VISIONEvery South Dakotan Healthy and Strong
MISSIONWorking together to promote, protect, and improve health
GUIDING PRINCIPLES Serve with integrity, respect, and compassionFocus on evidence-based prevention and outcomesSupport data-driven innovationAchieve health equity in all communitiesDemonstrate proactive leadership and strengthen partnershipsExhibit transparency and accountability
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For further information, please visit https://doh.sd.gov/strategicplan/
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FY21 Budget
FTE General Federal Other Total
Administration 34.0 $1,053,427 $ 2,593,268 $ 1,706,500 $ 5,353,195
Health Systems Development & Regulation 70.0 4,176,454 11,356,391 1,234,597 16,767,442
Family and Community Health 192.5 4,471,186 28,292,764 6,723,626 39,487,576
SD Public Health Lab 31.0 - 4,144,697 3,840,450 7,985,147
Correctional Health 110.9 - - 24,753,208 24,753,208
Tobacco Prevention & Reduction 3.0 - 1,585,331 4,500,232 6,085,563
Licensing Boards 24.4 - 478,422 5,378,646 5,857,068
Total 465.8 $9,701,067 $ 48,450,873 $ 48,137,259 $ 106,289,199
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LRC budget briefing - pg. 2-4
Division of Administration• Administrative Services
• Public Information• Division of Finance• Health Information Technology
• Data, Statistics, and Vital Records• Maintain the state’s vital records including the
registration and issuance of approximately 50,000 records:
• Birth: 25,814• Death: 12,260• Marriage: 6,985 • Divorce records: 1,878• Amendments and other requested changes: 2,568
• Provide analysis and publication of health statistics
• https://doh.sd.gov/statistics/FY21 Budget
FTE 34.0 General $ 1,053,427 Federal 2,593,268 Other 1,706,500 Total $ 5,353,195
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LRC budget briefing - pg. 5-8
Division of AdministrationPublic Health Laboratory
FY21 Budget
FTE 31.0 General $ -Federal 4,144,697 Other 3,840,450 Total $ 7,985,147
FY2020 Test Volume• Environmental Health
• 53,379 tests• Forensic chemistry
• 23,313 tests• Medical microbiology
• 54,781 tests
The PHL is in good standing with all federal regulations including Clinical Laboratory Improvement Amendments (CLIA) and the Environmental Protection Agency (EPA).
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LRC budget briefing - pg. 23-25
Department of Health Correctional Health
110.9 FTE
Pierre17.5 FTE
RC WC5.5 FTE
Springfield23.7 FTE
Sioux Falls58.6 FTE
Yankton WC2.8 FTE
Administration2.8 FTE
Division of AdministrationCorrectional Health
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LRC budget briefing - pg. 26-29
• Locations:• SDSP Hill• Jameson Annex• MDSP Springfield• Yankton Work Center• Rapid City Work Center• Pierre Women’s Prison
• Types of staff:• Physicians• Physician Assistants• Registered Nurses• Licensed Practical Nurses• Dentists• Dental Hygienists• Optometrists
The Correctional Health program is Other Funds in DOH and General Funds in DOC.
FY21 Budget
FTE 110.9 General $ -Federal -Other 24,753,208 Total $ 24,753,208
Division of AdministrationCorrectional Health
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LRC budget briefing - pg. 26-29
Correctional HealthPharmacy Budget
• FY15 – Implementation of electronic pharmacy system and purchase of pharmaceuticals through the Minnesota Multistate Contracting Alliance for Pharmacy (MMCAP)
• FY20 – Implementation of 340b Drug Pricing Program
- The federal 340B Drug Pricing Program requires drug manufacturers to provide drugs at significantly reduced prices to safety net providers- Eligible safety net providers provide care to all regardless of ability to pay
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Health Systems Development & Regulation
FY21 Budget
FTE 70.0 General $ 4,176,454 Federal 11,356,391 Other 1,234,597 Total $16,767,442
• Licensure & Certification
• Rural Health
• Health Protection
• Public Health Preparedness & Response
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LRC budget briefing - pg. 9-14
• DOH ensures state and federal health and safety standards pertaining to health care facilities are met through:
• Licensure/certification• Inspection• Regulation of health care facilities• X-ray equipment• Laboratories
• Licenses/certifies and regulates approximately 1,500 health care facilities
• Inspects health care facilities for compliance with state and federal regulations
• Registers controlled substance practitioners
Health Systems Development & RegulationLicensure & Certification
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• DOH supports access to quality health care in rural and medically underserved communities through:
• Health care professional recruitment and retention• Health care workforce initiatives• Technical assistance to rural health care facilities
• Ensures statewide access to Emergency Medical Services (EMS) through:
• Certification of Emergency Medical Providers (EMTs and EMRs)• Coordination and development of ambulance services and emergency
medical system• Second generation AED distribution and education to EMS and first-
responders
