Quality Report


Quality Report

Sanford USD Medical Center

DBA: Sanford USD Medical Center
HCO ID: 8471
1305 West 18th Street
Sioux Falls, SD, 57117-5039
(605) 333-1000
www.sanfordhealth.org
Summary of Quality Information

Accreditation Programs

View Accreditation History
Gold Seal
Hospital
Accreditation Decision
Effective Date
7/17/2021
Last Full Survey Date
7/16/2021
Last On-Site Survey Date
9/23/2021

Advanced Certification Programs

View Certification History
Gold Seal
Inpatient Diabetes
Certification Decision
Effective Date
8/20/2022
Last Full Survey Date
8/19/2022
Last On-Site Survey Date
8/19/2022
Gold Seal
Thrombectomy-Capable Stroke Center
Certification Decision
Effective Date
4/27/2023
Last Full Survey Date
3/8/2023
Last On-Site Survey Date
3/8/2023

Core Certification Programs

Gold Seal
Hip Fracture
Certification Decision
Effective Date
8/26/2022
Last Full Survey Date
8/25/2022
Last On-Site Survey Date
8/25/2022
Gold Seal
Joint Replacement - Hip
Certification Decision
Effective Date
8/24/2022
Last Full Survey Date
8/23/2022
Last On-Site Survey Date
8/23/2022
Gold Seal
Joint Replacement - Knee
Certification Decision
Effective Date
8/24/2022
Last Full Survey Date
8/23/2022
Last On-Site Survey Date
8/23/2022
Gold Seal
Joint Replacement - Shoulder
Certification Decision
Effective Date
8/25/2022
Last Full Survey Date
8/24/2022
Last On-Site Survey Date
8/24/2022

Sites

Edith Sanford Cancer Center
1309 W 17th Street
Sioux Falls, SD, 57105

Available Services

  • Administration of Blood Product (Outpatient )
  • Administration of High Risk Medications (Outpatient )
  • Hazardous Medication Compounding (Outpatient )
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Center for Advanced Therapeutics
  • Edith Sanford Breast Health and Breast Specialty Clinic
  • Gynecology Oncology Clinic
  • Hematology and Oncology Clinic and Infusion Center

Sanford 26th & Sycamore Clinic
4405 E. 26th Street
Sioux Falls, SD, 57103

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Acute Care
  • Family Medicine
  • Pediatrics

Sanford 32nd and Ellis Clinic
2601 S. Ellis Rd
Sioux Falls, SD, 57106

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Acute Care
  • Family Medicine
  • Pediatrics
  • Women's

Sanford 49th & Oxbow Family Medicine
3401 W. 49th Street
Sioux Falls, SD, 57106

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Sanford 4th & Sycamore Family Medicine
600 N. Sycamore Avenue
Sioux Falls, SD, 57110

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Sanford 69th & Louise Family Medicine
6101 South Louise Ave
Sioux Falls, SD, 57108

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Family Medicine
  • Pediatrics

Sanford 69th & Minnesota Family Medicine
6110 S. Minnesota Avenue
Sioux Falls, SD, 57108

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Acute Care
  • Family Medicine

Sanford Acute Care & Orthopedic Fast Track Clinic
4000 N Brendan Lane
Sioux Falls, SD, 57105

Available Services

  • General Laboratory Tests
  • Perform Invasive Procedure (Outpatient )
  • Urgent Care (Outpatient )

Sanford Brandon Family Medicine and Children's Clinic
1105 E. Holly Blvd
Brandon, SD, 57005

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Acute Care
  • Family Medicine
  • Pediatrics

Sanford Children’s Pediatric Therapy Services
405 W. 69th St.
Sioux Falls, SD, 57108

Available Services

  • Outpatient Clinics (Outpatient )

Sanford Eye Center & Optical Clinic
1621 S. Minnesota Ave.
Sioux Falls, SD, 57105

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Sanford Harrisburg Clinic
111 North Cliff Avenue
Harrisburg, SD, 57032

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Family Medicine
  • Obstetrics
  • Pediatrics

Sanford Hartford Clinic
905 North Oaks Ave
Hartford, SD, 57033

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Sanford Health 10th and Phillips Acute Care
136 S Phillips Ave.
Sioux Falls, SD, 57104

Available Services

  • Perform Invasive Procedure (Outpatient )
  • Urgent Care (Outpatient )

Sanford Health Lake Lorraine Eye Clinic
2310 S. Marion Road
Sioux Falls, SD, 57106

Available Services

  • Single Specialty Practitioner (Outpatient )

Sanford Imagenetics
1321 W 22nd Street
Sioux Falls, SD, 57105

Available Services

  • Administration of High Risk Medications (Outpatient )
  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Other Clinics/Practices Located at This Site:

  • Allergy Clinic
  • Internal Medicine Clinic
  • Outpatient Hemodialysis
  • Pain Clinic
  • Rheumatology Clinic

Sanford Madison & Veterans Parkway Clinic
5920 E Madison Street
Sioux Falls, SD, 57110

