The Dartmouth Atlas Working Group
David C. Goodman, M.D., M.S., Dartmouth Atlas Co-Principal Investigator
David C. Goodman is Professor of Pediatrics and of Health Policy; Director of the Center for Health Policy Research; and Co-Principal Investigator, Dartmouth Atlas of Health Care. Dr. Goodman's primary research interest is in variation of health workforce supply and its relation to health outcomes. Dr. Goodman has also led numerous studies on variation in the effectiveness and efficiency of health care, including neonatology, pediatrics hospital and asthma care, and medical care in Medicare beneficiaries. Dr. Goodman is a member of the editorial board of the journal Health Services Research and of the Institute of Medicine Committee on the Future of Nursing. Dr. Goodman received his medical degree from the State University of New York Upstate Medical Center and his Masters degree in medical care epidemiology from Dartmouth College. He served his residency in pediatrics at The Johns Hopkins Hospital in Baltimore, and then practiced as a rural National Health Services Corps physician. After joining the Dartmouth faculty in 1988, he undertook allergy and clinical immunology training. He recently stepped down as Chief of the Section of Allergy and Clinical Immunology, a position he held for a number of years.
Elliott S. Fisher, M.D., M.P.H., Dartmouth Atlas Co-Principal Investigator
Dr. Fisher is Professor of Medicine and Community and Family Medicine at The Geisel School of Medicine at Dartmouth, Director of Population Health and Policy, and Director of the Center for Population Health at The Dartmouth Institute for Health Care Policy and Clinical Practice. He received his undergraduate and medical degrees from Harvard University and completed his residency in internal medicine at the University of Washington, where he was also a Robert Wood Johnson Clinical Scholar and received a Masters in Public Health. His research focuses on exploring the causes of the twofold differences in spending observed across U.S. regions and health care systems - and the consequences of these variations for health and health care. He currently serves as co-chair of the National Quality Forum committee developing a new national measurement framework for evaluating and improving health system performance. He has served on the National Advisory Council of the Agency for Healthcare Research and Quality (AHRQ) and is a member of the Institute of Medicine.
John E. Wennberg, M.D., M.P.H., Founder of the Dartmouth Atlas
John E. Wennberg, M.D., M.P.H., is the Peggy Y. Thomson Professor (Chair) in the Evaluative Clinical Sciences and Founder and Director Emeritus of The Dartmouth Institute for Health Policy and Clinical Practice (formerly the Center for the Evaluative Clinical Sciences). He has been a Professor in the Department of Community and Family Medicine since 1980 and in the Department of Medicine since 1989. Dr. Wennberg is a member of the Institute of Medicine of the National Academy of Sciences and the Johns Hopkins University Society of Scholars. He has received numerous awards, including the Institute of Medicine's 2008 Gustav O. Lienhard Award, the Association for Health Services Research's Distinguished Investigator Award, the Richard and Hinda Rosenthal Foundation Award in Clinical Medicine, and the Baxter Foundation's Health Services Research Prize.
With colleague Alan Gittelsohn, he developed a strategy for studying population-based rates of health resource allocation and utilization (small area analysis), which revealed large variations in the rates among local and regional health care markets, much of which appeared to relate to the distribution of supply of resources and to differences in local medical opinion. Together with colleagues in Maine and Boston, Dr. Wennberg undertook a series of studies designed to reduce scientific uncertainty, primarily in the area of prostate disease (where surgical procedures had been shown to vary by a factor of three or more among neighboring regions). Efforts to clarify the outcomes and the theoretical basis for undertaking prostate surgery led, in turn, to awareness of the importance of patient preference in the rational choice of treatment and to studies involving the patient as an active participant in the choice of treatment. Dr. Wennberg is the founding editor of The Dartmouth Atlas of Health Care.
Jonathan S. Skinner, Ph.D., Senior Scholar
Dr. Skinner is the John Sloan Dickey Third Century Chair of Economics at Dartmouth College. His research interests are the determinants of health care spending and outcomes among different income groups in the Medicare population. He is currently studying how high- and low-income groups are treated differently for heart attacks, and to what extent the better survival outcomes for high-income groups are the consequence of differing treatment patterns. He has also studied the redistributional effects of the Medicare system and the time-series pattern of catastrophic out-of-pocket expenditures. His related research in economics focuses on why households save, and why so many households save virtually nothing for their retirement. Dr. Skinner is a member of the Institute of Medicine.
Kristen K. Bronner, M.A., Managing Editor
Ms. Bronner is a Research Associate with The Dartmouth Institute for Health Policy and Clinical Practice and the Managing Editor of the Dartmouth Atlas. She has been a member of the Dartmouth Atlas project team since 1995. She edits, designs graphics, and oversees production of Dartmouth Atlas publications, and works with the investigators, programmers, and analysts to improve and expand the Atlas database. She is also the Atlas webmaster and primary content developer for the Dartmouth Atlas web site.
Atlas Authors and Faculty
James N. Weinstein, D.O., M.S.
Dr. Weinstein is the Chief Executive Officer of the Dartmouth-Hitchcock health system, which includes New Hampshire's academic medical center and a network of clinics across two states, serving a patient population of 1.4 million. Prior to becoming CEO, Dr. Weinstein served as President of Dartmouth-Hitchcock Clinic and Director of The Dartmouth Institute for Health Policy and Clinical Practice. His dual positions as Clinic President and TDI Director allowed him to build critical linkages between the groundbreaking health services research of TDI and the clinical care at Dartmouth-Hitchcock. Dr. Weinstein is a founding member of the national High Value Healthcare Collaborative, a partnership among TDI, D-H, Mayo Clinic, Cleveland Clinic, Intermountain Healthcare and Denver Health, which is seeking to improve health care while lowering costs.
