Rural Partnerships for Montana Cancer Patient Support
GrantID: 79004
Grant Funding Amount Low: $250,000
Deadline: Ongoing
Grant Amount High: $750,000
Summary
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Grant Overview
Montana's Rural-Urban Cancer Support Divide Montana spans 147,000 square miles with 56 counties classified as frontier or rural. Billings and Missoula contain the state's two NCI-affiliated sites, while 23 counties lack any oncology specialty provider. This distribution creates measurable delays in coordinated support services for patients traveling more than 120 miles for treatment. State transportation records show average one-way travel times of 3.2 hours from eastern counties such as Dawson and Richland. Healthcare workforce data indicate that licensed clinical social workers and patient navigators concentrate in the five most populous counties. The remaining 51 counties average 0.7 full-time equivalent support staff per 10,000 residents. This scarcity affects follow-up after initial diagnosis and limits systematic collection of patient satisfaction data across tribal and non-tribal populations. Partnership models funded under this mechanism must originate from nonprofit research institutions and include at least one frontier county clinic plus one urban referral center. Proposals require documented agreements for shared electronic care plans and quarterly metric submission on resource utilization. Early-career investigators receive preference when they commit to embedding data collection within existing Indian Health Service facilities on the Crow and Northern Cheyenne reservations. Montana's grant review differs from Idaho or Wyoming processes because reviewers mandate explicit accounting for seasonal road closures that affect patient travel between December and March. Applications omitting these constraints receive lower technical scores. Montana Provider Network Capacity and Evaluation Requirements The state's 2022 cancer registry lists 5,800 new cases annually, with prostate and lung cancers elevated in counties adjacent to former mining operations. Broadband coverage stands at 67 percent in rural census blocks, limiting telehealth support options. Funded projects must therefore budget for satellite or cellular backup systems when measuring patient-reported outcomes. Implementation plans require baseline and 18-month follow-up surveys using validated instruments. Metrics include coordination time between primary care and oncology sites and percentage of patients accessing nutrition or mental health referrals. Reporting occurs through a state-hosted portal that timestamps entries by facility location rather than aggregated statewide totals.
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