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

• 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

• 35 hospitals• 33 long-term care facilities• 175 clinic locations

• 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 Services Development & Research

Sanford Medical Center, Fargo

Sanford USD Medical Center

Sanford Clinic, Fargo

Sanford Clinic, Sioux Falls

Sanford Health Network, Fargo

Sanford Health Network, Sioux Falls

Sanford Research/USD

The Sanford Initiatives

Sanford Health Plan

Information Technology

Sanford Health Foundation

Business Development & Commercialization

Sanford Children’s Health Research Ctr

Sanford Children’s Hospital

Sanford Project Type 1 Diabetes

Healthcare Campus of the Future

Sanford fitEdith Sanford Breast

Cancer Initiative

Sanford WorldClinics

Sanford Children’s International Board

Advancing Healthcare Education

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 HospitalDesigned 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

• Seeking approximately 10 domestic and 10 international locations

• Model– 3-to-7 full-time

pediatricians– 7,000-11,000 square feet

Sanford Children’s ClinicsSelection Criteria

1. Relationship with existing healthcare providers, including subspecialists

2. Demonstrated community need3. 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. Staff safety2. Political stability3. Economic balance and stability4. 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