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Montana Resources

Selected Rural Healthcare Facilities in Montana
Shows the state's Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites located outside of urbanized areas.
Date: 10/2019
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Resource Guide: Promising Programs in Native American Communities
Highlights promising programs for tribal communities in Montana. Features programs to support mental health and suicide prevention, substance abuse, social determinants of health, and diabetes prevention, among other issues.
Date: 05/2019
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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Montana Primary Care, Dental Care, and Mental Health Care Health Professional Shortage Areas
Provides maps of Montana showing county-level information of Primary, Dental, and Mental Health Care Health Professional Shortage Areas (HPSAs). Identifies the location of correctional facilities, Federally Qualified Health Centers (FQHCs), Indian Health Service (IHS) facilities, Critical Access Hospitals (CAHs), Rural Health Clinics (RHCs), and Native American reservations.
Date: 04/2019
Type: Map/Mapping System
Sponsoring organization: Montana Primary Care Office
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Organizing Complex Care for Rural Populations: A Case Study of Three Montana Communities
Discusses qualitative and quantitative data from interventions designed to address the complex health and social needs of resident in three Montana communities: Kalispell, Billings, and Helena. Covers patient demographics and patient health information for all three sites; lessons learned; and experiences from intervention program staff.
Author(s): Derek DeLia, Jolene Chou
Date: 03/2019
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Potential Effects of Work Requirements in Montana's Medicaid Program
Explores the potential impacts of Montana's proposed Medicaid reform legislation, Medicaid Reform and Integrity Act (MeRIA). Reports on Montana residents most likely to be affected by MeRIA's work requirements, and the potential loss of Medicaid coverage and resulting effects. Includes statistics describing the characteristics of Montana Medicaid expansion beneficiaries mostly likely to be impacted by the proposed work requirements by age, race/ethnicity, education, barriers to employment, and rurality.
Author(s): Leighton Ku, Erin Brantley
Date: 02/2019
Type: Document
Sponsoring organization: George Washington University Milken Institute School of Public Health Center for Health Policy Research
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Cost-Effectiveness of a Community-Based Cardiovascular Disease Prevention Intervention in Medically Underserved Rural Areas
Details the results of a cost analysis and cost-effectiveness analyses (CEAs) between the Strong Hearts, Healthy Communities (SHHC) program and a control program looking at changes in cardiovascular disease risk factors among overweight or obese women aged 40 and older living in medically underserved rural areas in Montana and New York.
Author(s): Hua Wang, Donald Kenkel, Meredith L. Graham, et al.
Citation: BMC Health Services Research, 19, 315
Date: 2019
Type: Document
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Montana Surveillance Snapshot: HIV, 2018
Report featuring statistics on HIV cases in Montana. Includes HIV case rate from 2008-2018 with breakdowns by sex, percent of new diagnoses with breakdowns by risk factor, ethnicity, and age, and a county-level map showing numbers of new diagnoses from 2011-2018.
Date: 2019
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Support and Sabotage: A Qualitative Study of Social Influences on Health Behaviors among Rural Adults
Examines the impact of social relationships on health behavior adoption and maintenance by interviewing midlife and older adults in rural Montana at increased risk of chronic disease. Addresses family and peer influences on diet, physical activity, and tobacco use.
Author(s): Urshila Sriram, Emily H. Morgan, Meredith L. Graham, Sara C. Folta, Rebecca A. Seguin
Citation: Journal of Rural Health, 34(1), 88-97
Date: 12/2018
Type: Document
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Perceptions of Driving after Marijuana Use Compared to Alcohol Use among Rural American Young Adults
Examines the perceptions of young adults aged 18-25 regarding the acceptability and danger associated with driving after marijuana use as opposed to alcohol use in rural and frontier areas of Montana.
Author(s): Kaylin M. Greene
Citation: Drug and Alcohol Review, 37(5), 637-644
Date: 07/2018
Type: Document
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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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Network Spotlight: Montana Health Network
Highlights an interview with Chris Hopkins, VP of Strategy and Business Development with Montana Health Network. Provides a description of the Montana Health Network, member benefits, and challenges encountered when working on rural healthcare. Covers advantages of working in rural areas and insights gained through the development of the network.
