Health Care Innovation Awards: North Dakota

Notes and Disclaimers:

  • Projects shown may have also operated in other states (see the Geographic Reach)
  • Descriptions and project data (e.g. gross savings estimates, population served, etc.) are 3 year estimates provided by each organization and are based on budget submissions required by the Health Care Innovation Awards application process.
  • While all projects were expected to produce cost savings beyond the 3 year grant award, some may not achieve net cost savings until after the initial 3-year period due to start-up-costs, change in care patterns and intervention effect on health status.


Project Title: “Improving the care and oral health of American Indian mothers and young children and American Indian people with diabetes on South Dakota reservations”
Geographic Reach: North Dakota, South Dakota
Funding Amount: $3,364,528
Estimated 3-Year Savings: $6,200,000

Summary: Delta Dental of South Dakota, which covers over thirty-thousand isolated, low-income, and underserved Medicaid beneficiaries and other American Indians on reservations throughout South Dakota, received an award to improve oral health and health care for American Indian mothers, their young children, and American Indian people with diabetes. Providing preventive care will help avoid and arrest oral and dental diseases, repair damage, prevent recurrence, and ultimately, reduce the need for surgical care. The project will also work with diabetic program coordinators to identify and treat people with diabetes. By coordinating community-based oral care with other social and care provider services, the model is expected to reduce the high incidence of oral health problems in the area, improve patient access, monitoring, and overall health, and lower cost through prevention with estimated savings of over $6 million. Over the three-year period, the Delta Dental of South Dakota Circle of Smiles program will train an estimated 24 health care workers and create an estimated 24 new jobs. These workers will be comprised of registered dental hygienists and community health representatives who will treat and educate patients and coordinate their dental care.


Project Title: “Improving health for the elderly in North Dakota one community at a time”
Geographic Reach: North Dakota
Funding Amount: $2,726,216
Estimated 3-Year Savings: $2,966,280

Summary: Northland Healthcare Alliance received an award to implement a modified version of the Program of All-Inclusive Care for the Elderly (PACE) model in rural North Dakota. The Alliance will hire and train Community Care Coordinators in seven rural communities who will use a team approach to coordinate the care for the program participants.  It will use existing long-term care or assisted living programs and sites to provide coordinated services to the frail elderly. The Northland Care Coordination for Seniors program was developed to keep seniors in the community to live in their home healthier, safer and more independently. The program provides participants, their families, caregivers, and professional health care providers more flexibility to meet health care needs, improve care and the quality of life for those enrolled. The goal of this model is to reduce avoidable admissions to nursing facilities and decrease hospitals stays leading to lower health care costs per person while improving the health and health care for the participants. Over a three-year period, Northland Healthcare Alliance’s program will create an estimated eight jobs that include Community Care Coordinators, Data Analyst and Administrative staff for the Northland Care Coordination for Seniors program.


Project Title: “Sanford One Care: transforming primary care for the 21st Century”
Geographic Reach: Iowa, Minnesota, North Dakota., South Dakota
Funding Amount: $12,142,606
Estimated 3-Year Savings: $14,135,429

Summary: Sanford Health received an award to develop an innovative and sustainable primary care delivery model for patients with chronic disease through workforce development, enhanced technology and the integration of behavioral health. Primary care clinics in South Dakota, North Dakota and Minnesota will be equipped to provide proactive outcomes-based care for patients with chronic disease and help patients manage their own healing and healthy behaviors. This new model of care will result in improved outcomes, better patient experience and reduced patient costs. Over a three-year period, Sanford Health’s program will train an estimated 425 health care providers in enhanced clinical and patient engagement skills.

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