Montana — SPROC

Child Ready Montana

June 1, 2012 - May 31, 2021

Grant Number

H3AMC24074

Project Overview: 2012-2016: The SPROC grant implemented the Montana Inclusive Model of Pediatric Emergent Care, with plans to: (1) develop a replicable, regionalized system of healthcare to optimize the sharing of resources; (2) facilitate the management and treatment of acutely ill and severely injured children through the use of telemedicine; (3) implement a plan and transfer processes to provide pediatric specialty services for children requiring access to a higher level of service; and (4) improve access to and retrieval of clinical data to support quality improvement initiatives which support safe, timely, efficient, effective, equitable, and patient-centered care.
2016-2021: Building upon the state’s 2012-16 work, the Montana Inclusive Model for Pediatric Emergent Care (MIMPEC) Program, the program worked to develop an accountable, culturally competent, and accessible system of care for pediatric patients across the state that focused on providing the right care at the right time in the right place. The 2016 Child Ready Montana Project will continue the development of systems of care to increase access, pediatric readiness, and strength-based approaches for all children. This is planned through the achievement of the following goals: (1) Expand the state facility recognition program to ensure the pediatric readiness of Montana’s hospitals while ensuring inclusion of children in tribal, territorial, rural, and insular communities; (2) Continue the development of coordinated systems of care to reduce and prevent pediatric morbidity and mortality by increasing timely access to pediatric specialists through established networks and pediatric-specific educational opportunities; (3) Improve the transfer process of pediatric patients to higher levels of care; (4) Establish baseline data reporting processes for healthcare facilities included in the regionalized network; and (5) Improve clinical quality performance metrics for pediatric emergency services in service area/network hospitals.
Institution: Department of Public Health and Human Services, Public Health & Safety Division, EMS & Trauma Systems Program
Award Amount: $1,000,000

Contacts

Name	Role(s)	Phone	Email
Terry Mullins			terence.mullins@mt.gov
Kassie Runsabove	Cultural Liason	(406) 238-6216	kassie.runsabove@svh-mt.org
Robin Suzor, AS, BS	Program Manager	(406) 444-0901	rsuzor@mt.gov

Products

Title	Format	Description	Published/Revised	Availability
Culture of Care Toolkit	Toolkit	This Toolkit provides resources and training to facilitate the development of cultural competence and humility in one’s self, colleagues, the … Culture of Care Toolkit Description This Toolkit provides resources and training to facilitate the development of cultural competence and humility in one’s self, colleagues, the work environment and its application to practice	2020	Available Online Instructor Manual Student Manual
Practicing Cultural Sensitivity	Webinar		2016	Available Online Webinar
Providing Culturally Sensitive Care to Children and Families	Webinar	This webinar focused on the importance of cultural sensitivity in the provision of care to American Indian children and families, … Providing Culturally Sensitive Care to Children and Families Description This webinar focused on the importance of cultural sensitivity in the provision of care to American Indian children and families, the cultural difference in providing care to Native American reservation and urban children and families, as well as barriers to implementing culturally sensitive strategies.	2016	Available Online Webinar

Disseminations

Title	Type	Publication/Event	Published/Presented	Identifier	Details
EMSC Child Ready MT	Presentation	2019 EMSC All Grantee Meeting	2019		EMSC Child Ready MT Author(s)/Presenter(s) Jason Mahoney Abstract/Description Update on the MT SPROC Program. https://bit.ly/3lHecvF
Regionalization of Pediatric Care in Montana	Presentation	Rocky Mountain Trauma Symposium	2015 Not available
Urban and rural patterns in emergent pediatric transfer: a call for regionalization	Research Paper/Publication	Journal of Rural Health	2014	PMID: 24164349 DOI: 10.1111/jrh.12051	Urban and rural patterns in emergent pediatric transfer: a call for regionalization Author(s)/Presenter(s) Timothy Horeczko, James Marvin, Jeremy Kahn, Robert Sapien Abstract/Description Context: National groups call for the regionalization of health care, to direct patients with high-risk conditions to designated hospitals with greater capabilities. Currently there is limited information detailing the characteristics and specific needs of acutely ill and injured children who require transfer to another institution, especially in underserved rural communities. Purpose: To determine the epidemiology of pediatric transfers from urban and rural emergency departments (EDs). Methods: We analyzed data in the National Hospital Ambulatory Medical Care Survey from 1995 to 2010. Eligible children were <18 years of age seen in a United States ED, and transferred to another hospital after initial evaluation. Findings: Of all 283,232,058 pediatric ED visits, less than 0.5% resulted in a transfer, yielding a population-based estimate of 900,100 transfers nationally during this period. Urban and rural EDs showed similar transfer rates. Children transferred from rural EDs were older and more likely to arrive by emergency medical services than children transferred from urban EDs (12.1 vs 8.2 years of age, P < .01). Children from rural EDs were more than twice as likely to be transferred for a psychiatric indication (43.5% vs 19.5%, P < .01). Conclusions: Emergency pediatric transfers are uncommon in the United States; transfer rates are similar in urban and rural settings. Rural children have additional obstacles to care, especially in access to emergency mental health services. Programs to study and implement regionalization of care should consider diverse patient populations and target improvement in coordination of care, transfer times, and outcomes. Keywords access to care; health disparities; mental health; policy; utilization of health services View On Pub Med