SD DOH Strategic Plan

Objectives & Activities:

1. Increase screening for depression

   1. Increase awareness of depression screening options and available treatment resources by 2025.
      • Develop an internal communication strategy to educate staff on 211 and 988 resources by the end of 2023.
   2. Partner with the Department of Social Services to identify mental health service deserts by December 31, 2023.
      • Establish a baseline to determine the number of providers in each county or service region conducting routine depression screenings.

2. Increase knowledge and understanding of the impact of population determinants of health on public health outcomes.

   1. Provide 100% of Public Health Program staff with education to recognize population determinants of health and their impact on the health of South Dakotans.
      • Implement ongoing population determinants of health and cultural training for all Department of Health staff by the end of 2024.
      • Review and update all disease prevention program resources online and in print to ensure materials are up-to-date, accurate, culturally appropriate, and address the effect of population determinants of health.

3. Increase statewide access to public health services

   1. Increase implementation of telehealth services to 100% of Department of Health community health offices.
      • Increase the capacity for telehealth appointments in all community health offices via partnership with DoxyMe.
   2. Increase mobile health services from 0 to 10 locations by 2025.
      • Implement three mobile health units to bring department services to communities without a local DOH office.
      • Develop and implement a strategic communication plan to promote use of telehealth and mobile units.

4. Ensure statewide access to emergency medical services in South Dakota

   1. Increase access to Telemedicine in Motion for EMS agencies from 60 in 2023 to 120 by December 31, 2024.
      • Implement Telemedicine in Motion in ambulance services in South Dakota.
   2. Increase the number of LIFEPAK 15 devices distributed from 125 in 2023 to 345 by 2025.
      • Distribute LIFEPAK 15 devices to ambulance services in South Dakota.
   3. Increase engagement of local EMS providers, municipal leaders, and community members to conduct a study of EMS system and provide recommendations for sustainability by December 31, 2025.
      • Increase the number of EMS Districts who have held a town hall EMS assessment from 0 to 7 by December 31, 2023

Objectives & Activities:

1. Reduce high school tobacco use

   1. Reduce high school tobacco use (cigarettes, cigars, smokeless, and electronic) from 30.3% in 2015 to 20% by 2025. (YRBS)

      • Work with media vendor to brainstorm ideas and strategies for a youth anti-vaping campaign.

   2. Decrease the percent of youth grades 6-8 who have ever used tobacco from 22.3% in 2019 to 18% by 2025. (Youth Tobacco Survey)

      • Increase outreach to 30 school districts to educate youth in K-12 schools on tobacco prevention and cessation by October 2023.

2. Reduce infant mortality

1. Reduce infant mortality from 6.3 infant deaths per 1,000 live births (2014-2018) to 5.8 per 1,000 (2020-2025).

   • Integrate Bright Start and Parents as Teachers Model into single DOH home visiting program by the end of 2023.

   • Identify three Community Health offices to pilot syphilis screening and testing for pregnant women by the end of 2023.

2. Decrease the percentage of infant deaths (post-birth hospitalization) that occurred when sharing a sleep surface with an adult or other child from 69% (2017-2021) to 62.1% (2021-2025). (SD Child Death Review)

   • Identify three birthing hospitals in South Dakota willing to become safe sleep certified by the end of 2023.

3. Reduce the percentage of WIC participants aged 2 through 4 with obesity

   1. Reduce the percent of WIC participants aged 2 through 4 with obesity from 15.6% in 2019 to 14.0% by 2025. (SD WIC-IT)

      • Identify barriers to accessing services and retention of WIC participants over the age of 1 through focus groups with parents by the end of 2023.

   2. Increase consumption of fruits and vegetables among WIC participants from 62% in 2020 to 75% by 2025. (SD WIC-IT)

• Offer educational incentives at yearly milestones that encourage fruit and vegetable consumption.