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Family Medicine
  • Obstetrics and Gynecology
  • Pediatrics
  • Physical Therapy and Rehab

Sanford Madison Dialysis
323 Southwest 10th St
Madison, SD, 57042

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Sanford Medical Building 2
1420 W 22nd Street
Sioux Falls, SD, 57105

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Anticoagulation Management Services
  • Children's MB2 Clinic
  • Gastroenterology Clinic
  • Infectious Disease Clinic
  • Midtown Family Planning Clinic
  • Nephrology Clinic
  • Pulmonary Medicine Clinic
  • Wound Healing Center

Sanford Mid Dakota Dialysis
300 S. Byron Blvd.
Chamberlain, SD, 57325

Available Services

  • Dialysis (Outpatient )
  • Outpatient Clinics (Outpatient )

Sanford Outpatient Rehabilitation at Tea Ellis
DBA: Sanford USD Medical Center
8701 W. 32nd St
Sioux Falls, SD, 57106

Available Services

  • Outpatient Clinics (Outpatient )

Sanford Outpatient Rehabilitation at Wellness Center
3401 W. 49th Street Suite 2
Sioux Falls, SD, 57106

Available Services

  • Single Specialty Practitioner (Outpatient )

Sanford Pediatric Therapy Business Center
2200 East Benson
Sioux Falls, SD, 57104

Available Services

  • Single Specialty Practitioner (Outpatient )

Sanford Power Physical Therapy
2215 W. Pentagon Place
Sioux Falls, SD, 57104

Available Services

  • Outpatient Clinics (Outpatient )

Sanford Psychiatry and Psychology Clinic
7511 S. Louise Avenue
Sioux Falls, SD, 57108

Available Services

  • Outpatient Clinics (Outpatient )

Sanford Psychiatry and Psychology Clinic
2400 W 49th St
Sioux Falls, SD, 57105

Available Services

  • Outpatient Clinics (Outpatient )

Sanford PT-Solutions
DBA: Sanford USD Medical Center
1721 S. Cleveland Ave Suite 200
Sioux Falls, SD, 57103

Available Services

  • Outpatient Clinics (Outpatient )

Sanford Pulmonary Rehab
4201 S Oxbow Ave
Sioux Falls, SD, 57106

Available Services

  • Single Specialty Practitioner (Outpatient )

Sanford Rock Rapids Clinic
104 Buncombe Dr
Rock Rapids, IA, 51246

Available Services

  • Administration of Blood Product (Outpatient )
  • Perform Invasive Procedure (Outpatient )
  • Single Specialty Practitioner (Outpatient )

Sanford Sleep Disorders Center
1621 S. Minnesota Avenue
Sioux Falls, SD, 57105-1751

Available Services

  • Outpatient Clinics (Outpatient )

Sanford Talley Building
1310 W 22nd Street
Sioux Falls, SD, 57105

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Dermatology Clinic
  • Ear, Nose, and Throat Clinic
  • Family Medicine Residency OB Clinic
  • Weight Management Clinic

Sanford USD 34th and Kiwanis Family Medicine
2701 S. Kiwanis
Sioux Falls, SD, 57105

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Sanford USD Medical Center
1305 W. 18th Street
Sioux Falls, SD, 57117

Available Services

  • Cardiac Catheterization Lab (Surgical Services )
  • Cardiac Surgery (Surgical Services )
  • Cardiothoracic Surgery (Surgical Services )
  • Cardiovascular Unit (Inpatient )
  • Coronary Care Unit (Inpatient )
  • CT Scanner (Imaging/Diagnostic Services )
  • Dialysis Unit (Inpatient )
  • Ear/Nose/Throat Surgery (Surgical Services )
  • EEG/EKG/EMG Lab (Imaging/Diagnostic Services )
  • Gastroenterology (Surgical Services )
  • GI or Endoscopy Lab (Imaging/Diagnostic Services )
  • Gynecological Surgery (Surgical Services )
  • Gynecology (Inpatient )
  • Hazardous Medication Compounding (Inpatient )
  • Hematology/Oncology Unit (Inpatient )
  • Inpatient Unit (Inpatient )
  • Interventional Radiology (Inpatient )
  • Interventional Radiology (Outpatient )
  • Interventional Radiology (Imaging/Diagnostic Services )
  • Labor & Delivery (Inpatient )
  • Magnetic Resonance Imaging (Imaging/Diagnostic Services )
  • Medical /Surgical Unit (Inpatient )
  • Medical ICU (Intensive Care Unit )
  • Neuro/Spine ICU (Intensive Care Unit )
  • Neuro/Spine Unit (Inpatient )
  • Neurosurgery (Surgical Services )
  • Non-Sterile Medication Compounding (Inpatient )
  • Normal Newborn Nursery (Inpatient )
  • Nuclear Medicine (Imaging/Diagnostic Services )
  • Ophthalmology (Surgical Services )
  • Orthopedic Surgery (Surgical Services )
  • Orthopedic/Spine Unit (Inpatient )
  • Outpatient Clinics (Outpatient )
  • Pediatric Cardiac Catheterization (Inpatient - Child/Youth )
  • Pediatric Cardiac Catheterization (Outpatient - Child/Youth )
  • Pediatric Cardiology (Inpatient - Child/Youth )
  • Pediatric Cardiology (Outpatient - Child/Youth )
  • Pediatric Cardiothoracic Surgery (Inpatient - Child/Youth )
  • Pediatric Emergency Medicine (Inpatient - Child/Youth )
  • Pediatric Emergency Medicine (Outpatient - Child/Youth )
  • Pediatric Endocrinology (Inpatient - Child/Youth )
  • Pediatric Gastroenterology (Inpatient - Child/Youth )
  • Pediatric General Surgery (Inpatient - Child/Youth )
  • Pediatric General Surgery (Outpatient - Child/Youth )
  • Pediatric Unit (Inpatient )
  • Pediatric Urology (Inpatient - Child/Youth )
  • Plastic Surgery (Surgical Services )
  • Post Anesthesia Care Unit (PACU) (Inpatient )
  • Rehabilitation Unit (Inpatient )
  • Rehabilitation Unit (24-hour Acute Care/Crisis Stabilization )
  • Sleep Laboratory (Sleep Laboratory )
  • Sterile Medication Compounding (Inpatient )
  • Surgical ICU (Intensive Care Unit )
  • Surgical Unit (Inpatient )
  • Teleradiology (Imaging/Diagnostic Services )
  • Thoracic Surgery (Surgical Services )
  • Transplant Surgery (Surgical Services )
  • Ultrasound (Imaging/Diagnostic Services )
  • Urology (Surgical Services )
  • Vascular Surgery (Surgical Services )

