The South Dakota Department of Health, Avera Health, Mobridge Regional Hospital, Regional Health, St. Mary's Healthcare Center and Sanford Health have joined forces to develop SIM-SD: A Partnership for Emergency Patient Care, an effort to implement statewide outreach training for pre-hospital and hospital personnel. Grant funding provided by The Leona M. and Harry B. Helmsley Charitable Trust is funding three mobile units, fully equipped for training, as well as two smaller outreach models. The units include adult, infant and pediatric human patient simulators. Grant funding passed through to Avera Health, Regional Health and Sanford Health to purchase, maintain and operate the mobile units. In central South Dakota funding went to St. Mary's Healthcare Center in Pierre and Mobridge Regional Hospital in Mobridge to purchase and operate the outreach models.