4. Reduce the percentage of school-aged children who are obese

1. Reduce the percent of school-aged children who are obese from 16.4% during the 2018-2019 school year to 14.5% by the 2024-2025 school year. (School Height and Weight Survey)

   • Explore potential and current partnerships with SDSU Extension community health educators to determine matching goals.

   • Identify five communities to participate in the Move Your Way pilot.

   • Increase implementation of Harvest of the Month by offering a funding opportunity to up to ten at-risk community daycares, schools, and after-school programs.

5. Increase vaccination rates

   1. Increase routine childhood vaccination for MMR at 24 months from 94.1% in 2020 to 97% by 2025. (CDC ChildVaxView)

      • Use Medicaid Well Child Checkup program to identify barriers to childhood immunizations in seven tribal communities by the end of 2023.

      • Leverage the new immunization information system to develop clinic report cards on vaccination status of children 24 months of age.

   2. Increase influenza vaccination among individuals aged 6 months and older from 54.3% during 2018-2019 flu season to 60% by the 2024-2025 influenza season and among individuals aged 65 and older from 67.1% during the 2018-2019 flu season to 75% by the 2024-2025 influenza season (CDC FluVaxView)

      • Increase influenza vaccination among state employees through outreach, education, and vaccination events during the 2023-2024 influenza season.

Objectives & Activities:

1. Exercise emergency operation plan

   1. Increase the percent of Department of Health staff who have completed emergency operation plan (EOP) training to 100% by December 31, 2023.

      • Utilize TRAIN to provide emergency operations training to identified staff.

   2. Increase the percent of identified Department of Health staff who have completed ICS 100/200 from 16% (May 2023) to 100% by December 31, 2023.

      • Utilize TRAIN to provide ICS 100/200 training to identified staff.

   3. Ensure the Department of Health is prepared to respond to pandemic influenza by October 2023.

      • Update the Pandemic Influenza Annex and distribute to incident management team.

   4. Increase number of Department of Health Incident Management Team members who have participated in an emergency operations plan exercise from 0 to 15 by 2024.

      • Conduct three specific exercises to practice responding to the Emergency Operations Plan with one exercise by 2024.

      • Identify key individuals to plan the first exercise and have the first meeting by September 2023.

2. Develop and test statewide emergency capability plans

1. Increase the number of statewide emergency capability plans (chemical, pediatric, burns, infectious disease, and radiological) completed and tested through exercise from 0 in 2019 to 5 by June 30, 2025.

   • Complete and test chemical event plan by December 31, 2023.

   • Schedule radiological public health emergency exercise for 2025.

2. Establish three key metrics from chemical event exercise by December 31, 2023.

   • Share results and key metrics from chemical event exercise with Department of Health staff.

3. Establish data governance structure for the Department of Health

   1. Increase the number of in-state healthcare systems that submit electronic case reports (eCR) for all reportable conditions from 0 to 2 systems by December 31, 2023.

      • Support onboarding and data validation activities for facilities submitting eCRs.

   2. Optimize Department of Health collective information assets by 2024.

• Identify membership of IT Data Governance Committee and convene meeting by December 31, 2023.

• Complete landscape of all the different data sources into a single unified document.

Objectives & Activities:

1. Reduce suicide attempts and deaths

   1. Increase the number of calls from South Dakotans to the Suicide and Crisis Lifeline (988) from 4,185 in 2022 to 4,500 in 2023.

      • Assist with promotion of 988 by imbedding it in DOH website, emails, social media, print materials and public places.

   2. Reduce number of counties identified by the Data to Action workgroup that exceed their ten-year average of suicide deaths from 11 in 2022 to 8 in 2023.

      • Identify hard to reach populations and develop three population specific infographics by December 2023.

      • Utilize Data to Action to develop two success stories to highlight communities taking action around suicide prevention by December 2023.

      • Release RFP to provide funding for suicide prevention peer support services, data services, and suicide loss response efforts.

