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Rural Health Information Hub

Rural Health
Resources by State: Montana

Relationships and Partnerships: How ACOs Are Improving Treatments for Super-Utilizers
Highlights three rural Accountable Care Organizations (ACOs) that are working to improve care for their super-utilizer patients. Features three success stories showing how the ACOs helped meet patient needs and improve patient health.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 05/2018
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Oral Health of Montana's Kindergarten Children Compared to U.S. Kindergarten Children, 2015-2016
Describes the prevalence of tooth decay among Montana's kindergarten children, including those living in rural areas, compared to kindergarten children in the U.S. between 2005 to 2010. Includes data on the decay experience and untreated decay in Montana kindergarten children in 2015 and 2016 by rurality, race, and ethnicity.
Date: 04/2018
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Intent-to-Treat Analysis of a Simultaneous Multisite Telehealth Diabetes Prevention Program
Demonstrates the effectiveness of a 16-week diabetes prevention program (DPP) administered to 15 rural Montana communities using telehealth technology from a single urban medical site. Compares the findings with a concurrent study of a single urban face-to-face DPP intervention.
Author(s): Elizabeth L Ciemins, Patricia J Coon, Nicholas C Coombs, Barbara L Holloway, Elizabeth J Mullette, et al.
Citation: BMJ Open Diabetes Research & Care, 6(1)
Date: 04/2018
Type: Document
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Rural Child Welfare Practice
Issue brief discussing the needs and concerns of rural children and families, including healthcare and social services. Examines factors linked to child maltreatment, such as poverty, violence, and substance use, and features descriptions of successful programs designed to promote child welfare in rural areas of Montana, South Dakota, Kansas, and Colorado, as well as Appalachian Ohio and Kentucky.
Date: 02/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Community Engaged Cumulative Risk Assessment of Exposure to Inorganic Well Water Contaminants, Crow Reservation, Montana
Describes a community-based risk assessment to determine the health risks from consuming contaminated well water on the Crow Reservation in Montana. Includes discussion on how Crow families cope with poor quality well water and community well stewardship and water testing.
Author(s): Margaret J. Eggers, John T. Doyle, Myra J. Lefthand, et al.
Citation: International Journal of Environmental Research and Public Health, 15(1), 76
Date: 01/2018
Type: Document
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Reinventing Rural Health Care: A Case Study of Seven Upper Midwest States
Examines the state of rural healthcare in seven states - Iowa, Minnesota, Montana, Nebraska, North Dakota, South Dakota, and Wyoming - and uses the findings to determine the impact of existing federal policies, understand ongoing healthcare challenges, and identify opportunities for improvement in rural healthcare access and delivery. Addresses rightsizing healthcare services to fit community needs, creating rural funding mechanisms, building and supporting the primary care physician workforce, and expanding telemedicine services. Analysis is based on interviews with over 90 national thought leaders and key stakeholders.
Additional links: Infographic, Summary – Rural Health Care: Lessons Learned
Date: 01/2018
Type: Document
Sponsoring organization: Bipartisan Policy Center
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Developing Smokeless Tobacco Prevention Messaging for At-Risk Youth: Early Lessons from "The Real Cost" Smokeless Campaign
Presents the findings of two separate qualitative research studies – strategic concept testing and creative concept testing - conducted with youth at risk or who had experimented with smokeless tobacco (SLT), to support the development of health messaging to inform youth on the consequences of SLT use. Focus groups were conducted with 252 rural male youth ages 12-17 from states with high prevalence of SLT associated with the target audience.
Author(s): Matthew W. Walker, Sarah A. Evans, Cameron Wimpy, Amanda T. Berger, Alexandria A. Smith
Citation: Health Equity, 2(1), 167–173
Date: 2018
Type: Document
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Rural Unintentional Injuries: They're Not Accidents – They're Preventable
Examines the three leading causes of rural unintentional injuries: transportation injuries, poisonings, and falls. Discusses how rural areas compare to urban areas for these concerns, and identifies successful rural prevention strategies related to motor vehicle fatalities, non-drug poisonings, and falls.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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Kalispell Regional Healthcare: Managing the Needs of Medically and Socially Complex Patients or Superutilizers
Details how Kalispell Regional Healthcare teamed with Mountain-Pacific Quality Health to introduce a modified transitional care model, which is designed to reduce service utilization and improve the health of high-cost, high-need patients. Initiative is part of a special innovations project through the Centers for Medicare and Medicaid Services (CMS) and uses multidisciplinary "ReSource" teams to coordinate care and services across rural and underserved areas of Montana.
Date: 11/2017
Type: Document
Sponsoring organization: American Hospital Association Rural Health Services
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Rural Youth Fight for Tobacco-Free Communities
Highlights teen-led programs to prevent tobacco use in rural Kentucky, Vermont, and Montana. Discusses the impact youth can have on local and state policy related to tobacco, and well as the effectiveness youth have in reaching their peers on this issue.
Author(s): Allee Mead
Citation: Rural Monitor
Date: 11/2017
Type: Document
Sponsoring organization: Rural Health Information Hub
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