Sanford World Clinics September 2012
Brief History • 117-year history with foundations in Sioux Falls, SD; Fargo, ND; Bemidji, MN; and Bismarck, ND • Sanford Health and MeritCare merged in November 2009 to create the largest rural health care organization in the United States • Community-owned, private non-profit charitable, volunteer board representing entire region • Model of integration: hospitals, physicians, health plan, research education
Sanford Health Today • 25,000 employees- Largest employer in North & South Dakota • 1,200 physicians in more than 70 subspecialty areas Serving 2.2 million people, 120 communities, over 200,000 square miles in our 5-state primary service area Each year, Sanford provides more than: 4.8 million clinic visits 74,000 admissions 220,000 inpatient visits 103,000 surgeries 8,000 births 193,000 ER visits • • • • •
37 hospitals 33 long-term care facilities 175 clinic locations 81,000 Insured lives 3.1 billion in annual net operating revenue
Sanford Health • One of the top 50 largest not-for-profit healthcare organizations in the U.S. • Largest rural healthcare system in the U.S. • 200,000-square mile service area
More sq. miles than 46 U.S. States except Alaska, Texas, California and Montana
The Sanford Initiatives
Sanford Children’s Hospital
Sanford Children’s Health Research Ctr
Sanford World Clinics
Sanford Children’s International Board
Sanford Project Type 1 Diabetes
Advancing Healthcare Education
Sanford fit
Healthcare Campus of the Future
Edith Sanford Breast Cancer Initiative
Sanford World Clinics In 2007, Sanford Health embarked upon a mission to transform the delivery of primary care services to children.
In 2007, Sanford Health embarked upon a mission to transform the delivery of primary care services to children. In the process of identifying locations that lack sufficient access to primary care pediatrics, we recognized that in many developing countries, the most effective way to improve the health of children is treating the entire family. To accommodate this need, the mission has expanded to include the potential for building hundreds of permanent primary care clinics in developing areas (like Ghana) to serve millions of people (both children and adults).
Sanford World Clinics • Evolving Vision – develop more than 100 facilities around the world serving millions of children and families each year • Develop permanent health care infrastructure in areas where access is less than sufficient • Sanford provides more than $10 million in operational resources and seeks provision of property and facility capital
Sanford World Clinics Selection Criteria 1. Demonstrated community need 2. Match of Sanford’s operational investments with local contributions for property and facility development 3. Relationship with existing healthcare providers, including subspecialists 4. Ability to recruit physicians and staff 5. Sustainability
International Considerations 1. 2. 3. 4.
Staff safety Political stability Economic balance and stability Cultural Similarities
Supporting Infrastructure Organizational Commitments to Sustainability • Subspecialty Consultation (more than 30 pediatric subspecialists available for counsel) • Management Structure (Sanford Health & Sanford World Clinic Leadership Teams) • Business Services (Recruiting, Finance, A/P, HR, Contracting, IT) • Electronic Medical Record System (Epic & DocuTAP)
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Announced Domestic Sites: • Duncan, Ok – Opened July 2009 • Oceanside, Ca – Opened April 2011 • Klamath Falls, Or – Open October 2012
Announced International Sites: • Ghana (Multiple Locations) – 1st Site Opened January 2012 • Dublin, Ireland – Start construction October 2012 • La Paz, Mexico – Target Winter 2013 Opening • Karmiel, Israel – Target Summer 2014 Opening
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Ghana—Permanent Healthcare Infrastructure
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Why Ghana? • • • • •
Stability – political and economic Need for permanent infrastructure Sanford expertise in rural healthcare Sustainability – NHIS Partnership with Kojo Benjamin Taylor
Ghana Model • Announced initiative in August 2011 to develop Sanford-funded 10-site beta test to be completed in Ghana in three years • Hub, spoke and micro clinic network model to “right size” facilities and services for each specific community • Estimated cost: $5 million/network
Significant Enhancements Construction Enhancements Changed Clinic Layout to Improve Patient Workflow Basic Infection Prevention and Control Measures Equipment, Supply Procurement and Maintenance Schedules • Staff Education / Oversight • • • •
DocuTAP Electronic Medical Record Rollout
Cape Coast Opened January 2012
Kojokrom “Micro� Opened August 2012 2rd clinic in network 1,295 sq. ft with 1 provider
Adenta “Hub” Opened August 2012 3rd clinic in network 7,590 sq. ft with 4-6 providers
Mankessim “Spoke� Opening October 2012 4th clinic in network 4,450 sq. ft with 2 providers
Kasoa “Spoke” Opening July 2013 5th clinic in network 8,670 sq. ft with 4 providers
Ghana Immediate Next Steps • Complete construction & operations of Sanford-funded 10-site network in Ghana • Work with Government and National Health Leadership to identify potential for nation-wide expansion of multiple networks over the next five years • Deploy network model in other countries beyond Ghana
Sanford World Clinics
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