• Administers the statewide Trauma System
Health Systems Development & RegulationRural Health
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Health Systems Development & RegulationHealth Protection
• DOH ensures state health and safety standards:• Food service• Lodging• Campgrounds
• Annual licensure of over 5,000 food service, lodging, and campground establishments
• Inspections are conducted through a contract with Department of Public Safety
• Plan review and approval for new construction and renovations• Food safety training and technical assistance by DOH staff
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Health Systems Development & RegulationPublic Health Preparedness & Response
• Responsible for developing and maintaining planning and infrastructure to effectively respond to:
• Bioterrorism events• Infectious disease outbreaks• Other public health threats/emergencies
• Statewide hospital preparedness planning• Surge planning
• Public health and medical stockpiles of critical supplies, materials, and pharmaceuticals
• Procurement and distribution of PPE and supplies
• Coordination of public health and medical response to disasters
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Family & Community Health
FY21 Budget
FTE 192.5 General $ 4,471,186 Federal 28,292,764 Other 6,723,626 Total $ 39,487,576
• Disease Prevention Services
• Child & Family Services
• Chronic Disease Prevention & Health Promotion
20LRC budget briefing - pg. 15-21
• 32.4 FTE• Staff located in Pierre, Sioux Falls, Rapid City, Aberdeen, and
Watertown• Services:
• Healthcare-Associated Infection• Communicable Diseases• Tuberculosis Control• HIV Surveillance and Prevention• Ryan White Part B
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Family & Community HealthDisease Prevention Services
Family & Community HealthDisease Prevention Services
• 173% increase in diseases reported from 2015-2019
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Number of Diseases Reported
2015 12,9522016 16,7722017 19,6172018 29,4392019 35,355
0
5000
10000
15000
20000
25000
30000
35000
40000
2015 2016 2017 2018 2019
Number of Diseases Reported 2015-2019
Family & Community HealthDisease Prevention Services
Rapid City Metro Statistical Area (Meade & Pennington Counties)
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Cases of Disease from 2015 through 20192015 2016 2017 2018 2019
HIV 16 14 74 75 101Hepatitis C 106 118 99 106 127TB, active and latent 17 15 6 5 6All Diseases 1874 1948 2547 2687 3485
0
1000
2000
3000
4000
2015 2016 2017 2018 2019
All Disease Cases
+86% Increase
Family & Community HealthDisease Prevention Services
Sioux Falls Metro Statistical Area (Lincoln, McCook, Minnehaha, & Turner Counties)
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Cases of Disease from 2015 through 20192015 2016 2017 2018 2019
HIV 72 85 110 133 115Hepatitis C 158 247 182 169 170TB, active and latent 10 11 22 12 28All Diseases 3239 3351 3988 5567 7781
0100020003000400050006000700080009000
2015 2016 2017 2018 2019
All Disease Cases
+140% Increase
Family & Community HealthDisease Prevention Services
Mobridge Area (Campbell, Corson, Dewey, & Walworth Counties)
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Cases of Disease from 2015 through 20192015 2016 2017 2018 2019
HIV 4 4 14 5 50Hepatitis C 55 50 42 54 58TB, active and latent 1 3 3 2 4All Diseases 602 617 591 755 770
0
500
1000
2015 2016 2017 2018 2019
All Disease Cases
+28% Increase
• 137.1 FTE• 77 office locations statewide• Women, Infants, & Children (WIC) – Nutrition education and
supplemental food program. • Serves pregnant women, breastfeeding women, postpartum
women, infants and children to age 5 who meet eligibility requirements (income and nutrition risk factors)
• Poverty level – 185% of the Federal Poverty Level• 14,250 participants per month• Provides prescribed food package monthly
• Pregnant Women Services • Assessment/Perinatal Education – 715 contacts/month• Home Visiting Program Services – 390 families per month
• Infant Mortality - Safe Sleep • Immunizations (childhood and flu immunizations)
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Family & Community HealthOffice of Child and Family Services (OCFS)
• 19.1 FTE• Staff located in Pierre, Sioux Falls, and Aberdeen• Focus areas:
• Cancer Programs• Suicide Prevention• Opioid Abuse• Injury Prevention• Diabetes• Heart Disease• Nutrition and Physical Activity• Tobacco Prevention and Reduction
• Services• SD QuitLine has served 102,451 since 2002 with a 40% quit rate• Cancer screening (breast and cervical) – implement in clinics statewide
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Family & Community HealthChronic Disease Prevention and Health Promotion
Department of HealthFY22 Funding Sources
Federal$48,469,945
45.92%
General$10,252,602
9.71%Other
$46,831,85844.37%
Total Funds$105,554,405
28LRC budget briefing - pg. 1
FY22 Governor’s Budget Recommendation
FTE General Federal Other Total FY2021 Budget Base 465.8 $ 9,701,067 $ 48,450,873 $ 48,137,259 $ 106,289,199 Expansion/Reduction
Increase/(Decrease)Health Systems Development & Regulation
Rural Residency 7,618 19,072 26,690 Health Protection Inspections 18,263 18,263