2. Reduce unintentional or accidental drug overdoses

1. Reduce number of counties identified by the Data to Action workgroup that exceed their ten-year average of overdose deaths from 4 in 2022 to 3 in 2023.

   • Partner with the Department of Social Services on utilization of the state opioid settlement funds by providing technical assistance to the three pilot communities selected through the RFP by 2024.

   • Update administrative rules to allow access to Naloxone in assisted living centers by December 2023.

   • Implement the Communities that Care comprehensive prevention model across the currently funded five communities through December 2023.

2. Increase the number of Vital Records Case Management records with autopsy results by 25% by 2025.

   • Complete four regional, in-depth coroner trainings per year on Case Management System and death registration.

3. Decrease rates of sexually transmitted infections

   1. Increase Department of Health-coordinated syphilis testing opportunities by 20% in 2023. (Baseline: 26 DOH-assisted screening events in 2022).

      • Contract with five entities to perform enhanced syphilis screening of at-risk populations by May 2024.

   2. Expand the use of congenital syphilis campaign materials.

• Develop a distribution plan for the various print materials including key partners and state agencies.

• Explore various social media platforms to further reach the target population.

4. Assess the impact of medical cannabis on the public.

1. Develop a report to gauge impact to public health and mental health by December 2023.

   • Complete an environmental scan to determine available data.

   • Develop partnerships based on gaps in data.

Objectives & Activities:

1. Develop an internal recruitment plan to attract qualified applicants to Department of Health positions.

   1. Complete the Department of Health Workforce Development Plan by July 2024.

      • Conduct workforce needs assessment.

   2. Develop staffing pipeline by July 2024.

      • Establish partnerships with three post-secondary education institutions to promote public health careers in the Department of Health.

   3. Increase LinkedIn followers from 500 to 2000 by the end of 2023.

      • Create social media content calendar focused on recruitment to support the Department of Health Workforce Development Plan.

   4. Create a careers page on Department of Health website to highlight five public health career paths by the end of 2023.

      • Identify five careers that will be highlighted and develop content for website

      • Develop baseline of visitors to careers page

2. Develop a retention plan to maintain a qualified and diverse Department of Health workforce.

1. Decrease the number of Department of Health employees that are considering leaving from 26.2% to 20% by 2024. (PHWINS)

   • Assess current or develop new classifications of job or job series to promote career development and advancement for Department of Health employees.

   • Enhance employee recognition program

2. Increase the percent of Department of Health employees that are fully or moderately engaged from 76% in 2019 to 80% by 2025.

   • Host a kick-off of the Department of Health worksite wellness program.

   • Review policies to support work-life balance of Department of Health employees.

3. Enhance training opportunities for Department of Health employees.

   1. Increase the percent of Department of Health employees utilizing TRAIN from 27% in 2022 to 100% by 2025.

      • Establish training tracks customized to department programs and/or roles.

   2. Increase the percent of Department of Health employees completing job-related training to 80% by 2025.

• Support staff participation in trainings offered by external entities.

• Support staff participation in leadership development program offered through the Bureau of Human Resources and others.

4. Increase healthcare workforce recruitment and retention in South Dakota.

1. Develop a pipeline of healthcare workforce by the end of 2024.

   • Host an interagency Workforce Summit.

   • Explore development of workforce pipeline website.

2. Finalize strategic analysis and environmental scan of current recruitment programs and gaps in rural health care workforce by July 2024

   • Develop and issue RFP.

3. Increase the number of students attending health career camps across the state by 10% by 2025.

   • Market health career camps across South Dakota

• ACIP - Advisory Committee on Immunization Practices
• BRFSS - Behavioral Risk Factor Surveillance System
• DOH - Department of Health
• LIMS - Laboratory Information Management System
• NCHS - National Center for Health Statistics
• PDMP - Prescription Drug Monitoring Program
• SPHL - State Public Health Laboratory
• YRBS - Youth Risk Behavior Survey