South Dakota State University Extension

South Dakota State University (SDSU) Extension empowers citizens to be more competitive in a growing global economy through education and technical training or assistance.


The purpose of the SDSU Extension is to foster a learning community environment that empowers citizens to advocate for sustainable change that will strengthen agriculture, natural resources, youth, families, and the communities of South Dakota.

As part of their work around developing a chronic disease self-management program (CDSMP), SDSU Extension acquired a license for the Sanford model used by Better Choices, Better Health (BCBH) South Dakota. Multiple SDFMC staff are certified as master trainers and have been instrumental in recruitment and referral.

Better Choices, Better Health® SD offers chronic disease self-management education workshops that are designed to help adults living with ongoing physical and/or mental health conditions and caregivers understand how healthier choices can improve quality of life, boost self-confidence, and inspire positive lifestyle changes.

Current Contract: BCBH South Dakota

This contract began February 1, 2020 and concludes April 30, 2022.

Western South Dakota Referrals

 SDFMC staff will be involved in leading workshops, training lay leaders, and educating partners and stakeholders on the suite of Better Choices, Better Health (BCBH) programs, and encouraging referrals to the workshops.  There is a significant amount of work that goes into hosting a workshop including development of materials and social media content for recruitment of participants, collaborating with providers to embrace referrals to the program, and the logistics of where to host the course.

SDFMC has been invited to be part of the BCBH leadership team and will attend SDSU Extension BCBH leadership meetings on a routine basis.

SDFMC is instrumental in the development of a virtual roll out of the BCBH diabetes program in SD tribal communities, as well as the establishment of a virtual delivery model for all BCBH programming statewide due to COVID-19 restrictions on face-to-face workshops.  We are uniquely positioned to reach rural and isolated populations and demonstrate the value of virtual delivery, which we expect to continue beyond the pandemic restrictions.

The BCBH Referral Coordinator is responsible for significantly increasing the number of older adults and adults with disabilities who participate in and complete evidence-based self-management education and support programs, with a focus on expansion of Chronic Pain Self-Management, Cancer: Thriving & Surviving Self-Management, Workplace Chronic Disease Self-Management, and Walk with Ease.  This will be accomplished by:

  • Identifying caregivers and/or community members who would be ideal lay leaders
  • Offering lay leader training opportunities for these individuals
  • Working with healthcare and community organizations to offer self-management education workshop to accommodate the populations they reach

In addition, the BCBH Referral Coordinator will seek out and develop new partners within the healthcare system to increase provider referrals to self-management education.

  • Work with healthcare partners to implement the BCBH-SD Referrals Model Policy
  • Refine and develop outreach for programming to increase healthcare provider knowledge and referrals

The BCBH Referral Coordinator will advance innovative fee-for-service sustainability models and explore and test strategic innovative practice models.

  • Align with chronic care management
  • Consider the development and utilization of community health workers for program delivery