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State Program: Montana
Basic Implementation
The Montana Department of Public Health and
Human Services (MDPHHS) began receiving funds from CDC in 2000 to support a state
heart disease and stroke prevention program. The program received increased funding
for basic implementation beginning in 2003.
Burden of Heart Disease and Stroke
- Heart disease is the leading cause of
death in Montana, accounting for 1,944 deaths or approximately 23% of the
state's deaths in 2002. (National Vital Statistics Report 2004;53(5)).
- Stroke is the third leading cause of
death, accounting for 639 deaths or approximately 7% of the state's deaths
in 2002. (National Vital Statistics Report 2004;53(5)).
- According to Behavioral Risk Factor
Surveillance System (BRFSS) survey results, adults in Montana
reported having the following risk factors for heart disease and stroke:
In 2005,
- 24.0% had high blood pressure
- 33.4% of those screened reported having high blood cholesterol
In 2006,
- 6.4% had diabetes
- 18.9% were current smokers
- 59.3% were overweight or obese (Body
Mass Index greater than or equal to 25.0)
- 19.4% reported no exercise in the prior 30 days
Key Responsibilities
- Facilitate collaboration among public and private sector
partners, such as managed care organizations, health
insurers, federally funded health centers, businesses,
priority population organizations, and emergency response
agencies.
- Define the burden of heart disease and stroke and assess
existing population-based strategies for primary and
secondary prevention of heart disease and stroke within the
state.
- Develop and update a comprehensive state plan for heart
disease and stroke prevention with emphasis on heart-healthy
policies development, physical and social environments
change, and disparities elimination (e.g., based on
geography, gender, race or ethnicity, or socioeconomic
status).
- Identify culturally appropriate approaches to promote
heart disease and stroke prevention among racial, ethnic,
and other priority populations.
- Use population-based public health strategies to
increase public awareness of the heart disease and stroke
urgency, the signs and symptoms of heart disease and stroke,
and the need to call 9–1–1.
- Support health care organizations system changes to
assure quality of care and implementation of primary and
secondary prevention for heart disease and stroke.
- Monitor, implement, and evaluate prevention strategies
and programs in health care sites, work sites, and
communities.
- Provide training and technical assistance to public
health, health care professionals, and partners to support
primary and secondary prevention of heart disease and
stroke.
- Monitor quality of care for primary and secondary
prevention.
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State Highlights
- Montana is part of the Northwest Regional Stroke Network funded by
CDC. The Network is led by the Washington Department of Public Health
and also includes Alaska, Idaho, and Oregon.
- The Cardiovascular Health (CVH) program has partnered with the
MDPHHS Emergency Medical Services (EMS) section to conduct a 2006 stroke
assessment with pre-hospital providers.
- The CVH program has partnered successfully with voluntary health
agencies such as the Montana chapter of the American College of
Cardiology (ACC), Mountain-Pacific Quality Health Foundation (the
Quality Improvement Organization), the American Heart
Association/American Stroke Association (AHA/ASA), Billings Area Indian
Health Service, and individual service units and tribes. These
collaborations have involved piloting ACC’s Acute Myocardial Infarction
Guidelines Applied in Practice or AMI GAP (which is intended to
establish hospital-based systems to enhance acute cardiac care),
implementing heart attack and stroke public education campaigns, and
analyzing a diabetes audit of Montana’s reservations to focus on
cardiovascular disease prevention.
- The Montana CVH program and the Montana Stroke Initiative (MSI)
developed and implemented a statewide system that allows patient access
to the optimal stroke care regardless of where they live in the state.
The program has carried out scans of hospitals across the state to
assess their resources and has developed maps showing locations and
driving distances to stroke centers. The CVH program also assessed EMS
providers and offered pre-hospital educational opportunities. Based on
feedback and direction from the stroke initiative, the Board of Medical
Examiners now has adopted a stroke protocol for EMS. Key components of
the stroke initiative include piloting a telestroke system with a rural
facility, improving recognition of signs/symptoms and the need to
immediately call 9–1–1, enhancing pre-hospital stroke care, providing
protocols on a Web site and in a stroke toolkit to encourage health care
facilities to adopt acute care treatment practices.
- Assessments of Montana and northern Wyoming cardiac rehabilitation
facilities showed the need for a statewide quality improvement project
to ensure quality care and address secondary prevention as part of
cardiac rehabilitation. In 2006, the CVH program established a
region-wide outcomes group with the assistance of the Montana
Association of Cardiovascular and Pulmonary Rehabilitation (MACVPR).
Programs in Montana and northern Wyoming are tracking a uniform set of
outcome indicators. Each program submits their outcomes data to the CVH
program quarterly, and the program provides feedback to each facility.
The goal of the outcomes project is to create a standard of care for
cardiac rehabilitation in this region.
For more information on heart disease and
stroke prevention in the state, visit the Montana Cardiovascular Health
Program Web site at
http://montanacardiovascular.state.mt.us.*
To view county–level data for Montana,
visit our interactive map site at
http://www.cdc.gov/dhdsp/library/maps/statemaps.htm.
*Links to non–Federal organizations are provided solely as a service to our users. Links do not constitute an endorsement of any organization by CDC or the Federal Government, and none should be inferred. The CDC is not responsible for the content of the individual organization Web pages found at this link.
Page last reviewed: October 11, 2007
Page last modified: October 11, 2007
Content source: Division for Heart Disease and Stroke
Prevention,
National Center for Chronic Disease Prevention and
Health Promotion
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