Date: 03/2018
Type: Document
Sponsoring organization: National Rural Health Resource Center
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Rural Child Welfare Practice
Discusses 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, and Appalachian Ohio and Kentucky.
Date: 02/2018
Type: Document
Sponsoring organization: Administration for Children and Families
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Veteran Suicide in Montana, 2013-2016
Analyzes Montana death certificate data by veteran status from 2013 through 2016 to describe suicide deaths and related characteristics. Includes data on suicide rates by veteran status and rurality for Montana residents age 18 years or older from 2013 to 2016.
Date: 01/2018
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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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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2018 Montana Oral Health Workforce Assessment
Provides an overview of the oral health workforce in Montana. Includes information on the scope of practice, education and continuing education, and distribution within the state for dentists, dental hygienists, dental auxiliaries, and denturists. Covers county-level data on dental Health Professional Shortage Designations (HPSAs) by type. Discusses initiatives to expand dental education in Montana to meet the needs in rural areas.
Date: 2018
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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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 Section for Small or Rural Hospitals
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Mountain-Pacific Quality Health Pilot: Closing the Gaps in Rural Complex Care
Profiles Mountain-Pacific Quality Health, a nonprofit corporation part of a pilot program aimed at improving the health of rural patients through the use of technology and interdisciplinary care teams working together in Montana's Flathead Valley. Describes a $1 million innovation award from the Center for Medicare and Medicaid Innovation to support their use of ReSource Teams and help care for high-cost, high-need Medicare patients in the region.
Additional links: Case Study: Shared Military Background Helps Community Health Workers Connect with Patients in Rural Montana
Date: 10/2017
Type: Document
Sponsoring organization: Center for Health Care Strategies
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Promising Practice: Montana's Rural Health Initiative Promotes Healthy Lifestyles and Communities
Describes the projects of Montana Office of Rural Health's Rural Health Initiative (RHI) with a particular emphasis on the Montana Healthy Communities Conference. This conference was developed through a partnership with national and state foundations, and leftover funds were used to award Mini Grants to rural community organizations for health and wellness initiatives.
Author(s): Beth Blevins
Date: 08/2017
Type: Document
Sponsoring organization: National Organization of State Offices of Rural Health
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Providing Patient-Centered Enhanced Discharge Planning and Rural Transition Support: Building a Rural Transitions Network Between Regional Referral and Critical Access Hospitals
Details manual procedures used in Western Montana to develop a model to improve the likelihood of a good recovery for patients and decreasing chances of re-hospitalization. Includes a guide to ethical considerations in discharge and rural transition planning.
Author(s): Tom Seekins, Heidi Boehm, Jennifer Wong, Linda Yearous, AnnaJean Smith
Date: 08/2017
Type: Document
Sponsoring organization: University of Montana Rural Institute: A Center for Excellence in Developmental Disabilities
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Regulating Network Adequacy for Rural Populations: Perspectives of Five States
Policy brief describing how California, Kentucky, Montana, Texas, and Wisconsin define insurance network adequacy and how much consideration is given to rural issues in regulating their networks. Features statistics including these states' rural population, rural percent of total population, rural area in square miles, number of marketplace networks, and percent that are narrow networks.
Author(s): Michelle Casey, Carrie Henning-Smith, Jean Abraham, Ira Moscovice
Date: 08/2017
Type: Document
Sponsoring organization: University of Minnesota Rural Health Research Center
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RS3--The Montana Rural Surgery Support System--Is a Model for Surgical Care in Rural CAHs
Features a clinically integrated surgery network model, designed to help rural surgeons provide complex surgical care with limited resources. Described as being easy to reproduce and applicable to almost all surgical subspecialties.
