Montana Models and Innovations

Updated/reviewed March 2026

Need: To increase access to medical screening for miners in New Mexico.
Intervention: A mobile screening clinic with telemedicine capability screens miners for respiratory and other conditions.
Results: In a survey, 92% of miners reported their care as very good, while the other 8% reported it as good. The program has expanded to three other states.

Updated/reviewed November 2025

Need: A cost-effective approach to help rural patients with hypertension learn to manage their condition.
Intervention: Community volunteers trained as health coaches provided an 8-session hypertension management training program to hypertension patients older than 60, with an optional supplemental 8 sessions focused on nutrition and physical activity.
Results: Just 16 weeks after the program, participants had improved systolic blood pressure, weight, and fasting glucose, greater knowledge of hypertension, and improved self-reported behaviors.

Updated/reviewed April 2026

Need: Increase health profession students' awareness of how plain language and health literacy principles can improve their written and spoken health messaging.
Intervention: Using a writing project that leverages plain language in health messaging, health profession learners participating in rural clinical rotations write health information articles for publication in rural community newspapers.
Results: Since the North Dakota program's start in 2017, nearly 100 students have successfully published articles in about 25 rural newspapers in 3 states. In recent years, increased program visibility has led to reprint and additional articles requests from a variety of state news publications, advocacy organizations, professional societies, and recent model replication in New York.

Updated/reviewed January 2026

Need: To connect isolated older adults and family caregivers in rural Minnesota, Montana, North Dakota, and South Dakota to services and supports so they can age in place.
Intervention: The Rural Aging Action Network is a national collaborative of organizations that mobilize whole communities to address gaps in care for rural older adults and family caregivers.
Results: Since 2022, the collaborative has reached over 1,000 older adults and over 200 family caregivers living in rural communities.

Updated/reviewed November 2025

Need: To support pregnant and parenting women with a history of substance use, mental health, or co-occurring disorders in rural areas of Montana.
Intervention: One Health, a consortium of Federally Qualified Health Centers (FQHCs), developed a team of "recovery doulas" – individuals who are dual-certified as doulas and peer-support specialists. The One Health recovery doula program offers group and individual services to women and their partners from pregnancy through the first years of parenthood.
Results: A team of four recovery doulas (or doulas-in-training) employed by One Health offer services in 8 rural eastern Montana counties. One Health has also successfully trained and certified 35 Peer Recovery Doulas statewide through their Peer Recovery Doula certification curriculum.

Updated/reviewed July 2025

Need: To provide blood transfusions in the ambulance on the way to a hospital.
Intervention: The Montana Interfacility Blood Network includes 48 healthcare facilities that stock blood and allow ambulances to pick up units of blood while transporting a patient.
Results: Since its launch, the network has helped at least three patients.

Updated/reviewed July 2025

Need: Suicide among veterans has been steadily increasing, and rural veterans have an increased risk of death by suicide compared to urban veterans.
Intervention: A program called Together with Veterans was formed to help rural communities address and prevent suicides among veterans. The initiative is veteran-led, collaborative, evidence-based, and community-centered.
Results: Data collection is ongoing.

Updated/reviewed April 2025

Need: There is a shortage of rural physicians in the Northwestern United States.
Intervention: University of Washington medical students are receiving training through the TRUST program in rural communities across a five-state radius.
Results: Long-lasting connections have been formed among regional communities, medical students, and rural health professionals, with the goal of producing more rural physicians.

Updated/reviewed August 2024

Need: Before 2000, Butte and southwest Montana saw around 1,300 cases of child abuse a year, with only a 20% conviction rate for perpetrators of sexual abuse.
Intervention: Multiple agencies in the community came together to address the issue of child abuse by forming the Butte Child Evaluation Center (CEC), a Children's Advocacy Center.
Results: During a 3-year grant cycle, over 200 interviews and exams were performed on victims of sexual abuse and the Butte CEC became the first program in Montana to be accredited by the National Children's Alliance.

Added February 2024

Need: To provide a convenient and affordable lodging option for patients who have traveled from a distance to receive medical treatment in Bozeman, Montana.
Intervention: An RV parking program that lets anyone who is actively seeking care at Bozeman Health Deaconess Regional Medical Center stay in the hospital parking lot.
Results: Throughout the summer of 2023, at least one patient was using an RV parking space at all times.

Effective Examples