The Dartmouth Atlas of Health Care - bringing health care analyses to health systems, policymakers, and the public

In 1996, the Dartmouth Atlas of Health Care pioneered the dissemination of policy-relevant population-based measurement and analysis that revealed both weaknesses and opportunities in the United States health care system by focusing on regional and hospital variation in utilization, quality, and costs. Built on a growing foundation of peer-reviewed research, the Atlas produced more than 40 reports over the next 25 years addressing a wide range of pressing health care problems. The project's publications and website also provided regional and hospital-specific data to health systems, governmental jurisdictions, health care stakeholders, and the public. The Atlas' methods and its conceptual framework have been widely disseminated in North America and the United Kingdom, and, more recently, in Europe, South America, Asia, and Oceania. This paper discusses the origins of the Atlas from Dr. John Wennberg's early studies, the scaling up of data, methods, and policy-relevant findings, and its incorporation into the more general fields of health services research, policy development, and clinical improvement.