Accessing Leukemia Research Support in Rural Montana
GrantID: 75986
Grant Funding Amount Low: $1,500
Deadline: Ongoing
Grant Amount High: $150,000
Summary
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Grant Overview
Capacity Gaps in Montana's Leukemia Care Infrastructure
Montana's 56 counties include 48 designated as frontier, creating measurable gaps in leukemia diagnostic turnaround times that average 17 days longer than national medians. Existing hematology services concentrate in Billings and Missoula, leaving eastern regions dependent on telehealth linkages with limited bandwidth in counties where 22 percent of households lack reliable broadband.
Infrastructure and Workforce Constraints Across Montana Regions
The state's two American College of Surgeons-accredited cancer programs operate at 87 percent capacity for new leukemia referrals, according to 2023 Montana Hospital Association data. Recruitment data show a 41 percent vacancy rate for board-certified hematologists outside the seven largest population centers. Transportation constraints include single-access highways in 12 counties and seasonal closures affecting 300-mile referral routes to the nearest transplant-capable facility in Salt Lake City.
Readiness Requirements for Montana Project Teams
Proposals must document established relationships with at least two of Montana's five critical access hospital networks and include contingency protocols for satellite laboratory specimen transport under winter conditions. Budgets require line items for satellite clinic coordination staff rather than centralized personnel. Unlike Idaho or Wyoming submissions, Montana applications must quantify how project activities address the state's 3.2 physicians per 10,000 residents ratio in non-metropolitan counties.
Montana's economic reliance on agriculture and extractive industries shapes leukemia patient demographics, with higher proportions of seasonal workers lacking continuous insurance coverage. Project designs must account for these mobility patterns when measuring care coordination outcomes across the state's 147,000 square miles.
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