South Dakota State Flex Profile

Top Flex Activities

Program Area: Support for Quality Improvement: 

In this area, South Dakota will:

  • Continue to assist critical access hospitals (CAHs) with building capacity and reporting the Medicare Beneficiary Quality Improvement Project (MBQIP) measures in all four quality domains
  • Conduct the Agency for Healthcare Research and Quality’s (AHRQ) Hospital Survey on Patient Safety Culture
  • Support collaborative projects to assist CAHs with improving MBQIP and AHRQ measures

The MBQIP Reports and AHRQ Survey scores will be the primary tools used to measure improvements in this program area.

Please share a success story about reporting quality data or using quality data to help Critical Access Hospitals (CAHs) in your state improve patient care: 

As of the Quarter 3 2016 submission, 37 CAHs with signed memorandums of agreement (MOAs) submitted emergency department transfer communication (EDTC) data. As of November 2016, all 38 CAHs in the state now have signed MOAs.

Program Area: Support for Financial and Operational Improvement: 

In this area, South Dakota will:

  • Work with the South Dakota Healthcare Financial Managers Association (HFMA) to host a CAH Coding/Billing Bootcamp
  • Work with the HFMA to host a CAH Financial/Operational Strategic Planning Workshop 
  • Support CAH financial and operational assessments 

The Flex Monitoring Team CAH Financial Indicators Reports will be the primary tool to measure improvements in this goal area.

Program Area: Support for Population Health Management and Emergency Medical Services Integration: 

In this area, South Dakota will: 

  • Support CAH emergency medical service (EMS) assessments 
  • Support Trauma Nurse Core Courses (TNCC) for CAHs
  • Host regional webinars to allow peer to peer review of time-critical diagnosis events

The primary tools to measure improvement in this area will the CAH assessments and measures monitored through a statewide Trauma Registry.  

Please provide information about any efforts to assist CAHs/communities and partner organizations in the transition to value-based care: 

Information regarding the transition to value-based care is covered at the annual Financial Operational Strategic Planning Workshop that is conducted in partnership with the South Dakota Healthcare Financial Management Association (SDHFMA).

Please provide information about network activities in your state to support Flex Program activities (such as financial improvement networks, CAH quality networks, operational improvement with CEOs or EHR workgroups): 
  • The South Dakota Office of Rural Health has convened a Quality Improvement Collaborative. Members of this collaborative include the state’s rural hospitals, hospital association, quality improvement organization (QIO) and three hospital systems
  • The Flex Program actively partners with SDHFMA. Membership in SDHFMA includes the state’s CAHs, the hospital systems and the state hospital association
  • A Trauma Council has been convened. The State Trauma Council partners with the Departments 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/patient representatives 
Please provide information about cross-state collaborations you may be working on related to the Flex Program: 

As a follow-up activity for the 2015 Flex Reverse Site Visit, the Flex Coordinators from Kansas, Minnesota, North Dakota, South Dakota and Wisconsin developed a collaborative. Since that meeting, this group has met at national meetings and through conference calls to share successes and challenges in implementing work plans.  

From the last Flex Program year, please describe a best practice you would like to share with other states: 

With input from its quality improvement partners, the South Dakota Flex program developed a Survey Monkey tool to collect EDTC measures. Because it only takes CAHs a few minutes to enter data, this is an efficient data method to collect this information. Additionally, a Microsoft Access tool has been developed to convert the data from Survey Monkey so it can be used to monitor data trends.

The primary method used to measure this practice is the feedback received from the CAHs and there have been no submission errors on the data sent to the Federal Office of Rural Health Policy.     

Program Statistics

What type of organization is your Flex office housed in?: 
State Government
What is the number of full time employees (FTE) in your Flex office?: 
How many CAHs are in your state?: 
Do you have any hospitals interested in converting to CAH status?: 

Additional Information

Flex Program Staff

Josie Petersen
Interim Flex Coordinator, 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. 

Interim Flex Coordinator since October 2017

Marty Link
Trauma Program Manager, South Dakota
(605) 367-5372

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, $1,100,000 (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.