Author(s): David Sheldon
Citation: Bulletin of the American College of Surgeons, 102(10), 61-63
Date: 07/2017
Type: Document
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The Oral Health of Montana's Head Start Children, 2016
Describes the prevalence of tooth decay among Montana children aged three to five years enrolled in Head Start compared to children aged three to five years in the general U.S. population from 2015 to 2016. Includes data on decay experience and untreated decay for Montana Head Start children aged three to five years from 2015 to 2016 by gender, race and ethnicity, and rurality.
Date: 04/2017
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Montana's Physician Workforce in 2016
Findings brief describing the size, distribution, and education history of Montana's physician workforce. Features statistics on various specialties with breakdowns by urban, overall rural, large rural, small rural, and isolated small rural areas.
Author(s): Susan M. Skillman, Arati Dahal
Date: 03/2017
Type: Document
Sponsoring organizations: UW Center for Health Workforce Studies, WWAMI Area Health Education Center Network
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New Partner Recruitment to Rural Versus Urban Ob-Gyn Practices: A Survey of Practicing Ob-Gyns
Discusses the results of a survey of obstetrics and gynecology practices in rural and urban areas located in 5 Northwestern states to examine their recruitment efforts. Information and data about their background, practice setting, partner recruitment, and retention was collected and analyzed, with comparisons noted between rural, suburban, and urban providers.
Author(s): Michael F. Fialkow, Carrie M. Snead, Jay Schulkin
Citation: Health Services Research and Managerial Epidemiology, 2017(4)
Date: 2017
Type: Document
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Montana Healthcare Workforce: Statewide Strategic Plan, 2017
Provides guidance and outlines a healthcare workforce plan to address the unique needs of the state of Montana. Presents strategies in four main areas: engaging Montanans in understanding and addressing the state's healthcare workforce needs; educating and training the state's healthcare workforce to serve in frontier, rural, and underserved communities; recruiting health professionals to health professional shortage areas; and retaining a skilled healthcare workforce. Appendix includes numerous maps that allow comparison of health professions and sector trends at the county level.
Date: 2017
Type: Document
Sponsoring organization: Montana Healthcare Workforce Advisory Committee
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Population Health Strategies of Critical Access Hospitals
Provides examples of population health strategies developed by Critical Access Hospitals (CAHs) from 8 different rural communities that have significantly contributed to the improvement of population health and the health of their community.
Author(s): John Gale, Andrew Coburn, Karen Pearson, Zachariah Croll, George Shaler
Date: 08/2016
Type: Document
Sponsoring organization: Flex Monitoring Team
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Integrated Behavioral Health In Montana: A Baseline Assessment of Benefits, Challenges, and Opportunities
Presents results from a baseline assessment of Montana's behavioral health system of care. Evaluates the possibility of addressing system deficiencies by implementing an integrated behavioral health model. Describes rural-specific benefits and challenges associated with system integration.
Additional links: Issue Brief
Author(s): Katie Loveland
Date: 04/2016
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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Montana 2016 Suicide Mortality Review Team Report
Highlights findings and recommendations from the Montana Suicide Mortality Review Team based on an analysis of 555 suicides in Montana. Provides suicide and related data by county for youth, American Indian, and veteran populations.
Date: 2016
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Travel Distance Study for Rural/Competitive Bid Area/Neither Rural nor CBA Census Tracts to Hospitals and Home Medical Equipment Suppliers: Montana, North Dakota, Oregon, Washington, West Virginia, Wisconsin
Measures rural populations' proximity to hospitals and home medical equipment suppliers in Montana, North Dakota, Oregon, Washington, West Virginia, and Wisconsin in comparison with their urban counterparts.
Date: 12/2015
Type: Document
Sponsoring organization: University of Northern Iowa Geoinformatics Training, Research, Education, and Extension (GeoTREE) Center
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Preventable Deaths in Montana: Unintentional Injury Deaths by County
Identifies and discusses premature deaths statistics due to unintentional injury in Montana at the county level.
