Rural Health Transformation Project

Building a Stronger, Healthier Rural South Dakota

South Dakota is one of the most rural states in the country, and that creates unique healthcare challenges. Many rural and frontier residents travel long distances to reach care, face limited transportation options, and experience provider shortages. These challenges can lead to higher rates of suicide, chronic disease, and preventable health conditions.

To help address these needs, the South Dakota Department of Health has launched the Rural Health Transformation Project. This five-year initiative focuses on strengthening healthcare systems in rural communities and ensuring that access to quality care is available statewide.

South Dakota's Application

Our Vision

Every South Dakotan deserves access to safe, high-quality care close to home. This project is designed to make rural healthcare more sustainable, connected, and resilient for the long term.

Four Focus Areas

We are upgrading health information systems to improve coordination, planning, and delivery of care.

  • Expand certified Electronic Health Record (EHR) systems
  • Integrate statewide Health Information Exchange
  • Invest in telehealth equipment and cybersecurity
  • Launch a Rural Data Atlas to support data-driven decision-making

We are supporting the healthcare professionals and frontline workers who keep our rural communities healthy.

  • Offer incentives to recruit and retain healthcare providers
  • Expand Community Health Worker training and certification
  • Create a Training and Resource Hub for continuing education

We are making it easier for South Dakotans to get care without leaving their communities.

  • Develop new Medicaid payment models to support rural facilities
  • Award Rural Health Access and Quality Grants for facility upgrades
  • Expand chronic disease and maternal health programs

We are improving care delivery by integrating behavioral and physical health and strengthening emergency care.

  • Expand Certified Community Behavioral Health Clinics (CCBHCs)
  • Use collaborative care models to integrate behavioral health into primary care
  • Establish regional Emergency Medical Services (EMS) hubs

Why This Matters

Together, these goals create a more connected, capable, and resilient rural health system to
improve access, quality, and outcomes for all South Dakotans.

Stay Connected

This project is not just about immediate improvements. It is a long-term investment in the health and resilience of South Dakota’s rural communities. As the project moves forward, we will continue sharing updates, resources, and stories from the people and providers making a difference.

Have questions or want to get involved? Contact us to learn more.