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 Health Research Ctr

Sanford Children’s Hospital

Sanford Project Type 1 Diabetes

Healthcare Campus of the Future

Sanford fit Edith Sanford Breast

Cancer Initiative

Sanford World Clinics

Sanford Children’s International Board

Advancing Healthcare Education

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. Staff safety

2. Political stability

3. Economic balance and stability

4. 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

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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