Montana. Division of Comprehensive Health Planning.

Montana comprehensive health planning news (Volume 1974 VOL 5 NO 2) online

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utilization and other health care
data which would be made avail-
able to the federal government on
a regular basis. A variety of guide-
lines would be provided by DHEW
in the development by each RHA
of long and short-range goals, es-
tablishing need for institutional
care and other guidelines to deter-
mine the supply of health care.

It should be noted that Congres-
sional members of the House and
Senate subcommittees on health
are considering several pieces of
legislation similar to Roy's Region-
al Health Authority proposal. It is
too early at this point to determine
what course Congress is going to
take in the health care maze, but
health care planners, providers and
consumers can rest assured that
the future will bring a significantly
more closely coordinated health
care system.

7122 REVIiW

^-continued from page 9

5. Great Falls

Columbus Hospital.

Proposal — renovation of current

emergency room facilities.

Approximate cost, $84,000.*


6. Havre

Hi-line Home 22 Intermediate


Proposal — additional beds and

modernize 18 beds.

Approximate cost, $400,000.*


7. Havre

Dave Sande and Wilbur


Proposal — 60 bed nursing home.

Approximate cost, $425,000.


8. Lewistown

Central Montana Medical
Facilities, Inc.

Proposal — a new facility with
47 hospital beds and 70 long-
term care beds.
Approximate cost, $2,860,000.
* Includes remodeling, etc.

Cawnings and Goings at CMiP

In response to the increasing
role of CHP in the Montana health
scene, health planning assistant
Dave Turner has been added to the
ranks of the state CHP staff. A
former VISTA Volunteer, Dave
began work with the Department
of Health and Environmental
Sciences on November 1st. Assign-
ed as a VISTA to CHP since June,
he has been working with the Ad-
visory Council's Environmental
Health Committee, as well as with
the North Central Montana Health
Planning Council's Environmen-
tal Committee.

Dave and his wife Mary most re-
cently lived in Iowa where the


— continued from page 2

Citizens' Advocate Office was es-
tablished by Governor Tom Judge
as an alternative to an ombudsman
bill which was before the legisla-
ture last session.

Receiving 20-30 calls per day,
the office has been termed a suc-
cess thus far by the staff. The of-
fice handles all sorts of inquiries,
with the exception of legal ques-
tions, about state government.

Finding answers to citizens'
questions may sometimes require
extensive research on the part of
the citizens' advocate office, or
may necessitate a direct reply from
an authority in state government
on the subject in question.

The office is open from 8 a.m. to
5 p.m., Monday through Friday,
and interested persons in need of
assistance are encouraged to call
to find out about the workings cf
Montana state government.

couple graduated from Iowa State
University. They moved to Mon-
tana early this summer to accept
VISTA assignments with the Mon-
tana State Economic Opportunity

Staff responsibilities for the new
health planning assistant include


assisting in the development of the
State Comprehensive Health Plan
and editing the CHP News. Dave
will also continue to provide staff
assistance to the Environmental

Busy answering all sorts of questions,

the Citizen's Advocate Office is open

for business!


Selects Board

The Economic Development As-
sociation of Eastern Montana,
which performs the CHP function
of the eastern areawide, selected
its Facilities Review Board mem-
bers recently and held an orienta-
tion session for the new board
members on December 3 and 4.

Chosen to represent the 18
counties of eastern Montana were:
Jim Schumacher, Malta; Ernie
Logan, Glasgow; Lyder Tande,
Scobey; Dr. Messinger, Plenty-
wood; Patricia Peterson, Culbert-
son; Margaret Gannon, Wibaux;
Myron Ernst, Circle; Dr. Leroy
Moline, Glendive; Mary Alice Reh-
bein, Sidney; Margaret O'Connor,
Jordan; Jim Hoffman, Glendive;
Ray Frank, Terry; Dirk Rolston,
Miles City; Frances Groskey,
Miles City; Minnaclare Lavender,
Baker; Alyce Kerr, Forsyth; Floyd
Irion, Broadus; Viola Sandy, Eka-
laka; and Lucy Hope, Hysham.

^-continued from page 6

might otherwise find it necessary
to build a Montana medical school,
will be substantial.

But everything has its price. If
the goals of the program are to be
accomplished, the individual states
participating in the WAMI Pro-
gram must assume some financial
responsibility. The original financ-
ing of the program came from a
combination of private institution
and federal funding. That funding
is scheduled to end entirely by
June, 1975. It is estimated that the
state of Montana must contribute
approximately $250,000 per year
to fund the Montana WAMI Pro-
gram. This figure is based on 15-20
students at 10-12 thousand dollars
per student.

So it appears as though the Mon
tana Legislature holds the future
of the WAMI Program in its hands.
Their decision to fund or not fund
the program may have a large bear-
ing on the success of small com-
munities and rural areas searching
for resident physicians as well.