Date: 04/2015
Type: Document
Sponsoring organization: University of Montana Rural Institute: A Center for Excellence in Developmental Disabilities
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Overview of Alternative Schools and Education Programs
Analyzes data from 28 alternative education programs, including 16 programs located in rural Montana communities. Defines an alternative education program, from the Montana Office of Public Instruction (OPI), as a restructured academic program operating within an accredited public school to serve at-risk students. Provides information on student characteristics and alternative school services. Covers three local model programs that work to address the behavioral and mental health, substance abuse treatment, and counseling needs of students.
Additional links: Health Brief
Author(s): Katie Loveland, Aaron Wernham
Date: 03/2015
Type: Document
Sponsoring organization: Montana Healthcare Foundation
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Blackfeet Community College Tribal Health Profession Opportunity Grants (HPOG) Program - Overview and Preliminary Outcomes
Provides an overview of the Issksiniip Project, a Tribal Health Profession Opportunity grant program to assist students at Blackfeet Community College and other Montana colleges. Includes a brief description of the health careers available to participating students, which include nursing, pharmacy, dental, medical coding and billing, and other allied health professions. Discusses program structure and services and preliminary results of the program.
Date: 02/2015
Type: Document
Sponsoring organization: Administration for Children and Families
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Pharmacogenomics in Diverse Practice Settings: Implementation Beyond Major Metropolitan Areas
Describes the results of interviews with 17 healthcare providers regarding the implementation of pharmacologic testing in small metropolitan, rural, and tribal practices in Montana. Identifies barriers specific to each practice setting and includes participant characteristics, such as clinical role and practice setting.
Author(s): Elizabeth H. Dorfman, Susan Brown Trinidad, Chelsea T. Morales, et al.
Citation: Pharmacogenomics, 16(3), 227-237
Date: 2015
Type: Document
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Health Workforce Assessment: Tools for Policymakers and Planners
Provides information and statistics on the rural healthcare workforce, assessments, and other factors affecting the delivery of healthcare in Washington, Wyoming, Alaska, Montana, and Idaho.
Author(s): Susan M. Skillman, Davis G. Patterson, Denise M. Lishner, Mark P. Doescher, C. Holly A. Andrilla
Date: 07/2013
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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What Is Rural in the WWAMI States? Why Definitions Matter
Discusses the multiple definitions of rural. Describes the impacts of using differing definitions in Washington, Wyoming, Alaska, Montana, and Idaho.
Author(s): Susan M. Skillman, Davis G. Patterson, Denise M. Lishner, Mark P. Doescher, Meredith A. Fordyce
Date: 07/2013
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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Building and Maintaining the Rural Health Workforce: Resources and Strategies
Provides examples of national and regional programs in Washington, Wyoming, Alaska, Montana, and Idaho. Focuses on programs that support the education, recruitment, and retention of the rural healthcare workforce.
Author(s): Davis G. Patterson, Denise M. Lishner, Susan M. Skillman, Mark P. Doescher
Date: 07/2013
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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The Rural Health Workforce in the WWAMI States: By the Numbers
Provides statistics on healthcare professionals in rural and urban areas of Washington, Wyoming, Alaska, Montana, and Idaho.
Author(s): Davis G. Patterson, Susan M. Skillman, C. Holly A. Andrilla, Denise M. Lishner, Mark P. Doescher
Date: 07/2013
Type: Document
Sponsoring organization: UW Center for Health Workforce Studies
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The Rural Health Workforce: Challenges and Opportunities
Describes characteristics and challenges of the rural healthcare workforce in Washington, Wyoming, Alaska, Montana, and Idaho. Covers factors affecting delivery of healthcare in rural areas.
Author(s): Susan M. Skillman, Davis G. Patterson, Denise M. Lishner, Mark P. Doescher
Date: 07/2013
Type: Document
Sponsoring organization: WWAMI Rural Health Research Center
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Care Management for Medicaid Enrollees Through Community Health Teams
Presents data from a 2011-2012 review of state Medicaid medical home programs in 8 states. Identifies community health team programs that provide services such as care coordination and self-management coaching. Includes information on small or rural practices.
