We are learning some of the details into the federal agreement that was reached to improve health care at Sioux San hospital in Rapid City.

The Rapid City hospital came under fire this past month after the Centers for Medicare and Medicaid said it discovered deficiencies that threatened the health and safety of patients.

A thirty-one step action plan was created by Indian Health Service to address what was called inappropriate medical practices, in order to keep their federal funding.

One primary issue was the failure to provide appropriate and adequate medical screening examinations in the emergency department.

The agreement now calls for providing a timely medical screening exam.

The emergency department staff will consist of a 24-7 doctor of medicine or doctor of osteopathic medicine. A second provider will be added during high patient times 8 a.m. to 8 p.m.

In addition pediatricians will do daily chart reviews with pediatric medical concerns identified daily and reported to medical staff. All nursing staff will complete pediatric assessment training their next shift.

In a statement Congresswoman Kristi Noem said," This agreement is a step in the right direction but fundamental reforms are ultimately needed."