Family and Community HealthDisease Intervention Specialists 3.0 227,873 227,873 Public Health Assistants - Contact Tracers 5.0 297,781 297,781
EpidemiologistSurveillance 3.0 -Informatics 2.0 -
Correctional HealthDecrease in estimated patient count (1,363,621) (1,363,621)Provider Inflation 25,266 25,266
Informational Boards 32,954 32,954
Inflation/Expansion Total 13.0 551,535 19,072 (1,305,401) (734,794)
Total FY2022 Governor Recommended Budget 478.8 $ 10,252,602 $ 48,469,945 $ 46,831,858 $ 105,554,405
29LRC budget briefing - pg. 1-4
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Inflationary Increases:
• Rural Residency Program• Increase of $7,618 general funds• Increase of $19,072 federal fund expenditure authority
• Health Protection Inspections• Increase of $18,263 general funds due to the increased rate
from DPS
Health Systems Development & Regulation
LRC budget briefing - pg. 9-13
Family & Community HealthDisease Prevention Services
• Budget Request:• 8.0 FTE Total• 3.0 Disease Intervention Specialists (DIS) • 5.0 Public Health Assistants (PHA)
• General funds• Personal Services: $ 438,954• Operating Expenses: 86,699• Total: $ 525,654
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LRC budget briefing - pg. 15-20
Family & Community HealthDisease Prevention Services
• 3.0 FTE – Disease Intervention Specialists (DIS)• $227,873 general funds• Duties of the DIS include:
• conduct initial investigation of reported diseases to determine if it meets criteria to be considered a case
• locate and interview patients/positive case to determine appropriate next steps (isolate, identify close contacts, etc.)
• specimen collection• follow-up with healthcare providers• administer medications/directly observed med therapy• conduct patient education and provider training• provide training, education, and technical assistance for providers around
infectious disease control, anti-microbial stewardship, vaccine management, etc.• vaccinations for preventable diseases
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LRC budget briefing - pg. 15-20
Family & Community HealthDisease Prevention Services
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• 5.0 FTE – Public Health Assistant (PHA) is a new, more cost-effective model of supporting service delivery by allowing the DIS to focus solely on case investigations.
• $297,781 general funds• Duties of the PHA will include:
• contact tracing as required (call, text, home visit, etc.)• reinforce patient education• support wraparound services such as finding housing for patient who needs
to be isolated, assuring the individual has food and meds to support isolation, assist with transportation, getting to appointments, etc.
• refer patient to resources specific to their needs and assist with application process
• assist with clinic audits for Vaccines for Children (VFC) program
LRC budget briefing - pg. 15-20
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• Locations for proposed FTE:
DIS PHASioux Falls 1 2Rapid City 1 1Mobridge 1 0Pierre 0 1Aberdeen 0 1Total 3 5
Family & Community HealthDisease Prevention Services
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• 3.0 FTE Epidemiologist • $0 increase - requesting FTE only. Funded through Federal
cooperative agreements• Coordinate infectious disease surveillance for E. coli, pertussis,
West Nile Virus, and other pathogens; participate in multi-state response with CDC
• Provide case specific and outbreak data to DIS to investigate• Conduct disease surveillance to inform Public Health
Preparedness & Response• Increase in diseases reported drives need for increased
epidemiology staff• Qualifications: Master’s degree in public health, knowledge of
infectious disease processes and epidemiologic/biostatistic principles, and statistical software
EpidemiologySurveillance
LRC budget briefing - pg. 15-20
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• 2.0 FTE Informatics • $0 increase - requesting FTE only. Funded through Federal
cooperative agreements• Responsible for reporting requirements for infectious diseases to
CDC and HHS• Conducts syndromic surveillance from hospital case reports• Integrates electronic reporting from hospitals, laboratories, and
federal partners• Implements and maintains data dashboards for public use• Qualifications: Master’s degree in public health informatics,
knowledge of health information technology, and data coding languages
EpidemiologyInformatics
LRC budget briefing - pg. 15-20
Correctional HealthFY2022 Governor’s Recommended Budget Summary
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FY21 Base Budget $24,753,208
Decrease due to decrease in estimated ADC for FY21 $ (2,087,067)
Increase due to inflation and increased patient count FY22 $ 748,712
Total Recommended Other Fund Decrease $ (1,338,355)
FY22 Budget Recommendation $ 23,414,853
LRC budget briefing - pg. 26-29
2021 DOH Legislation
HB 1021 - An Act to make an appropriation to reimburse certain health care professionals who have complied with the requirements for certain health care recruitment assistance programs and to declare an emergency.
