Action Workshop Discussion Topics

American Indian Health

Dianne Linder – dlinder@billingsclinic.org

Zana McDonald – zmcdonald@bfcc.edu

Barbara Stiffarm – bstiffarm@opportunitylinkmt.org

Katie Neskey – katie_neskey@skc.edu

Elaine Topsky – elaine.topsky@gmail.com

Kristin Juliar – kjuliar@montana.edu

Sarah Brokaw – sbrokaw@mt.gov

Maggie Ross – mross@nwmt.org

Susan Woodrow – susan.woodrow@mpls.frb.org

Rebecca Kellenberg – rkellenberg@healthmanagement.com

Aaron Wernham – aaron.wernham@mthcf.org

American Indian Health Key Topics:

  • Housing 1st and supportive housing
    • Framework as foundation for health - Players: hospitals, community developers, and financers
  • Medicaid expansion access and utilization (use Medicaid as a business opportunity to support your tribe)
  • Workforce development and training for healthcare education services (LPN, RN, medical coding, community paramedicine)
    • Healthcare contracted services within community

Wealth of Montana

Gina Bruner – gina@mtha.org

Ruth Burleigh – ruth.berleigh@ihs.org

Miranda Briggs – mbriggs2@mt.gov

Gary Gannon – gary@scigaia.com

Trina Filan – trina@unitedwaylca.org

Heather Zimmerman – hzimmerman@mt.gov

Early Childhood

Meri Young – meri.young@ftbelknap.org

Tyson Krinke – tyson@greatergallatinunitedway.org

Kris Minard – kminard@mt.gov

Barbara Burton – barbb@florencecrittenton.org

Shelly Sutherland – shelly.w.sutherland@gmail.com

Healthy Food Access

Rosie Goldich – vista@opportunitylinkmt.org

Cody L Custis – ccustis@mt.gov

Minkie Medora – minkie.medora5@gmail.com

Jessica Peterson – jdpeterson@jdpconsult.net

Al Kurki – akurki@ncat.org

Terry Ray – terrenceray@mt.gov

Jennifer Hill-Hart – jhillhart@aeromt.org

Physical Activity

Cathy Costakis – costakis@montana.edu

Julynn Wilderson – julynn@explorationworks.org

Peggy Stringer – strpmls@gmail.com

Jeremy Brokaw – jbrokaw@mt.gov

Karen Lane – klane@lccountymt.gov

Nikki Andersen – nikkia@explorationworks.org

Karrie Fairbrother – kfairbrother@stpetes.org, skineapreu@gmail.com

Wendy Thomi – thomi.wendy@epa.gov

Red Lodge Comprehensive Community Health Assessment

Jo Ann Eder – jeder@opweedwards.org

Amy Hyfield – ahyfield@opweedwards.org

Ruth Bilyeu – ruth@redlodgefire.com

Sara Urbanik – surbanik@beartoothbillingsclinic.org

Red Lodge Comprehensive Community Health Assessment Next Steps/Key Topics:

  • Bring stakeholders together
  • What is Community Health, and social determinants, to us?
  • What are the indicators?
  • Share existing assessments
  • Identify gaps in tools
  • Develop a comprehensive tool
  • Implement tool
  • Gather data
  • Develop Implementation Plan
  • Goals and Policies

Premium Payment for Medicaid Patients

Cindy Stergar – cstergar@mtpca.org

Bob Marsalli – bmarsalli@mtpca.org

Richard Miltenberger – richard-miltenberger@leavitt.com

Brandon Dietrich – Brandon.dietrich@montana.edu

Michelle Potts – mpotts@mtsla.org

Premium payment for Medicaid patients via foundations, health centers and other entities Priorities/Next Steps:

  • Legal opinion about feasibility from Michelle and her organization, to Bob Marsalli.
  • Possible reception/ meeting in Great Falls, early December in conjunction with the Montana Healthcare Forum to discuss this idea.
    • Richard Miltenberger is the lead on this possibility.
  • Cindy and Bob will keep this idea alive at MPCA.

