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South Dakota Department of Health, Office of Rural Health

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
  • Support a Quality Improvement (QI) conference for CAH QI staff

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 activities
  • Work with the South Dakota Association of Healthcare Organizations (SDAHO) to provide GovernWell board/trustee resources
  • Work with SDAHO to provide each CAH with a chargemaster reporting tool to benchmark charges against state averages

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
  • Support a Trauma Summit for CAHs

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 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.

  • 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/network (QIO/QIN) and the three hospital systems.
  • The South Dakota Flex Program activily 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 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/patient representatives.

Please describe how your state Flex Program has enhanced its use of data in the past year.

Critical Access Hospital Measurement and Performance System (CAHMPAS) data has been used in grant applications and shared with partners.

Do you have any hospitals interested in converting to CAH status?:


Program Statistics

Type of Organization State Government
Staffing 1.5 FTEs
Number of CAHs 38
Website URL Organization Website

Flex Program Staff

Andy Klitzke
SORH Director, South Dakota

State Office Director since December 2017

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, $1,100,000 (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.