Laurie Gill
Cabinet Secretary

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Innovation Grant Activities

In 2019 the South Dakota Legislature in partnership with Governor Noem appropriated $1 million to the Department of Social Services (DSS) in order to pilot innovative projects focused on enhancing on primary and prenatal care for Medicaid recipients. Primary and prenatal care innovation projects will test evidence-based primary and prenatal care models that promote better health by addressing medical, behavioral, and psychosocial factors; improving delivery of care; and reducing health care costs.

DSS began accepting applications for innovation grant projects in April 2019 and awarded grants in September 2019. Three organizations were awarded innovation grants, Avera Health, the Center for Family Medicine, and Native Women’s Health Care.

  Summary Innovation Being Tested Geographic Target Areas Outcomes Budget Summary
Avera Health

Before Baby
Helps pregnant women in South Dakota diagnosed with gestational diabetes by providing remote blood sugar monitoring, specialized test strips and video visits with a diabetic educator/ dietician. Patients will be supported AveraNow mobile application. Non-traditional tele-health model testing correlation between use of technology for management of gestational diabetes improved birth outcomes. Pilot with I.H.S. to serve patients referred by I.H.S to the program in targeted areas. Huron (Beadle County), Aberdeen (Brown County), parts of Sioux Falls (Minnehaha and Lincoln Counties) Aurora, Brule, Buffalo, Charles Mix, Davison, Douglas, Gregory, Hanson, Hutchinson, Jerauld, Lyman, Miner, McCook, Sanborn, and minimum of one Indian Health Service site yet to be finalized. Improve access to OB care and treatment of gestational diabetes.
Reduce the number of c-sections, birth complications, and infant/mother mortality.
Increase rates of healthy birth weight babies and the number of babies who are delivered at full term.
The total grant amount for Avera is $330,000. Funding will be used to:
•Purchase supplies and equipment for patient’s self-management of diabetes.
•Hire a nurse navigator/education coordinator.
•Provide the Avera Now telehealth services.

Native Women’s Health Care (OST)

Prenatal/Primary Care Integration with Behavioral Health and Community Health Worker services

Helps patients by linking primary and prenatal services to behavioral health services. Leverages comprehensive care team including primary care, behavioral health, and community health workers. Use of comprehensive care team to manage both physical and behavioral health will improve rates of substance use disorder (SUD) screening and treatment adherence. Tests pregnancy as a qualifying condition for Medicaid health home services. Rapid City Area Improved adherence rates for SUD treatment, increased screening, preventive, and primary/prenatal care. Increase the number of qualified behavioral health staff
Increase in the number of women who are accessing prenatal services, wellness checks, and behavioral health services.
The final grant amount for the Native Women’s Health Care is $333,000. Grant funding will be used to:
•Arrange transportation services for high-risk patients.
•Purchase technology including iPads and specialized software for case managers.
•Support accreditation for day treatment and residential treatment services.
Center for Family Medicine

Providing Enhanced Cost-Effective Prenatal Care to Rural and Underserved Patients of South Dakota
Provides patients with a birth center/pregnancy health home approach to provide full array of prenatal and postnatal care. This project will also train family medicine resident physicians in innovative, evidence-based prenatal care models. Testing if application of health home model and use of technology to deliver patient education results in improved health outcomes. Sioux Falls, Pierre Improved screening services for those with increased risk for gestational diabetes and preeclampsia.
Decreased rates of prenatal hospitalization and c-section, pre-term delivery, NICU stays, and other complications.
Increased rates of contraception during the interconception period, patients breastfeeding, and interpregnancy interval.
The total grant amount for Center for Family Medicine is $333,000. The grant will be used to:
•Hire a nurse case manager, physician, and other care team members.
•Purchase home blood pressure and other monitoring equipment that links to electronic health record.
•Secure transportation to appointments.
•Purchase equipment.

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