Certification Programs

  • Hip Fracture
  • Inpatient Diabetes
  • Joint Replacement - Hip
  • Joint Replacement - Knee
  • Joint Replacement - Shoulder
  • Thrombectomy-Capable Stroke Center

Other Clinics/Practices Located at This Site:

  • Anesthesia Pain Center
  • Cardiac Rehab
  • Cardiothoracic Vascular Surgery Clinic
  • Cardiovascular Institute Clinic
  • Child's Voice
  • Diabetes and Thyroid Clinic
  • Female Pelvic Medicine and Reconstructive Surgery
  • Maternal Fetal Medicine Clinic
  • Mobile CT
  • Mobile Mammography
  • Mobile MRI
  • Sanford Children's Specialty Clinic
  • Surgical Associates
  • Vascular Associates
  • Women's Health Reproductive Surgery Clinic
  • Women's Obstetrics and Gynecology Clinic

Sanford Van Demark Building
DBA: Sanford USD Medical Center
1210 W. 18th St.
Sioux Falls, SD, 57105

Available Services

  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Neurology Clinic
  • Neurosurgery and Spine Clinic
  • Orthopedics and Sports Medicine
  • Physical Medicine and Rehab

Sanford Women's Health Plaza
5019 S. Western Ave. Ste 200
Sioux Falls, SD, 57108

Available Services

  • General Laboratory Tests
  • Outpatient Clinics (Outpatient )
  • Perform Invasive Procedure (Outpatient )

Other Clinics/Practices Located at This Site:

  • Breast Center
  • Integrative Health
  • OBGYN
  • Physical Therapy
  • Primary Care

Cooperative Agreements

Hospital - Accredited by American College of Surgeons-Commission on Cancer (ACoS-COC)

National Patient Safety Goals and National Quality Improvement Goals

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range /value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

Symbol Key

  • starThis organization achieved the best possible results
  • plusThis organization's performance is better than the target range/value
  • checkThis organization's performance is similar to the target range/value
  • minusThis organization's performance is worse than the target range/value
  • naThis measure is not applicable for this organization
  • ndNot displayed

Measures Footnote Key

  1. The measure or measure set was not reported.
  2. The measure set does not have an overall result.
  3. The number is not enough for comparison purposes.
  4. The measure meets the Privacy Disclosure Threshold rule.
  5. The organization scored above 90% but was below most other organizations.
  6. The measure results are not statistically valid.
  7. The measure results are based on a sample of patients.
  8. The number of months with measure data is below the reporting requirement.
  9. The measure results are temporarily suppressed pending resubmission of updated data.
  10. Test Measure: a measure being evaluated for reliability of the individual data elements or awaiting National Quality Forum Endorsement.
  11. There were no eligible patients that met the denominator criteria.
  12. The measure rate is within optimal range.

* This information can also be viewed at Hospital Compare.

**      Indicates per 1000 hours of patient care.
***   The measure was not in effect for this quarter.
----   Null value or data not displayed.

Hospital 2021 National Patient Safety Goals Nationwide Comparison: check Statewide Comparison: na
Reporting Period: January 2022 - December 2022
Perinatal Care National Comparison: nd 2 Statewide Comparison: nd 2

New Changes to Quarterly Measure

Download Quarterly Measure Results

* State results are not calculated for the National Patient Safety Goals.