Dartmouth SYNERGY's Center for Translational Population Research (CTPR) provides technical and analytic support for multidisciplinary translational approaches and other innovative uses of large population databases for measuring population health outcomes, costs, and patient goals and experiences. Medicare claims data and other large-scale data sources, which are often linked to Census data or to clinical registries and data from randomized trials, provide insights for measures of long-term health outcomes, costs, and comparative effectiveness.
The work of the CTPR draws upon the Dartmouth Atlas of Health Care, which uses Medicare data to provide information and analysis about national, regional, and local health care markets and hospitals and their affiliated physicians. This research has helped policymakers, the media, health care analysts, and others improve their understanding of our health care system; it forms the foundation for many current efforts to improve health and health systems across the U.S.
Variation in the care of surgical conditions
Medicare mortality rates
Selected measures of primary care access and quality
Children's health care in Northern New England
Prescription drug use
Selected hospital and physician capacity measures
Understanding of the Efficiency and Effectiveness of the Health Care System
For more than 20 years, the Dartmouth Atlas Project has documented glaring variations in how medical resources are distributed and used in the United States. The project uses Medicare data to provide information and analysis about national, regional, and local markets, as well as hospitals and their affiliated physicians. This research has helped policymakers, the media, health care analysts and others improve their understanding of our health care system and forms the foundation for many of the ongoing efforts to improve health and health systems across America
The CTPR enables investigators to access Dartmouth data infrastructure and sidestep the expensive and time-consuming process of applying for and building one's own database. The role of the CTPR is to provide a forum for investigators (broadly defined) to bring questions from T1 and T2 bench or clinical 'laboratories' to population datasets and to the methodological expertise required to rigorously query such large datasets.
Stephanie Tomlinson, the data coordinator will review inquires and applications, and request clarifications and details as necessary from the applicant. Inquires aligning with the dataset capacity and SYNERGY mission will be forwarded to the research liaison team, Drs. Morden and Munson. These CTPR investigators will meet with applicant to discuss the proposed research, to conduct early feasibility assessment, and to identify topic experts and resources suited to the proposal.
In some cases, the data coordinator (or faculty liaison) will direct the investigator to the public use data sources, whether on the Dartmouth Atlas website or elsewhere, and provide guidance in how to use (and interpret) this extensive database on 306 hospital referral regions (HRRs), 3,436 hospital service areas (HSAs), or for specific hospitals.
For studies well suited to the extensive individual level (protected) onsite datasets, the research liaisons will support the applicants preparation of an analytic memo - a 3- to 4-page document that describes the aims of the project, its potential translational and scientific value, and specifies what is being requested in considerable detail. When appropriate, the research liaisons will refer to and facilitate a meeting with the Research Design and Epidemiology, Biostatistics, and Ethics core components of SYNERGY, for detailed guidance on methodology.
Once the hypothesis and data requirements are established, the materials will be forwarded to the Priority and Security Review Committee for review to ensure compliance with CMS confidentiality rules. The application then moves forward to the IRB and data use agreement (DUA) application process.