Staff Directory

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.Lewis@sdfmc.org

Jay’s Biography – Leading Through Change

As the Chief Executive Officer of the South Dakota Foundation for Medical Care (SDFMC), Jay Lewis has nearly 20 years of experience with healthcare quality improvement. Throughout his career, he has navigated through significant changes in the health care and political environment.

He was instrumental in guiding SDFMC’s successful transition from the South Dakota Quality Improvement Organization to a four-state partnership with the Great Plains Quality Innovation Network in 2014. Impacted by government shut down and COVID-19 pandemic in 2019, Jay continues to navigate change by exploring additional collaboration and partnerships.

Jay has a master’s degree in business administration from the University of South Dakota and is a certified public accountant. Before coming to work for SDFMC, Jay worked as an auditor for Deloitte in Omaha and RSM in Sioux Falls. He enjoys spending his free time with his wife, Elizabeth, and six boys on an acreage north of Sioux Falls.

Nancy McDonald, RN, BSN, CPHQ
Director of Quality Improvement

Nancy.McDonald@sdfmc.org

Nancy’s Biography – Quality Experience in all Healthcare Settings

Nancy McDonald brings a plethora of knowledge on quality and process improvement to her program manager role. She assisted with and was instrumental in the superior success of the HEN 2.0 in South Dakota and has a passion for quality improvement and reduction in patient harm.

Nancy was the lead on the 11th Scope of Work Healthcare Associated Infection project and served as project coordinator for the Indian Health Service Special Innovation Project which emphasized redesign of the quality reporting program.

She is familiar with all hospitals in the state with expertise related to inpatient prospective payment system (IPPS), critical access hospitals (CAH), ambulatory surgery centers (ASC), Indian Health Service and inpatient psych facilities.

Her vast experience in the small, rural, critical access hospital arena ranges from hospital nurse in all areas to the many hats of a Quality Coordinator including Privacy Officer, Risk Manager/Safety Officer and Compliance. She also managed a Health Information Management Department during transition to Provider-Based Billing and assisted in preparation for ICD-10.

An active member of the South Dakota Association of Healthcare Quality, she has served in multiple roles including president and secretary/treasurer and was selected as the Quality Coordinator of the Year in 2015. Her leadership and passion are clearly seen in her energetic, value-based drive for quality improvement.

Nancy holds a bachelor’s of science with a major in nursing from South Dakota State University. She is a certified professional in healthcare quality (CPHQ) and a Master Trainer in Team STEPPS.

Stephan Schroeder, MD, CMD, CMQ
Medical Director

Stephan.Schroeder@sdfmc.org

Dr. Schroeder’s Biography – Distinguished Voice for Quality Improvement

For over 35 years Dr. Stephan Schroeder was a family practice physician in Miller, South Dakota and retired from active practice in August 2015.  He currently serves as the medical director for the South Dakota Foundation for Medical Care and as a clinical professor in the Department of Family Practice and Community Health at the University of South Dakota Sanford School of Medicine.  He is certified by the American Board of Family Medicine and the American Board of Medical Quality and is also certified as a medical director for post-acute and long-term care medicine.

Special interests include quality of care measurement as well as quality improvement programs. He had the opportunity to get involved in statewide programs and taskforces involving a trauma system and the acute care of cardiac disease and stroke. He is a member of the South Dakota Diabetes Coalition and actively serves on a number of national and state-wide quality initiatives and community advisory boards.

Stephanie Jacobson
Office Manager

Stephanie.Jacobson@sdfmc.org

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.

Quality Improvement


Cheri Fast, RN, WOCN

Cheri.Fast@sdfmc.org

Cheri’s Biography – Wound Care and Infection Prevention Expert

Providing quality care in a timely fashion is a primary focus for Cheri Fast, RN. Her passion for wound care is evident and has benefited her work in antibiotic stewardship, diabetes care and infection prevention.

She played a pivotal role in the development of the Home Health Infection Prevention Toolkit and has served on the Home Health Quality Improvement (HHQI) technical expert panel to provide feedback on the Recognizing and Reporting Changes in Skin Conditions Home Health Aide Course developed in response to the Centers for Medicaid & Medicare (CMS) Conditions of Participation.

She served as a certified intensive case manager at DAKOTACARE, and worked with patients, families and physicians to coordinate care and teach on disease processes along with other quality improvement effort. AS the education coordinator at Huron Regional Medical Center, she implemented the wound department and coordinated a variety of patient and staff education programs.

Beyond her bachelor of science in nursing, she is a Wound, Ostomy and Continence Nurse (WOCN), certified case manager and master trainer for Better Choices, Better Health Chronic Disease Self-Management and Diabetes Self-Management programs.

Stacie Fredenburg

Stacie.Fredenburg@sdfmc.org

Stacie’s Biography – Uniting Around a Common Goal

Promoting and improving primary and preventive health care access and services in medically underserved areas has been a focus throughout Stacie Fredenburg’s career.  Utilizing her background in communications, she strives to build relationships, increase awareness and unite those with a shared vision to achieve a common goal.

