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The State of South Dakota serves as the grant administrator for federal grant monies provided through the Department of Health and Human Services, The Assistant Secretary for Preparedness and Response (ASPR) and its Hospital Preparedness Program (HPP).  Through Memorandums of Understanding (MOUs) the South Dakota Department of Health (SD DOH) works with collaborating agencies within state government to judiciously share limited resources from each grant cycle.

Beginning in FY 2002, regional coalitions were formed. With the minor exception of repositioning Miner County into Region 3, the SD Department of Health utilized the four geographic regions (refer to figure previously established by the South Dakota Association of Healthcare Organizations (SDAHO). Rationale for continuation of this model was based on the concept that hospitals within each region were already working cooperatively with each other and a near-equal number of facilities were located within each geographic region. Initially, planning was directed toward the effects of weapons of mass destruction, with bioterrorism as the top priority. Because of this prioritization, each region drafted its initial plan in 2003 to address the medical care of at least 500 bioterrorism casualties.  In subsequent years, plans have grown, and regions have expanded their capabilities under HPP guidance. SD coalitions have become robust preparedness centers with coordinated structure both within each coalition and in partnership with the other regions in the state.

Health care coalitions represent the South Dakota population within each region. According to the 2017 US Census, the total SD Population is 869,666. The breakdown is as follows:


  • Black Hills Chapter (Formerly Region 1) - 26%
  • Glacial Lakes Chapter (Formerly Region 2) - 18%
  • Siuox Empire Chapter (Formerly Region 3) - 40%
  • South Central Plains Chapter (Formerly Region 4) - 16%


The SDHCC has identified a statewide purpose, mission and vision as follows:


PURPOSE: The purpose of the South Dakota Health Care Coalition is to bring public, private and non-profit organizations together for the purpose of collaborative disaster medical health planning and training.


MISSION: to enhance statewide relationships for health care emergency preparedness, response, and recovery.


VISION: to significantly improve coordination of health care resources among South Dakota health care coalitions.