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Primary Care in South Dakota

Primary Care in South Dakota. Presentation to Medicaid Opportunities and Challenges Task Force May 14, 2013. Presentation Overview. General demographics Location of primary care providers in South Dakota Current efforts. General Demographics. 1880 to 2010. 2010 – 814,000. Total. Rural.

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Primary Care in South Dakota

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  1. Primary Care in South Dakota Presentation to Medicaid Opportunities and Challenges Task Force May 14, 2013

  2. Presentation Overview • General demographics • Location of primary care providers in South Dakota • Current efforts

  3. General Demographics

  4. 1880 to 2010 2010 – 814,000 Total Rural Urban

  5. South Dakota Working Age Population Change2000-2030

  6. Location of Primary Care Providers

  7. South Dakota Physicians:Percentage of Primary Care Providers*

  8. Percentage of Primary Care Physicians* by Community Population (as of December 31, 2011) * Primary care defined as family medicine, internal medicine, pediatrics, and OB/GYN

  9. * Due to a technical issues, Faulk county should be shaded light yellow.

  10. Current Efforts

  11. Governor’s Primary Care Task Force • Governor appointed a Primary Care Task Force in 2012 to consider and make recommendations to ensure accessibility to primary care for all South Dakotans – particularly in rural areas of the state • Members included primary care physicians, nurse practitioners, physician assistants, health systems, hospital administrators, School of Medicine, Board of Regents, IHS, medical students, legislators, consumers, and state agencies • Developed recommendations around five specific areas: • Capacity of healthcare educational programs • Quality rural health experiences • Recruitment and retention • Innovative primary care models • Accountability and oversight • Task Force also developed metrics within each area to measure progress and success in maintaining and strengthening the state’s primary care system • Governor’s Primary Care Task Force website: doh.sd.gov/PrimaryCare/

  12. Primary Care Education Programs • Expansion of Medical School • FY13 budget provided for the expansion of the USD Sanford School of Medicine class size by four students per year. • Frontier and Rural Medicine (FARM) • FY 2013 budget funded establishment of the FARM program which is a rural track program to provide 3rd year medical students with a 9-month clinical training in a rural community. • Physician Assistant Program Expansion • FY 2013 budget provided for the expansion of the PA program class size by five students (20 to 25) and converted 5 of the existing non-resident slots to resident slots. • PA/NP Preceptors • FY 14 budget provides for payments to SD providers serving as preceptors for PA students; Oversight Committee looking at need to extend payments for NP preceptors in FY15 budget

  13. Healthcare Workforce Pipeline • Health Occupations for Today and Tomorrow (HOTT) • A K-12 health career awareness curriculum. HOTT is a web-based tool with lesson plans, activities, resources, etc. designed to increase students’ knowledge of health careers. • Scrubs Camps/Camp Meds • One-day health career educational opportunities to allow high school students (Scrubs) and middle school students (Camp Med) to experience a wide variety of health careers through hands-on activities and discussions with healthcare providers. • Rural Experiences for Health Profession Students (REHPS) • REHPS provides 1st and 2nd year medical, PA, NP, and pharmacy students with experience in a rural setting with the ultimate goal of increasing the number of medical professionals practicing in rural and frontier communities in South Dakota.

  14. Recruitment Assistance Programs for Health Professionals and Communities

  15. Communities Participating in Tuition Reimbursement Programs Dentist Communities Deadwood DeSmet Gettysburg Gregory Howard Martin Platte Redfield Sisseton Springfield Physician Communities Belle Fourche Chamberlain Custer Flandreau Freeman Gregory Hot Springs Madison Martin Miller Mobridge Parkston Phillip Platte Redfield Scotland Tyndall Viborg Wagner Webster Winner PA/NP Communities Armour Britton Canton Chamberlain Elk Point Faulkton Freeman Howard Mission Phillip Redfield Salem Scotland Sisseton Viborg

  16. Facilities Participating in Rural Recruitment Assistance Program

  17. Accountability and Oversight • Oversight Committee has been established to monitor implementation of the recommendations of the Primary Care Task Force • Oversight Committee will also be looking at the metrics established by the Task Force to measure progress • Members include: • Deb Bowman, Governor’s Office, Chair • Rob Allison, MD, SD State Medical Association • Senator Corey Brown • Gail Gray, Ed.D., Rapid City • Doneen Hollingsworth, Secretary of Health • Mary Nettleman, MD, Dean, USD Sanford School of Medicine • Senator Billie Sutton • Gale Walker, Avera St. Benedict Health Center • Jack Warner, Ed.D., Executive Director, SD Board of Regents • Oversight committee will meet 3 times a year and provide an annual report to the Governor, Board of Regents, and Legislature by November 1st of each year

  18. Questions? • For more information contact: Doneen Hollingsworth, Secretary South Dakota Department of Health 605-773-3361 Halley Lee, Office of Rural Health South Dakota Department of Health 605-773-6320

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