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.
Cheri Fast, RN, WOCN
Cheri’s Biography – Passionate Infection Prevention Professional
With over 30 years in health care, Cheri Fast, RN, WOCN, is a creative and passionate nurse. She has worked with facilities, healthcare providers, community leaders, and patients on multiple healthcare initiatives including antibiotic stewardship throughout her career. She is currently leading the Project Firstline Initiative in South Dakota. Project Firstline is a Centers for Disease Control and Prevention (CDC) infection prevention and awareness project to educate front line workers on basic infection control practices.
Cheri played a pivotal role in the development of a national Home Health Infection Prevention Toolkit and was selected to serve as a technical reviewer for the national organization. Her love for wound care led her to pursue her certification in Wound, Ostomy, and Continence and implemented a wound program at a critical access hospital. She has taught numerous diabetes education classes over the years and is currently a Master Trainer for Better Choices, Better Health in Diabetes, Chronic Disease Management, and Pain.
Throughout her career, she has worked closely with patients, families, physicians and community members. Working as an Intensive Field Case Manager she was able to learn about complex medical conditions, and finding community resources in South Dakota and doing Utilization Review. This led her to become certified in Nursing Case Management. Cheri was selected to participate in the AgriSafe Nurse Scholar program and completed this training in December 2019 and was selected by AgriSafe to become South Dakota’s Total Farmer Health Coach promoting health and wellness to South Dakota agriculture producers.
Most recently, Cheri was the Quality Risk Manger and Infection Control Nurse for a local critical access hospital. She is anxious to work with facilities and front-line healthcare workers on infection prevention measures to keep us all safe.
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’s Biography – Nursing Home and Community Health Champion
Mindy Heuer, RN, CST
Mindy’s Biography – A Voice for the Patient and Quality Care Advocate
Drawing from personal and professional experience, Mindy Heuer speaks out for quality, patient-centered health care. She recognizes the value of using data to determine high-impact quality improvement efforts to create system efficiencies and improve patient experience.
Working within the Avera system, Mindy was exposed to a broad range of care situations including emergency room, intensive care unit, medical/surgical floor, operating room, post anesthesia care unit, and long-term care.
She has successful completed course work to be recognized in the areas of Advanced Cardiovascular Life Support (ACLS), Trauma Nursing Core Course (TNCC), and Just Culture. Her additional background with the Abbott House, a psychiatric residential treatment facility, provided valuable insights related to behavioral and mental health issues.
Mindy completed her surgical technology degree from Southeast Technical Institute in 2003 and went on the receive her surgical technology certification in 2012. She added her nursing degree from the University of South Dakota in 2017.
Charlotte Hofer, MA
Charlotte’s Biography – Proven Track Record for Media and Communications
With 20 awards to her credit, Charlotte Hofer has a proven track record in media relations and communications. Before launching a monthly business magazine as an entrepreneur, she received national recognition from the American Cancer Society for a media strategy that produced a 205% enrollment return for the Cancer Prevention Study-3. Charlotte has three Silver Microphone awards and has worked as a professional voice-over talent for the US Military, Seinfeld TV series, and Westin Hotels Worldwide.
She has presented national workshops on communications for Columbia University, the Native American Journalists Association, the American Cancer Society, and the Centers for Disease Control (CDC). Charlotte has a master’s degree in Instructional Systems from the University of Central Florida.
In her spare time, Charlotte is a private investor in real estate with a multi-state portfolio of rental properties. She enjoys writing and is the author of Courage to Fly, an inspirational book for entrepreneurs.
Denise Kolba, RN
Denise’s Biography – A Champion in Population Health Improvement
Vicki’s Biography – Inspiring Through Outreach and Education
Stephanie Powers, MPA
Stephanie’s Biography – Building Partnerships for Creative Solutions
Stephanie Power’s diverse background includes working in healthcare, higher education, and the non-profit sector. She has more than a decade of leadership experience in program development, grants, marketing, and communication.
Stephanie understands the value of collaboration and working with stakeholders to gather support for programs and future growth. Her passion for problem-solving and project management are strengthened by her ability to build new partnerships and identify innovative ways of utilizing and combining resources. She likes the challenge of bringing new ideas to fruition and has led several large projects that designed customized approaches for organizational and community needs.
Stephanie enjoys spending time with her family and planning her next travel adventure.
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.
Tina Welbig, BSN, RN, CCM
Tina’s Biography – Passion for Right Care, Right Setting, Right Time
Tina Welbig has a passion for helping patients get the right care, in the right setting at the right time. This passion shows as she providers utilization review for adults needing inpatient chemical dependency treatment. Her experience includes clinical care and nursing home care as well as work on the insurance side of health care.
Prior to joining the SDFMC staff, she served as a certified complex case manager at Health Management Partner, and worked with patients, families, and physicians to coordinate care and teach on disease processes. While there, she successfully revamped the pain program to focus on avoiding surgery by assessing patient needs related to pain management education at home.
She also led the pharmacy program and identified medication recalls and errors, provided opioid review, and ensured timely medication by streamlining communication between providers, patients, and pharmacies.
Tina graduated from South Dakota State University with a Bachelor of Science in nursing. She is a certified case manager, certified lifestyle coach and is currently pursuing her certification for psychiatric nursing.