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Success Stories

Improving HPV Vaccination Rates Across Rural South Dakota

In 2019, Horizon Health Care received funding from the SD Department of Health to develop several new strategies to increase Human Papillomavirus (HPV) vaccination rates across its network of 21 medical clinics in South Dakota. Horizon identified an immunization champion, implemented client reminders, provided community education, and developed a dashboard to report HPV vaccination rates for patients age 11-26.

The project was targeted to ensure that Horizon Health Care was able to readily identify their HPV vaccination rates as an organization and follow up with patients who had not received or not completed the immunization series. Read more

Hypertension Management Program Implemented by Local Pharmacies

Cardiovascular disease is the number one cause of death in South Dakota, a chronic illness usually associated with elevated or uncontrolled blood pressure (hypertension). Healthcare systems are continually searching for new and innovative ways to treat their patients in a manner most beneficial and effective for them. This often times requires looking to healthcare providers and team members based in the community, who are typically more accessible to the patient.

Read more from the following Pharmacies:
Bien Pharmacy
Brothers Pharmacy
Haisch Pharmacy
Medicine Shoppe
Roger’s Pharmacy
Shane’s Pharmacy

Inspiring Health and Wellness for Patients with Hypertension
at Coteau des Prairies through Compass Care

Coteau des Prairies (CDP) Health Care System partnered with the Department of Health’s (DOH) Heart Disease and Stroke Prevention Program (HDSPP) team in 2019 when HDSPP offered a funding opportunity focusing on quality improvement, team-based care, and implementation and expansion of self-measured blood pressure (SMBP) monitoring. As part of their award, CDP first needed to address their electronic medical record (EMR) capabilities, as much of the work would be data-driven. CDP’s EMR did not initially provide a comprehensive dashboard for easy visualization or analysis of their provider’s quality measures. Once CDP’s EMR provider dashboard was accessible, data needed to be reviewed for thoroughness and accuracy, an ongoing aspect of quality improvement. After establishing baseline data, clinical support and coordination of patient care across the health care team had to be streamlined for maximum efficiency and patient benefit. Lastly, CDP needed to implement SMBP, a new program to the facility. All these initiatives required staff and patient buy-in, training, and development of new workflows, policies, and processes. Read more

Huron Clinic’s Self-Measured Blood Pressure Monitoring Program Proves an Effective Model for Hypertension Diagnosis and Control

Cardiovascular disease is the leading cause of death in South Dakota with hypertension being a primary risk factor. The growing elderly and sedentary population as well as unique challenges facing SD’s rural and frontier communities have created a need for new prevention and management methods directed toward cardiovascular health. In February 2019, Huron Clinic partnered with South Dakota Department of Health’s Heart Disease and Stroke Prevention Program (HDSPP) to develop and implement a self-measured blood pressure (SMBP) monitoring program. The clinic established several goals at the start of the process. First, they wanted to achieve and maintain a baseline NQF 18 rate of 80%. At the time of program development, Huron Clinic’s rate was 67%, meaning of the patients in their facility diagnosed with hypertension, 67% were considered to have their blood pressure under control, or measuring below 140/90 mmHg. One of the first steps to hitting their 80% goal was thoroughly reviewing their performance measure data and ensuring they were starting with accurate and reliable information. It was discovered that several issues within the electronic medical record (EMR) were skewing their data. For example, when an individual had an initial elevated blood pressure check during their office visit but a reading that was within normal limits upon re-check, the EMR would pull the out-of-range reading into the performance measure instead of using the controlled reading as it should. This caused their NQF 18 rate to appear worse than it actually was. As this was a known EMR issue, the EMR vendor had to develop a program update to correct the problem. In the meantime, Huron Clinic manually reviewed and updated measurement readings so their NQF 18 would accurately reflect their true blood pressure control rate. In addition to meeting their performance measure goals, Huron Clinic planned to assess “white coat hypertension” within their patient population, a term used to describe when one has an elevated blood pressure in the clinic setting but an otherwise normal reading. Ruling out white coat hypertension before prescribing medication therapy changes would reduce the risk of over-prescribing to individuals not needing treatment which could then be dangerous and detrimental to their health. Additionally, SMBP would provide an excellent opportunity to closely monitor patients with hypertension and adjust medication dosing to find the best and most appropriate treatment plan. This also gave providers a better understanding of their patient’s day-to-day blood pressure levels and allowed them to closely work together to set realistic blood pressure goals.
*members of the SMBP team included representatives from Huron Clinic, HDSPP, Dakota State University – Centers for Advancement of Health IT, and Great Plains Quality Innovation Network. Read more

Overcoming Barriers Around Social Determinants of Health

Social determinants of health (SDOH) are the conditions in which people are born, grow, live, work, and age. They affect a wide range of health risks and outcomes. South Dakota is not immune to negative outcomes based on SDOH, so Sanford Clinic Brookings sought a way to better assist their patients with overcoming barriers to social determinants of health. Read more

