Joan Adam, Secretary of Health


Promoting Cardiovascular Health Through Team-Based Care

  • Huron Clinic Provides Chronic Care Coordination Through 1815 Year 2-3

    Huron Clinic has been partnering with the South Dakota Department of Health Heart Disease and Stroke Prevention Program (HDSPP) as part of the 1815 CDC cooperative agreement Implementing Interventions to Improve the Health of South Dakotans through Prevention and Management of Heart Disease, to better address increasing chronic disease rates amongst their population. As part of their efforts, Huron and HDSPP, worked together to implement a new chronic care coordination program in 2020. The Chronic Care Coordinator (CCC) oversees patients with high needs related to multiple chronic conditions, all of which have some form of cardiovascular disease, such as hypertension or high cholesterol, and/or diabetes. The CCC coordinates medical treatment, including 1) administering assessments, 2) developing care plans, 3) monitoring medication compliance, 4) establishing an ongoing relationship with patients, 5) serving as an advocate/champion for patient health, and 6) connecting patients with social and community support systems for continuation of care. All these services have been shown to prevent exasperation of chronic disease and poor health outcomes. READ MORE

  • A Little Support Goes a Long Way: Addressing Risk Factors at Sanford Clinic Brookings throughout 1815 Year 3

    The likelihood of developing chronic disease and adverse outcomes can be greatly influenced by a variety of circumstances and situations. Sanford Clinic Brookings is working to combat barriers related to several social, environmental, and behavioral risk factors through the use of a screening tool implemented in December 2019. Screenings are given to patients seen in the clinic for well visits or when something within their medical record indicates they could benefit from a screening. When a need is identified through the screening, patients are referred to the on-site social worker, who can assist with finding the appropriate resources to help address the corresponding barrier. READ MORE

Self-Measured Blood Pressure Monitoring

  • Huron Clinic Maintains Impressive Blood Pressure Control Rates Through 1815 Year 3

    Since February 2019, Huron Clinic has been working with the South Dakota Department of Health (SD DOH) Heart Disease and Stroke Prevention Program (HDSPP) to address increased prevalence of hypertension through a self-measured blood pressure (SMBP) monitoring program. SMBP participants are identified either by having an elevated blood pressure (>140/90 mm Hg) in the clinic or having elevated readings or a hypertension diagnosis noted within their medical record. Once participants enroll, they are sent home with a blood pressure cuff to check their readings twice a day for two weeks. After the two weeks, they work with their healthcare team to determine the next steps. If their blood pressure remains elevated at home, the participant will continue to check their blood pressure while implementing prescribed changes to their medication regimen or additional recommended lifestyle changes. This will continue until the participant reaches blood pressure control. If the readings are within the normal range, however, the participant is considered to have white coat hypertension (when an individual has an elevated blood pressure in the clinic setting but is otherwise within normal range). For these individuals, additional treatment is not necessary. Ruling out white coat hypertension before prescribing medication changes reduces the risk of over-prescribing to individuals not needing treatment, which could be dangerous and detrimental to their health. READ MORE

  • Implementing a Self-Measured Blood Pressure (SMBP) Monitoring Program at Faulkton Area Medical Center

    Heart Disease remains the leading cause of death worldwide. A concern even small, rural areas in South Dakota cannot escape. To combat high blood pressure within their community, a leading cause of cardiovascular related disease, Faulkton Area Medical Center implemented a self-measured blood pressure (SMBP) monitoring program in March 2021. Following the American Heart Association and American Medical Association's Target: BP program, Faulkton's team works with their providers to identify patients who would benefit from additional blood pressure monitoring. Participants are identified through information gathered during clinic visits and/or obtained from their medical records. Individuals meeting program criteria are sent home with a loaner blood pressure cuff or offered a time to bring their home machine to be checked for accuracy. Participants then monitor their blood pressure twice a day for two weeks and return for a follow-up appointment with their provider afterward. At that appointment, participants review the readings with their provider and determine their next steps. If their blood pressure remains elevated at home, participants continue monitoring twice a day while adjusting their medications and/or implementing lifestyle changes. If they are found to either not have hypertension or their hypertension is under control outside the clinic setting, known as white coat hypertension, they continue with their existing treatment plan and return the loaner cuff for use by the next participant. READ MORE

  • Coteau des Prairies Grows Prevention & Management Programming During 1815 Year 3

    Coteau des Prairies (CDP) Health Care System has been partnering with the South Dakota Department of Health (SD DOH) Heart Disease and Stroke Prevention Program (HDSPP) team since 2019 to address quality improvement (QI) needs, particularly around their electronic medical record's (EMR) capabilities. Since the QI work is data-driven, the facility initiated a comprehensive dashboard for easy visualization and analysis of quality measures. Ongoing efforts ensure the dashboard is accessible and data is reviewed for thoroughness and accuracy. Additionally, a method of gathering provider assessment and feedback was established. The team works to streamline the process, available resources, and clinical support and coordination for maximum efficiency and patient benefit. CDP continues to implement SMBP with onboarding providers and clinical staff new to the program. READ MORE

  • Year Two: The CPESN SD Hypertension Management Program Builds Upon Year One Success

    In July 2019, the Community Pharmacy Enhanced Services Network of South Dakota (CPESN SD) began a partnership with the South Dakota Department of Health Heart Disease and Stroke Prevention Program (HDSPP). Through this partnership, community pharmacists across the state identified individuals with uncontrolled hypertension from their respective pharmacies. Participants were then enrolled in an 8-12 month intensive hypertension monitoring program (HMP) that included blood pressure goal counseling, lifestyle coaching, and training on how to properly obtain a blood pressure (BP) reading using a home BP monitor. READ MORE


Community-Based Prevention and Response Programming

  • Kimball, SD Achieves Cardiac Ready Community Designation

    During a cardiac emergency, every second...every minute that passes without CPR (cardiopulmonary resuscitation) or use of an AED (automated external defibrillator) can mean the difference between life and death. In South Dakota (SD), it can take an ambulance 30 minutes to respond in the most remote areas of the state.

    Kimball, SD is a rural community that lies on the I-90 Interstate between Chamberlain, SD and Mitchell, SD. Kimball does have Emergency Medical Services (EMS) but due to the volunteer make-up and rural nature, it has potential to take a while before an ambulance arrives during an emergency. The community knew they wanted to better prepare their citizens to help in an emergent cardiac event.

    The Cardiac Ready Community (CRC) program helped educate and empower their community to be better prepared and more confident in helping someone experiencing a cardiac event until help arrives. Kimball residents worked together to create a safer, more knowledgeable, and better prepared community through the CRC program. Their CRC committee led the efforts to make this positive change a reality. READ MORE

  • Community-Based Self-Measured Blood Pressure Monitoring Program Using Physical Activity and Lifestyle Modification as the Intervention Piece

    When the Mitchell Rec Center applied and received funding for selfmeasured blood pressure (SMBP) monitoring through the South Dakota Department of Health (SD DOH), they knew they were taking the road less traveled. Some of the goals of an SMBP program are to teach people the proper technique to take their own blood pressure (BP), collect frequent BP readings and ultimately have better blood pressure control. This type of program is traditionally operated in a clinical setting, but this did not stop them. The Mitchell Rec Center saw an opportunity to make a difference in their community and went for it. Participants in their program, Cardio Index, are loaned a blood pressure cuff for two weeks and are asked to check and record 10 blood pressure measurements. Then, the participants receive six weeks of personal training at no charge. After the six weeks, the participants take 10 more blood pressure readings. READ MORE

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