Chiang-Hua Chang, Ph.D.
Dr. Chang is an Instructor at The Dartmouth Institute for Health Care Policy and Clinical Practice. Her primary research interest is the physician workforce, especially the relationship between primary care supply and patient outcomes. She is member of the Primary Care Service Area Project team and has extensive experience in analyzing the American Medical Association Masterfile, Medicare, Medicaid and other datasets.
Affiliated Atlas Authors and Investigators
John Erik-Bell, M.D.
Shannon Brownlee, M.S.
Julie P.W. Bynum, M.D., M.P.H.
Philip P. Goodney, M.D., M.S.
Nancy E. Morden, M.D., M.P.H.
Jeffrey Munson, M.D., M.S.C.E.
Thérèse A. Stukel, Ph.D.
Analytic and Administrative Staff
Thomas A. Bubolz, Ph.D.
Dr. Bubolz has been on the faculty at the Geisel School of Medicine at Dartmouth since 1986. He is Senior Research Associate and Senior Lecturer in Community and Family Medicine. He has been chief biostatistician for Medicare's Patient Safety Monitoring System, a nationwide surveillance project using both medical records and administrative data. Dr. Bubolz was a member of CMS's Research Data Assistance Center (ResDAC) where he was Deputy Project Director for training and outreach activities. From 1995-2000 he was a member of AHRQ's Prostate Cancer PORT team. He has developed analytic methods and software to support studies of outcomes and small area variations and has used them in helping to produce the 1996 and 1998 Dartmouth Atlases of Health Care. He was a member of AHCPR's Prostatectomy PORT team, and chaired AHCPR's Use of Claims Data Work Group.
Donald Carmichael, M.Div.
Mr. Carmichael is a statistical research analyst on the Atlas project. He has extensive experience in SAS programming and health care database architecture.
Jennifer Dong, M.S.
Ms. Dong is a SAS programmer who performs data conversions from raw Medicare claims data to analytic data sets, develops database programming and gets involved in web development when needed.
Daniel J. Gottlieb, M.S.
Mr. Gottlieb is a senior analyst who performs statistical analysis and database programming, assists with manuscript preparation, and provides guidance to junior analysts.
Jia Lan, M.S.
Mr. Lan is a research analyst and web developer who conducts analysis for Atlas and PCSA related research work and performs web development and database programming.
Martha K. Lane, M.A.
Ms. Lane is the manager of data acquisition for the Dartmouth Atlas Project. She is responsible for working with principal investigators at TDI to submit data use requests to CMS and other organizations that provide data to the Dartmouth Atlas Project and for maintaining data use agreements. She also works with other research centers and agencies interested in using data housed at TDI.
Stephanie R. Raymond, B.A.
Ms. Raymond is Senior Programmer/Analyst for the Dartmouth Atlas Project. She provides project management support to researchers and analysts in defining and implementing complex database structure systems and basic analyses. She works with the analytic research staff during development phases and helps make the transition of ideas/concepts into supportable data programming.
Sandra M. Sharp, S.M.
Ms. Sharp is a research associate who has worked as the lead analyst on the Dartmouth Atlas Project since its inception. With extensive experience in the use of health insurance claims data to conduct small area variation and outcomes studies, she collaborates with investigators on the development of analytic methods and works with analysts and programmers during the implementation and production phases of the Atlas.
Jeremy Smith, M.P.H.
Yunjie Song, Ph.D.
Dean T. Stanley, RHCE
Mr. Stanley is the network systems administrator supporting the Data and Analytic Core of the Dartmouth Atlas Project. He is responsible for the full-time maintenance and operation of the Atlas data systems and for the security protocol to ensure compliance above CMS and HIPAA data security mandates. He works with the primary investigators, analysts, and programmers to ensure that the infrastructure is responsive to their requirements to support data analysis and core research projects.
Yin Su, M.S.
Stephanie Tomlin, M.P.A.
Ms. Tomlin is a Project Manager with The Dartmouth Institute for Health Policy and Clinical Practice. She provides research support in the form of literature searches, analysis and summarization of results data, general data file management and quality control assessment. She also directs and manages both research and organizational projects in collaboration with the Director and Principal Investigators.
Rebecca Zaha, M.P.H.
Ms. Zaha is an epidemiologic research analyst who assists in the development of research projects using claims data, performs statistical analysis and aids in the creation of reports and publications.
Weiping Zhou, M.S.
Sponsors & Partners
The research on which the Dartmouth Atlas of Health Care is based and the Dartmouth Atlas web site are made possible by a generous grant from the Robert Wood Johnson Foundation, in partnership with a funding consortium including the WellPoint Foundation, the United Health Foundation and the California HealthCare Foundation.
The American Hospital Association
Anthem Blue Cross Blue Shield of Ohio
Blue Cross/Blue Shield of Michigan
Empire Blue Cross Blue Shield
Excellus Blue Cross Blue Shield
The American Academy of Orthopaedic Surgeons
The American College of Cardiology
The Society of Thoracic Surgeons
The Society for Vascular Surgery
The North American Chapter of the International Society for Cardiovascular Surgery
The Hospital & Healthsystem Association of Pennsylvania
The Virginia Hospital & Healthcare Association