• Appropriates $521,967 to the DOH to reimburse three physicians and two nurse practitioners who have complied with the requirements of the Recruitment Assistance Program and $270,000 to the DOH to reimburse eligible health care professionals who have complied with the terms of the Rural Health Care Facility Recruitment Assistance Program.
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General Bill Amendments
FY 2021 General Bill Amendments
Family and Community Health• 6 months of 13.0 new FTE
• 6.5 increase in FY21 FTE • $262,827 increase in General Funds • $0 change in Federal fund authority
Correctional Health• Estimated patient count decrease for FY21
• Decrease Other Funds authority ($2,087,067)
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• Identified over 100,000 cases of COVID-19 and notified over 121,000 close contacts• Performed over 775,000 COVID-19 tests statewide (over 376,000 unique persons)• COVID-19 hotline has responded to over 59,000 calls and the DOH call center has
received over 18,000 calls• The COVID.sd.gov website has received almost 13.4 million visits since it was
launched on January 27, 2020• Distributed over 530,000 N-95 respirators and over 1.4 million surgical masks from the
state stockpile to healthcare providers statewide• Hosted over 140 webinars for healthcare professionals, long-term care facilities, and
laboratories.• Recordings and slides on COVID.sd.gov
• Assisted all 9 tribes with over 260,000 items of PPE distributed to tribes, over 190 scheduled calls, and more than 10,000 tests run by SDPHL through mass testing events.
• Provided technical assistance to small businesses statewide with over 370 calls/emails from businesses and employees regarding COVID-19 and more than 50 consultations
• Conducted over 380 infection control surveys in nursing homes and assisted living centers
• Hosted over 130 media briefings
Summary of DOH COVID-19 Response (as of 01-04-2021)
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Summary of DOH COVID-19 Funding (as of 01-04-2021)
Title Amount
Awarded through
date
Immunization 639,124$ Jul-2021
Ryan White Part B 50,000$ Mar-2021
Title 18/Medicare Survey & Cert 107,861$ Sep-2021
Rape Prevention & Education 9,273$ Jan-2021Public Health Emergency Response (PHER) Public Health Emergency Preparedness (PHEP) program 4,567,500$ Mar-2021
Small Rural Hospital Improvement Plan (SHIP) 3,456,997$ Sep-2021
Hospital Preparedness Program (HPP) COVID Supplemental I 350,752$ Jun-2021
Hospital Preparedness Program (HPP) COVID Supplemental II 1,202,283$ Jun-2021Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) CARES 2020 5,075,000$ Apr-2022Paycheck Protection Program, and Healthcare Enhancement Act (PPPHEA) - Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) - tagged 'Project E' 57,932,604$ Nov-2022Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) Project Firstline 'Project F' 892,363$ May-2022Epidemiology and Laboratory Capacity for Prevention and Control of Emerging Infectious Diseases (ELC) Surveillance 'Project O' 50,000$ Jul-2021
Total COVID-19 Funding 74,333,757$
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Current COVID-19 Funding $ 74,333,757
Additional Funding Announced; not yet budgetedAMD Technologies 131,000 Public Health Laboratory Preparedness 515,000 Travelers Health 200,000 ELC Enhanced Detection Expansion 50,919,542 Vaccination 7,993,649
Total COVID-19 Funding $ 134,092,948
Laboratory Testing, $31,475,006
Contact Tracing, $10,510,988
Vaccination, $2,860,822
IT Infrastructure, $13,926,654
Infection Control, $1,631,679
Epidemiology/Data, $3,234,918
Public Health, $4,567,500
Healthcare (SHIP/HPP), $5,010,032
Other, $1,116,158
DOH COVID-19 Funding (as of 01-04-2021)
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DOH COVID-19 Awarded and Expended (as of 01-04-2021)
“Awarded” and “Expended” include amounts allowed from Coronavirus Relief Fund, as well as DOH COVID funding
$50
$13
$3
$15
$2 $4 $5 $6
$2 $2
$8
$27
$5 $ $1 $0 $2 $1 $3 $2 $2
$9
$-
$5
$10
$15
$20
$25
$30
$35
$40
$45
$50
$55
Mill
ions
AWARDED
EXPENDED
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DOH Contacts
Secretary of HealthKim Malsam-Rysdon ([email protected])
Division DirectorsHealth Systems Development & Regulation – Lynne Valenti, Deputy Secretary
([email protected])Administration – Joan Adam ([email protected])
Family & Community Health – Beth Dokken ([email protected])Finance – Darcy McGuigan ([email protected])
Communications Director – Daniel Bucheli ([email protected])
State Epidemiologist – Joshua Clayton ([email protected])
South Dakota Department of Health600 East Capitol AvenuePierre, SD 57501-2536
605-773-3361http://doh.sd.gov/
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