Montana Infectious Disease Network ID Network

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Montana Infectious Disease Network (ID Network)

• Doris T. Barta, MHA
• Grants Division, St. Vincent Healthcare
• Billings, Montana
• 406-237-3602

This project was made available through a grant
funded through the Assistant Secretary for
Preparedness Response (ASPR/CFDA 93.966)
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Background

• Montana is a rural populace with few ID
  physicians
• Infectious disease (ID) outbreaks could have
  potentially devastating effects
• Need for structured communication among ID
  specialists in state

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Cities with ID physicians
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ID Network

• Infectious Disease Physicians
• Fred Kahn
• David Graham
• Les Whitney
• Ray Geyer
• John Pullman
• George Risi
• Don Skillman
• Cam Saberhagen/ David Christiansen/Claude
  Tonnerre
• Department of Public Health and Human Services
• Steve Helgerson
• Bonnie Barnard
• Kammy Johnson
• Anne Weber/Susie Zanto

• Grant Staff
• Doug Moore
• Hillary Harris
• Doris Barta
• Vince Colucci
• Others
• Todd Damrow
• Pam Goldberg
• Contractors
• Carl Taylor
• David Balch

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Vision

• To serve as an advising regional, clinical, and
  readiness partner with state and local public
  health departments, hospitals and stand-alone
  facilities, caregivers and the citizens of
  Montana in the area of infectious and
  communicable disease.

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Mission

• To create a cohesive voice for Infectious
  Disease issues in Montana and to act as a liaison
  between state and federal agencies and local
  providers regarding infection control policy and
  practice, infectious disease prevention and
  treatment, outbreak preparedness and
  responsiveness, critical analysis and problem
  solving capabilities related to infectious and
  communicable disease.

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Objectives

• Be available to educate and train for early
  identification, recognition and rational
  effective response to infectious diseases.
• Review and explore new technologies to improve
  widespread communication imaging tools, virtual
  computerization, decision algorithms.
• Facilitate and share infectious disease research.
• Provide advise on statewide resource allocation
  in the event of outbreaks of communicable
  disease.
• Act in an advisory role to identify outbreaks,
  interpret mandates or assist PH officials in
  tailoring health initiatives specific to Montana
  cities and counties.
• Review and provide expert advice on policy and
  legislative issues impacting communicative
  diseases.

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Educational Forums

• Monthly Webinars
• Online meetings (ILinc and Webcams)
• Educational topic presented
• C. Diff, MRSA, Botulism
• Face to Face Meetings
• Two times a year
• Discuss projects
• Additional education
• State Lab Tour
• Rocky Mountain Lab Tour

Steve Helgerson, State Medical Officer conducts
tour of state lab
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Current and Completed Projects

• Interim Guidelines for the Control and Prevention
  of Methicillin-Resistant Staphylococcus aureus
  (MRSA) Skin and Soft Tissue Infections in
  Non-Healthcare Settings
• Lab antibiograms
• MRSA Community Education Toolkits
• Montana Public Health review

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Future Projects

• TB Guidelines
• Legislative issues
• Pertussis
• All Hazards Emergency Planning
• Ventilator allocation
• Joint planning session with APIC on HAI (hospital
  acquired infections)

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Collaborative Opportunities
State and County Health Departments
MT-ID Network
Hospitals and Other Providers and Leading
Researchers
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Disease Management Projects

• Congestive Heart Failure Home Monitoring Project
• Daily home monitoring Blood Pressure, Pulse,
  Weight, Signs and Symptoms
• System alerts.sends message to Nurse case
  manager
• Nurse contacts patient for follow up prior to
  physician intervention

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Patient Outcomes

• Enhanced self-management skills
• Increased self care
• Empowered patient/caregiver
• Improved patient health status
• Greater adherence to medication management
• Decreased blood pressure

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Disease Management Projects

• Diabetes Self Management Project using
  telehealth to provide services to rural Montana
  community (Harlowton)
• Rural provider does initial assessment and refers
  patient to Diabetes Self Management Education
  Program
• Provide Diabetes Education to patients and their
  families in Harlowton
• Provide Dietician Education services to
  patients/families in Harlowton to include
  Registered Dietician and Nurse

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Patient Outcomes

• Enhanced self-management skills
• Increased disease management ability
• Empowered patient/care giver
• Improved patient health status
• Decreased HgA1c
• Decreased weight

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Overall Patient Outcomes

• Patient Impact
• Increased access to medical care
• Reduced health disparities
• Increased satisfaction
• Increased compliance to medical regimen

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Questions and Discussion