The Sanford World Clinics October, 2011
Brief History • 116-year history with foundations in Sioux Falls, South Dakota and Fargo, North Dakota • 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 • •
20,000 employees 1,000 Physicians in more than 70 subspecialty areas
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Serving 2 million people in 120 communities over 130,000 square miles and 5 states Each year, Sanford provides more than… – 2 million clinic visits – 150,000 inpatient visits – 7,300 births
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35 hospitals 33 long-term care facilities 175 clinic locations
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70,000 health plan members $2.3 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. • 130,000-square mile service area More sq. miles than 46 U.S. States except Alaska, Texas, California and Montana
Health HealthServices Services
Development Development&&Research Research
Sanford SanfordMedical Medical Center, Fargo Center, Fargo
Sanford SanfordUSD USD Medical Center Medical Center
Sanford Sanford Research/USD Research/USD
The TheSanford Sanford Initiatives Initiatives
Sanford SanfordClinic, Clinic, Fargo Fargo
Sanford SanfordClinic, Clinic, Sioux Falls Sioux Falls
Sanford Sanford Health HealthPlan Plan
Information Information Technology Technology
Sanford SanfordHealth Health Network, Network,Fargo Fargo
Sanford SanfordHealth Health Network, Network,Sioux SiouxFalls Falls
Sanford SanfordHealth Health Foundation Foundation
Business Business Development Development&& Commercialization Commercialization
Sanford SanfordChildren’s Children’s Hospital Hospital
Sanford SanfordChildren’s Children’s Health Research Health ResearchCtr Ctr
Sanford SanfordWorld World Clinics Clinics
Sanford SanfordChildren’s Children’s International InternationalBoard Board
Sanford SanfordProject Project Type 1 Diabetes Type 1 Diabetes
Advancing Advancing Healthcare HealthcareEducation Education
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Healthcare HealthcareCampus Campus ofofthe theFuture Future
Edith EdithSanford SanfordBreast Breast Cancer Initiative Cancer Initiative
International Initiatives • Sanford World Clinics – Providing permanent healthcare infrastructure where it is otherwise unavailable • Research – A cure is universal • Research – Translational focus, trials can be conducted across borders • Programmatic: – Sports Medicine – fit
Sanford Children’s CARE Model • Our physicians and scientists in each of the Sanford Children’s entities strive for excellence in CARE: – – – –
Clinical Services Advocacy Research Education
• The Department Chair has appointed leaders (Associate Chairs) in each of these categories: – – – –
Clinical Services: Jim Wallace, MD Advocacy: Jerry Blake, MD Research: David Pearce, PhD Education: Joe Zenel, MD
• Our educational partner is the Sanford School of Medicine of The University of South Dakota
Sanford Children’s Hospital • Opened for patients March 2009 • 128 beds, 168,000 square feet • Full electronic medical record connectivity, including advanced imaging capabilities
Sanford Children’s Hospital Designed to promote healing in children
Sanford World Clinics
• Build more than five new facilities over the next decade in areas where primary pediatric care is unavailable • Model – 3-to-7 full-time pediatricians – 7,000-11,000 square feet
• Seeking approximately 10 domestic and 10 international locations
Sanford Children’s Clinics Selection Criteria 1. Relationship with existing healthcare providers, including subspecialists 2. Demonstrated community need 3. The donation of land, approximately 3-5 acres, and philanthropic support matching Sanford’s initial capital investment in the community 4. Ability to recruit physicians and staff
Sanford World Clinics Organizational Commitments to Sustainability • Subspecialty Consultation (more than 40 pediatric subspecialists available for counsel) • Management Structure • Business Services • Electronic Medical Record System
International Criteria 1. 2. 3. 4.
Staff safety Political stability Economic balance and stability Ease of communication (language barriers, time zone, technology infrastructure, etc.) 5. Extra emphasis on mission, capability and goal of partner organization(s)
Ghana • Hub, Spoke and Micro Clinic Model • Provide services to children and their families • Scalable in order to develop ten or more sites in short period of time • Expanded model will create access and availability of primary care in a variety of communities
The Sanford World Clinics • Shifting the Process – Now, designing a model with more than 100 facilities around the world – Further emphasis on the benefits of relationship/partnership – Seeking “pre-qualified” locations meeting basic criteria (need, philanthropy, health care partner, sustainability)
The Sanford World Clinics • Accelerating the Process – Developing a multi-channel communication strategy • Health Organizations • Development Foundations and Chambers of Commerce • Affinity Groups
– Engaging New Partners • We need YOU to help us establish connections and opportunities in areas of need
1,000,000 Children Each Year