Montana Models and Innovations

Health Coaches for Hypertension Control

Updated/reviewed September 2023

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 December 2022

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 2024

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 nine recovery doulas (or doulas-in-training) employed by One Health offer services in 13 rural Montana counties. Recovery doulas have provided essential support to women with substance use disorder, survivors of sexual abuse, unhoused individuals, and individuals facing other complex challenges.

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 July 2024

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 March 2024

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, underserved communities across a five-state radius.
Results: Long-lasting connections have been formed among regional and underserved communities, medical students, and rural health professionals, with the goal of producing more rural physicians.

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.

Updated/reviewed January 2024

Need: To connect underserved and isolated older adults 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 collaborative of organizations that offer different services like caregiver support, behavioral health, financial counseling, and assistance with chores and household maintenance.
Results: Since 2015, the collaborative has reached over 4,000 older adults and caregivers in over 100 rural communities.

Updated/reviewed January 2024

Need: Dual platform to teach both plain language use and health literacy principles to health professions students and disseminate health information to rural populations.
Intervention: Writing project using community-specific public health data in order to write a plain language health education article suitable for publication in a rural newspaper.
Results: Since program start in 2017, over 60 students have successfully published their plain language health education articles in 17 rural newspapers in 3 states.

Updated/reviewed September 2023

Need: Distance, time, and cost make it difficult for EMS volunteers to attend continuing education and maintain certification.
Intervention: Providence Health Training delivers free online training to rural EMS providers via video teleconferencing.
Results: The EMS Live@Nite program provides free, monthly training to rural EMS providers in the northwestern part of the United States. The program is available through live video conferencing from certified locations in rural communities.