A vast array of healthcare expertise can be found among the SDFMC staff. Using a team-based approach allows for broader perspective and insight across healthcare settings and systems to further advance the mission.
Jay Lewis, MBA, CPA
Chief Executive Officer
Jay’s Biography – Leading Through Change
Nancy McDonald, RN, BSN, CPHQ
Director of Quality Improvement
Nancy’s Biography – Quality Experience in all Healthcare Settings
Stephan Schroeder, MD, CMD, CMQ
Dr. Schroeder’s Biography – Distinguished Voice for Quality Improvement
Stephanie’s Biography – Enjoys a Challenge
Healthcare has changed significantly in the 40 years Stephanie Jacobson has worked for the South Dakota Foundation for Medical Care (SDFMC). Having spent the majority of her working career at SDFMC, she has learned to easily adapt and enjoys the challenges of working with and providing support to all staff members.
Stephanie manages day-to-day office functions in administration, human resources, and accounting while advancing the company goals and objectives. She has a knack for proofreading and enjoys working with co-workers to ensure all documents and correspondence represent SDFMC as professionally as possible. She is responsible for attending Board of Director meetings and other committee meeting, as appropriate, to record minutes.
In addition to managing the office operations, Stephanie supports the SDFMC contract with the South Dakota Department of Social Services by working with appropriate staff to execute diagnosis-related group (DRG) notices, to assist in processing Medicaid appeal notices, and to handle the management of medical records received in-house.
SDFMC Program Managers
Each program manager engages in a variety of collaborative efforts and grant projects focusing on healthcare quality. Their ability to engage with a broad range of stakeholders and healthcare organizations provides a unique perspective as well as the continuous opportunity to expand and enhance their skill set.
Stacie’s Biography – Uniting Around a Common Goal
Lori Hintz, RN, CDP, CADDCT
Lori’s Biography – Nursing Home and Community Health Champion
Denise Kolba, RN
Denise’s Biography – A Champion in Population Health Improvement
Vicki’s Biography – Inspiring Through Outreach and Education
Medicaid Case Review
Beth Grocott, RN
Beth’s Biography – Digging Deeper for Quality Care
Beth Grocott expected to focus on hands-on care when she became a registered nurse. As her desire to provide high-quality patient care expanded, she embraced the need to dig deeper into the full scope of regulations, resources and services.
As the program manager for the Great Plains Quality Innovation Network (QIN), Beth will use her attention to detail, organizational skills and efficiency to advance population health and quality improvement efforts in South Dakota.
Prior to joining Great Plains QIN, Barb served as a nurse consultant for the South Dakota Department of Social Services. She has over a decade of experience as a registered nurse including implementing and streamlining care management as part of a health care team.
She attended South Dakota State University and graduated from the University of South Dakota with an Associate of Science in Nursing.
Dawn Hahn, RN-BC, CMCN, CARN
Dawn’s Biography – Advocate for Psychiatric and Chemical Dependency Care
Dawn Hahn is a registered nurse with much utilization review experience for clients with psychiatric disorders and chemical dependency issues. She has a passion to assist clients with psychiatric disorders to obtain the help they need at the appropriate level of service and has worked with children, adolescents, and adults with psychiatric disorders for 26 years plus 10 years of pediatric nursing.
Dawn has been a program manager with the South Dakota Foundation for Medical Care, a member of the Great Plains Quality Innovation Network, since 1999. She performs pre-authorizations and continued-stay reviews for clients admitted into acute care psychiatric units for South Dakota Medicaid. She also works closely with several psychiatrists in developing admission criteria and continued-stay criteria for Psychiatric Residential Treatment Programs for children in South Dakota in addition to providing case management services and utilization review for children in those facilities. She also provides utilization review activities for adolescents needing inpatient chemical dependency treatment. Her goal is to provide authorization for the right client in the right facility at the right level of care.
In order to encourage nurses to demonstrate their skills in psychiatric nursing, Dawn performed Item Writing activities with the American Nurses Credentialing Center (ANCC), writing test questions for the certification test to advance psychiatric and mental health nursing. She also chaired the ANCC Content Expert Panel in Nursing Case Management for eight years working diligently to improve the competency-based examination that provides a valid assessment of the clinical knowledge and skills of nurses providing case management services.
Dawn holds certifications in nursing case management, psychiatric and mental health nursing, addictions nursing, and managed care nursing. To keep up with the latest advancements in the industry, she maintains close ties with the American Nurses Association, American Psychiatric Nurses Association, American Association of Managed Care Nursing and the International Nurses Society on Addictions.
Holly Verschelde, CPC
Holly’s Biography – Strong Team Attitude and Love for Learning
The South Dakota Foundation for Medical Care has benefited from Holly Verschelde’s strong team attitude and aptitude for learning for over 20 years. As the coding specialist, her job duties include analyzing coding determinations and processed billing claim charges, assisting with the process of all Medicaid appeal notices as well as executing and reporting Medicare severity diagnosis-related groups (MS-DRG) notices while maintaining proper medical records management.
A certified coder with experience supporting case review for a quality improvement organization (QIO), Holly is proficient in international classification of disease (ICD) clinical modification (CM) code sets including ICD 9-CM, ICD-10-CM and ICD-10- procedure coding system (PCS) as well as MS-DRG validation with South Dakota Medicaid. She manages the day-to-day responsibilities unique to other cooperative projects and has experience in all general office and administrative functions.
She earned an associate degree for executive secretary in 1990 and added an associate degree in office technology and her certified professional coder (CPC) credential in 2007. She is a member of the American Academy of Professional Coders – Sioux Falls SD Local Chapter.