South Dakota Opioid Program Campaign Goes “Viral”

The South Dakota Opioid Abuse Program has successfully expanded their brand recognition, reached a large portion of the general public with their messaging, and received positive feedback from stakeholders and legislators about their media efforts. Read more

Increasing Healthcare Referrals for Better Choices, Better Health® South Dakota

Developing a sustainable system for Better Choices, Better Health® South Dakota (BCBH-SD) referrals has helped to form clinical-community linkages with our healthcare systems. This process allows providers to support their patients by providing resources that help them become more confident about their role in condition management and improved quality of life. Read more

Hypertension Management Program in Community Based Pharmacy Prevents Potential Cerebrovascular Event

A patient presented to the Medicine Shoppe for an initial consult to determine eligibility for the pharmacy’s newly launched Hypertension Management Program (HMP). Multiple in-store readings showed her blood pressure at 168/104, well above a safe or healthy blood pressure range. Read more

Supporting Cancer Patients and Survivors Through Implementation of Evidence-Based Nutrition Interventions

Project efforts included implementation of an evidence-based nutritional screening tool, best practice alert, and nutrition services within a cancer treatment center located in Sioux Falls, SD. The cancer treatment center increased system changes and provision of nutritional services for cancer patients and survivors through project implementation. Read more

Preventing Cancer in South Dakota: Successful Strategies to Increase HPV Vaccination Rates

The South Dakota Comprehensive Cancer Control Program (SDCCCP) partnered with health systems across South Dakota to increase the state’s human papillomavirus (HPV) vaccination rates. Efforts focused on the implementation of evidence-based interventions. Increases in first dose initiation and series completion rates were seen among all participating sites. Read more

Finding Innovative Ways to Increase Colorectal Cancer Screening: The Best Test is the One That Gets Done

Sanford Health chose a clinic from each region to pilot a project intended to improve colorectal cancer screening rates. The clinics received 100 Fecal Immunochemical Tests (FIT) to mail to patients who were
past due for colorectal cancer screening and were clinically appropriate for the FIT test. Beyond the basic parameters, the clinics were then allowed to create their own processes for identifying patients and reaching out to them. The minimum expectation was to track how many FITs were sent out, how many were completed, the results and any positives be followed up with a colonoscopy. Read more

Utilizing Evidence-Based Interventions to Increase Preventative Cancer Screening Among the Hutterite Population in SD

Preventative cancer screening rates for the SD Hutterite population insured by DAKOTACARE are disproportionately lower than screening rates of the overall SD population insured by DAKOTACARE. During project implementation, a challenge encountered by the DAKOTACARE team involved additional time and effort required to manage the procedural differences regarding scheduling, billing, and coordination of three different Avera mobile mammography units located in Sioux Falls, Mitchell, and Aberdeen. Read more

Falls Community Health Partners with Local Clinic to Provide Colonoscopies at Reduced Rate

Falls Community Health (FCH) is a Federally Qualified Health Center that has joined the march to a nationwide colorectal cancer (CRC) screening rate of 80%. FCH serves all patients, but many of its patients are either underinsured or uninsured. There are close to 1,880 patients between the ages of 50 – 75, the recommended screening age for colorectal cancer. Read more

Funding Opportunity Assists in Increasing Colorectal Cancer Screening Rates

The South Dakota Comprehensive Cancer Control Program awarded grants to four healthcare organizations to support the implementation of evidence-based interventions focused on increasing colorectal cancer screening rates. Grantees were chosen from various geographic locations across the state, including medically underserved areas. Read more

South Dakota’s Successful Implementation of the National Diabetes Prevention Program

Over 200,000 South Dakotans have prediabetes, a condition that increases their risk of developing type 2 diabetes. As the incidence continues to rise, South Dakotans are taking steps to prevent type 2 diabetes by participating in the National Diabetes Prevention Program. Read more

Survivorship: Putting the Pieces Together

Avera Cancer Institute Mitchell’s successes and lessons learned from providing an online, interactive platform for cancer survivors to access information about survivorship such as nutrition, advance care planning, advance directives, physical activities, and connect with other SD cancer survivors for peer support. Read more

Teaming Up to Bring Palliative and End of Life Care Education to Rural Interprofessionals

LifeCircle SD, a statewide collaboration of institutions, organizations and people committed to improving end-of-life care, collaborated during a nine month period to plan, develop and implement a day-long workshop for palliative and end of life training for healthcare professionals in Winner, SD. Read more

Before It’s Too Late

A 64 year old, unemployed man received early colorectal screening, education, and follow up thanks to SD CCCP Colorectal Workgroup’s pilot project. Typically, low-income people don’t receive this type of care until it’s too late. Read more