— continued from page 7

operate in a state regardless of cer-
tain restrictive provisions in a
state's laws. This provision would
knock out laws now on the books
in 22 states, including Montana,
which in some way may hamper
development of such plans.

During the first session of the
43rd Legislative Assembly of Mon-
tana, Senator Gordon Bollinger in-
troduced SJR 34 which requested
the Legislative Council to conduct
a feasibility study of health main-
tenance organizations for Montana.
Although the resolution was passed
by both houses of the legislature
and signed on March 15, 1973 by
Governor Thomas Judge, the study
has not been undertaken by the
Legislative Council. Limited staff
resources to conduct a proper study
of HMO's has been cited as the
reason the Legislative Council did
not begin the SJR 34 study. With
the signing of the national HMO
legislation by President Nixon,
funds are now available to conduct
feasibility studies or to develop the
HMO concept in Montana.


Hill-Burton —

^-continued from page 5

with below cost care. All these
practices are improper."

Montana became the first state
in the nation to draft Hill-Burton
regulations clarifying the "free
service" requirements. Mr. Wallace
King's Bureau of Construction, un-
der the DH&ES' Division of Hos-
pitals and Facilities, is the agency
charged with administration of
Hill-Burton funds at the state level.

Under the new state regulations,
effective August 7, 1972, Hill-Bur-
ton grantees are given three op-
tions for insuring compliance for
providing "a reasonable volume of
services to persons unable to pay."
Under the "presumptive compli-
ance" section of federal and state
regulations, Hill-Burton hospitals
must provide "uncompensated ser-
vices" at a level of either: not less
than the lesser of 3% of the an-
nual operating costs minus Medi-
care and Medicaid reimbursement,
or 10% of all the federal assistance
received each year (for 20 years
following construction in cases of
grants, or for the period of the loan
or interest subsidy). A third option
provides that they may certify that
they will not exclude any person
from admission because he is un-
able to pay and that services pro-
vided by the facility will be made
available without charge, or at a
charge below the reasonable cost

"The inertia of the past has an overriding effect, and hospital and state agencies are
still not providing the required free services and below cost services to the poor."

of the services.

Montana regulations further re-
quire that Hill-Burton grantees
"will prominently display in the
admitting area a sign stating the
option selected by the facility and
the availability of the criteria."

To date, 38 hospital facilities in
Montana have received in excess
of $18 million in federal assistance
under the Hill-Burton Act. Non-
compliance with the regulations
has not been a major problem with
Montana facilities, according to
King's office.

By carrying out the Congression-
al mandate that public resources
be used to stimulate hospital con-
struction and that part of those re-
sources act as a subsidy for care
of the indigent, the potential of the
Hill-Burton Act to significantly in-

crease the health services provided
to the poor seems to have been
realized in Montana. However, Hill-
Burton facilities still have a long
way to go toward fulfilling their
obligations as evidenced by the
findings of the Low-Income Health
Task Force Study which revealed
the unavailability of health services
as a priority problem facing poor
people of Montana.

The future calls for a greater
degree of voluntary compliance
with the spirit of the Hill-Burton
Act in order that all Montana citi-
zens may receive the necessary
hospital care to which they are
entitled. Any facility requiring fur-
ther information concerning Hill-
Burton regulations is encouraged
to contact Mr. King's office in


The State Department of Health's
musical entry in the "things-that-
hurt-my-ears-the- worst" contest,
The Twenty-third Inspirational Jug
Band, may hit a few sour notes
as a direct consequence of the na-
tional shortage of petroleum-deriv-
ed products.

It is reported that washtub-base
player, Dave Turner, has threat-
ened to quit the Jug Band unless
steps are taken immediately to al-
leviate the shortage of petroleum
from which base strings are made.

It seems as though the Jug Band
has been trying to live with the
crisis, however, the strain is begin-
ning to show. It is alleged that the
band played at the Department's
Christmas Party using "plain ole


The jug sits idle while CHP staff members
deal with the energy crisis.

clotheline rope" for base string.
According to Turner, no one in the
audience seemed to notice. "Musta
been them acoustics," he remarked
after the performance.

Fiddler Mary Jane Crigler,
spokeswoman for the band, claim-
ed, "The band is really strung-out
over this thing and there's talk of
boycotting the '76 Inaugural Ball
unless we can get a line on this
shortage thing!"

Interviewed while dashing off
telegrams to key political figures,
Turner stated, "Unless the wash-
tub-base players and all them other
musical professionals band to-
gether we're in for a real

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Online LibraryMontana. Division of Comprehensive Health PlanningMontana comprehensive health planning news (Volume 1974 VOL 5 NO 2) → online text (page 3 of 3)