Working with community coalitions to achieve positive health outcomes in five CMS-identified goal areas, Stacie is actively engaged in a variety of health coalitions and collaborative efforts across the state and region. Having previously served as the communications manager for SDFMC, she will continue to engage in communications strategies and tactics including education and resources for health care professionals and Medicare consumers. 

Prior to joining the Great Plains QIN, Fredenburg served as a health systems manager in primary care for the American Cancer Society after spending the bulk of her career as the communication manager for the  Community Healthcare Association of the Dakotas (CHAD).

As a graduate of the University of Sioux Falls, she received her bachelor of arts in mass communications and has completed a variety of additional intensive training on topics including consultative sales, evidence-based public health, health information technology and quality improvement and practice facilitation.

Lori Hintz, RN, CDP, CADDCT

Lori.Hintz@sdfmc.org

Lori’s Biography – Nursing Home and Community Health Champion

Lori Hintz is a licensed registered nurse with experience in both hospital and nursing home environments in a variety of areas including medical, surgical, intensive care, patient education, cardiac rehabilitation and staff development.  She has an extensive background in forming and managing a community development organization and working with people from many walks of life.   

In 2011 she became a program manager with the South Dakota Foundation for Medical Care, now a partner of the Great Plains Quality Innovation Network. Her work is focused on the Centers for Medicare & Medicaid Services task order for reducing healthcare acquired conditions in nursing homes.

She has successfully recruited 92% of South Dakota’s nursing homes to participate in the South Dakota/National Nursing Home Quality Care Collaborative.  She is a champion for improving dementia care and her efforts contributed to the 25.5% reduction of antipsychotic medication use in South Dakota’s nursing homes from 2012 to 2016. 

Lori is active in many long-term care initiatives and committees at the local, state, region and national level.  A TeamSTEPPS master trainer, Lori has also assisted with InterAct training and individualized QAPI training to nursing homes.  She facilitates the South Dakota Dementia Coalition, is the state co-convener for the Advancing Excellence National Campaign for Nursing Home Excellence.  She also serves on the South Dakota Healthcare Association’s education committee and the AveraE LTC steering committee for telecare in nursing homes.  Additionally, she is a member of the South Dakota Antibiotic Stewardship Workgroup, South Dakota Infection Control Council and the South Dakota Association of Healthcare Quality.  

Denise Kolba, RN

Denise.Kolba@sdfmc.org

Denise’s Biography – A Champion in Population Health Improvement

Denise Kolba has been a champion in the area of population health improvement within the state of South Dakota, leading and participating in many population-focused quality improvement initiatives.

As program manager and regional task lead for Every Diabetic Counts, Denise works with stakeholders to improve clinical outcomes for Medicare consumers diagnosed with diabetes or pre-diabetes. As a Community Engagement Advocate for the Partnership to Advance tribal Health (PATH), She collaborates with tribal leaders to identify community health needs and helps to plan and implement evidence-based community programming.

Her role includes collaborating with providers, health systems, health agencies and various chronic disease coalitions to promote monitoring of key clinical indicators and to encourage participation in self-management education. Denise has been trained as a Master Trainer with Stanford’s Chronic Disease, Diabetes, and Chronic Pain Self-Management Programs and is promoting and facilitating Better Choices Better Health workshops in South Dakota.

In addition, she led state efforts on the Colorectal Cancer Special Innovation Project by providing technical assistance for tracking colorectal cancer screening outcomes and implementing evidence-based interventions to improve colorectal cancer screening rates.

She previously served as director of health partnerships at American Cancer Society focusing on prevention and early detection while engaging stakeholders and state-wide coalitions to decrease the cancer burden in South Dakota.

Denise received her bachelor’s and master’s degree in nursing from South Dakota State University and her clinical background is in child and family nursing.

Vicki Palmreuter

Vicki.Palmreuter@sdfmc.org

Vicki’s Biography – Inspiring Through Outreach and Education

Vicki Palmreuter generously shares her health knowledge to motivate and inspire others through outreach and education. As a self-starter with a background in medical business development, medical marketing and community event coordination, she effectively impacts the health and wellness of others.

As a program manager for the Great Plains Quality Innovation Network (QIN), Vicki’s experience as a Master Trainer Outreach Ambassador for Better Choices, Better Health South Dakota will offer valuable insights to assist health care facilities with referral processes and outcome tracking of patients struggling with diabetes and other chronic conditions.

During her time as the community health coordinator at Regional Health (now Monument Health), she led the community health needs assessment process while researching and advocating for population health principles. Vicki graduated Cum Laude from Concordia College in Moorhead, MN, with a bachelor of arts in biology.

Medicaid Case Review


Beth Grocott, RN

Beth.Grocott@sdfmc.org

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.Hahn@sdfmc.org

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.Verschelde@sdfmc.org

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.