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South Dakota Department of Health

Top Flex Activities

CAH Quality Improvement

South Dakota Flex Program activities:

  • Assisting critical access hospitals (CAHs) with building capacity and reporting the Medicare Beneficiary Quality Improvement Project (MBQIP) measures in all four quality domains
  • Supporting collaborative projects to assist CAHs with improving MBQIP by providing an MBQIP and the Centers for Medicare and Medicaid Services Abstraction and Reporting Tool (CART) bootcamp, and a quality improvement (QI) conference
  • Support QI with peer-to-peer roundtable calls

CAH Operational and Financial Improvement

South Dakota Flex Program activities:

  • Work with the South Dakota Healthcare Financial Managers Association (HFMA) to host a CAH Coding/Billing Bootcamp
  • Collaborate with the South Dakota Association of Healthcare Organizations (SDAHO) to provide a Chargemaster reporting tool to benchmark charges against state averages
  • Support an economic benefit study report for each CAH
  • Support CAH specific assessments for vulnerable CAHs, Chargemaster reviews, and 340B Drug Pricing Program audits

Rural Emergency Medical Services (EMS) Improvement

The South Dakota Flex Program supports EMS by providing a .5 FTE for a state trauma coordinator, supporting data collection in the state Patient Care Reporting System, providing Trauma Nurse Core Course education to CAH nurses, supporting trauma performance improvement webinar series, conducting EMS assessments, and supporting the annual Trauma Summit. 

Please provide information about network activities in your state to support Flex Program activities.

The South Dakota Flex Program actively partners with the South Dakota Healthcare Financial Management Association (SDHFMA). Membership in SDHFMA includes the state’s CAHs, the hospital system, state hospital association, and South Dakota Association of Healthcare Organizations (SDAHO). The State Trauma Council partners with the Department of Health and Public Safety in the development and implementation of the statewide Trauma System. Members of the State Trauma Council represent statewide stakeholders across the continuum of trauma services that include the state hospital association, the state’s hospital systems, trauma surgeons, ambulance services, and community and patient representatives.

Please provide information about cross-state collaborations you may be working on related to the Flex Program.

The South Dakota Flex Coordinator is a member of the planning committee for the Western Region Flex Conference. 

Program Statistics

Do you have any hospitals interested in converting to CAH status?:
Type of Organization State Government
Staffing (FTE) 1.5
Website Organization Website
Number of CAHs 38

Flex Program Staff

Kaitlin Thomas
Administrator, Office of Rural Health, South Dakota

State Office Director since June 2020

Michelle Hoffman
Flex Coordinator, South Dakota
(605) 773-5883

Flex Coordinator since March 2018

Josie Petersen
Assistant Director, South Dakota

Specialty Areas / Background

Josie is the Assistant Administrator of the South Dakota Office of Rural Health. She has worked in this office for over 15 years. 

Assistant Director since October 2017

Rebecca Baird
Trauma System Manager, South Dakota
(605) 367-8371

This project is/was supported by the Health Resources and Services Administration (HRSA) of the U.S. Department of Health and Human Services (HHS) under grant number UB1RH24206, Information Services to Rural Hospital Flexibility Program Grantees, $1,009,121 (0% financed with nongovernmental sources). This information or content and conclusions are those of the author and should not be construed as the official position or policy of, nor should any endorsements be inferred by HRSA, HHS or the U.S. Government.