Author(s): Mary Takach, Jason Buxbaum
Date: 05/2013
Type: Document
Sponsoring organization: Commonwealth Fund
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Health Insurance Coverage in Montana: The Rural Implications
Examines health insurance coverage data in Montana to determine if there is a distinction between rural and urban areas.
Author(s): Jon Bailey
Date: 01/2013
Type: Document
Sponsoring organization: Center for Rural Affairs
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Rural Health Networks Prove There is Strength in Numbers
Highlights how rural health networks help hospitals demonstrate measurable quality improvement results. Features networks in Michigan and Montana.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 11/2011
Type: Document
Sponsoring organization: Rural Health Information Hub
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Montana State Rural Health Plan
Plan to shape the development of Critical Access Hospitals (CAHs) and the Medicare Rural Hospital Flexibility Program in Montana. Includes information on trends, challenges, and methods to ensure access to quality healthcare across the state. Contact the Montana Department of Public Health and Human Services at 406.444.9519 to request a copy of the report.
Date: 07/2011
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Nonprofit Networks Supply Travel Nurses to Rural Montana
Profiles local travel nurses, from two networks in Eastern and Western Montana, who work for shorter time frames and go to more remote areas than most of their urban counterparts.
Author(s): Candi Helseth
Citation: Rural Monitor
Date: 05/2010
Type: Document
Sponsoring organization: Rural Health Information Hub
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Montana Department of Public Health and Human Services - Coronavirus Disease 2019 (COVID-19)
Resources and information on Montana's response to COVID-19, including information on public health monitoring and testing, guidance, and information for healthcare professionals.
Type: Website
Sponsoring organization: Montana Department of Public Health and Human Services
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Montana Chronic Disease Prevention & Health Promotion Bureau: July 2016-June 2018 Progress Report
Report highlights the public health efforts in the areas of tobacco cessation, diabetes and cancer reduction, and promoting physical activity, among other issues in Montana. Compares rates over a two year span and details the programs designed to address them.
Type: Document
Sponsoring organization: Montana Department of Public Health and Human Services
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Montana Medicaid Expansion Dashboard
Summarizes data for Medicaid enrollment and services, member demographics, and premiums and disenrollment for Medicaid beneficiaries in Montana from 2016 to 2018 on a monthly basis. Includes county-level Medicaid enrollment data with additional information on breast and colon cancer diagnosis and screenings, mental health treatment, substance used disorder treatment, and more.
Type: Website
Sponsoring organization: Montana Healthcare Foundation
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Montana's Indicator-Based Information System for Public Health (MT-IBIS)
Provides data on public health indicators for Montana, including at a county level. Covers cause of death, maternal and child health, opioid use, mental health, and other health status measures. Use the "Data Queries" section to create tables with county data and the "Health Topics" section to see information available for each topic.
Type: Website
Sponsoring organization: Montana Department of Public Health and Human Services
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Montana KIDS COUNT Data Center
Provides data on child well-being for the state. Covers demographics, economic well-being, education, family and community, health, and safety and risky behaviors. Some data available by county.
Type: Website
Sponsoring organization: Annie E. Casey Foundation
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ERS State Fact Sheet: Montana
State-level data on population, poverty, food security, educational attainment, employment, and income. Includes data for rural areas, urban areas, and the state as a whole.
Type: Website
Sponsoring organization: USDA Economic Research Service
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Montana QuickFacts
State-level data on demographics, housing, income, and other social determinants of health, with the option to add data for counties and cities and towns with a population of 5,000 or more. Includes information from multiple U.S. Census Bureau censuses, surveys, and programs.
Type: Website
Sponsoring organization: U.S. Census Bureau
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Montana State Health Facts
State-level data on demographics, health status, healthcare costs and access, healthcare providers, and more.
Type: Database
Sponsoring organization: Kaiser Family Foundation
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Additional resources are available. See a full list of Montana Resources.


Last Updated: 4/2/2020