities.


According to Edgar Schein, helping is a broad and complex phenomenon. Help includes not only what we ask for, but also what we don't know that we need. Help enables another person to "solve a problem, to accomplish something, or to make something easier."

Schein, E.H. (2011). Helping: How to Offer Give, and Receive Help. San Francisco, CA: Berrett-Koehler Publishers, Inc.

Dr. Marjorie Godfrey began her work in clinical microsystems over 25 years ago and, in 2009, founded The Dartmouth Institute Microsystem Academy to develop new knowledge and disseminate findings with colleagues at Dartmouth. In 2020, The Institute for Excellence in Health and Social Systems was formed at The University of New Hampshire College of Health and Human Services to expand the breadth and impact of our practice and research.