Worksite/Workforce

Angela Bangs – angela.bangs@montana.edu

Ginny Furchong – gfurshong@mt.gov

Shani Rich – shani@mtha.org

Danica Jamison – danica@greatergallatinunitedway.org

Natascha Robinson – natascha@mtha.org

Chelsea Pelc – cpelc@mahcp.org

Carol Bischoff – carol.bischoff@montana.edu

Mary Helgeson – mary.hel@riverstonehealth.org

Worksite/Workforce Next Steps:

  • Nominate Chelsea Pelc as group coordinator
  • Create infrastructure/coalition
    • Catalog events / resources
    • Engage Education systems
    • Health coach on a regional basis
    • Conference exposure
  • Identify a group and likely funding service
    • How to make the business case / ROI
    • Website
    • Employer needs
    • DPHHS has worksite wellness coordinator in 12-13 regions
    • Identify current resources
    • Identify gap
    • Identify community needs
  • Educators, employers, chambers, DPHHS, AHEC (CHSD assessment info) workforce deal “FUNDERS”
  • Support group
    • Communication
    • Shared goals
    • Identify and solicit stakeholders
  • Trainers on site
    • # of employee and employer participants after wellness train the trainer
    • Certified worksite wellness specialist
    • Certified worksite wellness professional

Universal Newborn Home Visiting and Cradle to Career

Brie Oliver – boliver@lccountymt.gov

Emily Flemming – eflemming@safmt.org

Carrie Krepps – carriek@florencecrittenton.org

Universal Newborn Home Visiting and Cradle to Career Issues/Next Steps:

  • Groundwork has already been laid in effort to offer this service
    • Hospital aware and supportive
    • Agreed to use online referral system
    • Documentation plan created
      • Current plan: PH will make phone call to all newborn families and do general needs assessment. Waiting on hospital policy changes to start this
    • Capacity (staff) to call is in place, but need money to provide face to face visit
    • Need to work with Medicaid to learn how to bill for ACA covered services and more language in policy to allow for billing for breastfeeding services. Possible United Way accelerator campaign.
    • Implementation of service, creation of evaluation plan, possible evaluation plan – hospital readmission – rates, completed referrals
    • Next Steps: Check on PKY program in Livingston (including funding) – Brie talk to Aaron regarding Medicaid/Lactation reimbursement

Referral to Services

Blair Lund – blund@mt.gov

Referral to Services Next Steps:

  • Mostly had interest from other organizations interested in adopting Blair’s forms
  • Also had input from MT Legal Services Association Rep on other questions that could be used regarding housing and medication safety

Access to Healthcare

Bob Buzzas – bobbuzza@gmail.com

Jeanne Manske – jmanske@billingsclinic.com

Kelly Bruggeman – kellybruggeman@fib.com

Sherry Downing – sdowning@ahpnet.com

Cindy Smith – smithc@bullhook.com

Access to Healthcare Next Steps:

  • H2 Planning Session – table committed to participate (H2 handout)
    • Join leadership team
    • Design Session
  • Resources: match the HUD TA with private grant to cover local participant travel expenses, meeting amenities
  • Collaboration: will be output of planning session, for homeless and persons living with HIV-AIDS
    • Leadership Team will guide effort
    • TA provider will support leadership team in first year
  • Success: State and local action strategies will lead to improved use of healthcare system at lower cost; and housing stability will be achieved by providing units with attached services

Affordable Housing

Scott Malloy – scott.malloy@mthcf.org

Eran Fowler Pehan – efowler@montana.com

Win Youngblood – win.youngblood@hotmail.com

Alison Munson – alison@unitedwaylca.org

Kaia Peterson – kpeterson@nwmt.org

Sara Savage – ssavage@hrdc9.org

Jefff McDowell – js.mcdowell@yahoo.com

Tracy Menuez – tmenuez@hrdc9.0rg

Sarah Fitzgerald – sarahf@mtcdc.org

Affordable Housing Next Steps:

  • Plug into existing super-utilizer conversation and efforts
  • Focus on Missoula area first
  • Approach hospitals/insurers with potential housing organizations to be part of value-based/non-clinical health solutions
  • Meet with housing organizations and do joint meeting with people already working on
  • Approach hospitals/insurers through larger frame of “housing” not just “manufactured housing”
  • Identify costs – need for data to allow us to work better/more efficiently. Not so you (hospital/insurer) can pay us for this work.