(Host) Commentator Tom Blinkhorn has worked in development of social
services around the world. But as 2013 confronts the nation with a fresh
set of challenges in implementing the Affordable Health Care Act, an
innovative pioneer program at Dartmouth college designed to help meet
those challenges has caught his attention.
(Blinkhorn) On
Saturday morning, January 19, 45 mid-career professionals from 17 states
plus France and India will receive Dartmouth college’s very first
master of science degree in health care delivery.
The graduates
are all mid-level professionals, ranging in age from 30 to 60, about 40%
are women. Most already have advanced degrees in several areas. They
include surgeons, nurses, a chief information officer, chief medical
officer, a state senator from Oklahoma, a lawyer, Robin Lunge, who is
also Vermont’s Director of Health Reform and Jose Montero, who is
Director of Public Health for New Hampshire.
For the last 18
months they have been learning how to become leaders of change in
helping the nation get closer to a very elusive goal: Better health care
at lower cost for all citizens. The goal is worth pursuing since health
care represents a huge and growing portion of the national and world
economy and particularly since the United States spends 50 percent more
on health care than any other country, yet is ranked 37th among nations
in health care performance.
The Dartmouth program, according to
Director Katy Milligan, is uniquely different from other more
traditional master’s programs in the health sector, for several reasons.
First, training is provided jointly by two of Dartmouth’s
centers of excellence – the Tuck School of Business with its extensive
experience in management and leadership know-how, plus The Dartmouth
Institute’s expertise in the science of measuring health care delivery
and outcomes in an effort to reduce costs and improve care.
Second
is the distance learning feature. This is made possible via the
internet and a specially tailored web portal. During the 18 month
program, there are four residential periods on the Dartmouth campus for
about one week each. The rest of the time students communicate with each
other and faculty through live audio-visual and internet connections at
any time. The idea is that students can keep their day jobs yet engage
in substantive learning for short, but intense, sessions.
Finally,
students work in teams on specific projects designed to be put into
practice right away and aimed at improving care at the patient level.
One
particular project has an extraordinary challenge – to define precisely
the basic benefits package that will be offered to Vermont’s citizens
under the state’s new single-payer system. Robin Lunge is working with a
team that includes a surgeon from Idaho, a Washington DC health care
consultant and an anesthesiologist from Dartmouth Hitchcock medical
center.
Jose Montero, the New Hampshire Director of Public
Health, is part of a different team learning how best to implement
realistic strategies to improve access and quality of health care
services despite limited financial resources.
One of the surprises from experience with the first class is that students would like the program to last longer.
But
since that’s not possible, the class of 2013 has decided to support a
special legacy project involving an annual symposium to share
experiences after graduation and thus keep the learning alive and
relevant.