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Each year the Annie E. Casey Foundation funds a national survey of child well-being. The new report was recently released. Montana is again ranked 28th, same as last year.The data is analyzed in four different categories: education, economic well-being, family and community and health.Montana was above average in three of the four categories, but finished 50th in child health.The report shows that Montana improved in economic well-being, up to 15th from 20th last year. We held steady on education at 13th. We declined a bit on family and community, down to 14th from 13th.But it’s the child health numbers that seem to be the greatest cause for concern.If you dig into the health numbers, Montana did improve over last year’s report in having fewer uninsured kids — down to 12 percent — and fewer teens abusing alcohol and drugs — down to 10 percent. However, we have increased our percentage of children with low birth weights — 7.5 percent — and increased the number of child and teen deaths per 100,000 — 45.How do we make sense of this data? It’s hard because for many of us these kinds of statistics don’t mean a lot when you pull them apart. As a state, Montana’s 28th place ranking is the lowest in the region. North Dakota ranks sixth, Wyoming ranks 15th, South Dakota ranks 18th, and Idaho ranks 20th.What the report tells us about child health is we have more work to do. It may seem like 88 percent of children being covered by health insurance is pretty good, but we’re average for the region. Similar to Idaho and Wyoming, but lower than both Dakotas.For teen death rates, we’re highest in the region at 45 per 100,000. Idaho is at 28, Wyoming at 32, North Dakota at 34 and South Dakota 39.In general what this means is in Montana we can do a better job, in this areas, of improving the health of our kids. The good news is that health continues to be a priority of the Gov. Steve Bullock’s administration, which launched an initiative last week called “A Healthier Montana: A Plan to Improve the Health of Montanans.”Bullock’s plan focuses on six areas: Preventing, identifying and managing chronic diseases; promoting the health of mothers, infants and children; preventing, identifying and controlling communicable disease, preventing injuries and reducing exposure to environmental health hazards; improving mental health and reducing substance abuse; and, strengthening Montana’s public health and health care system.Reports like Kids Count, are one of many analyzing different aspects of health in Montana and around the country, said Jon Ebelt, spokesman for the Montana Department of Health and Human Services. Typically, those reports only tell part of the story. And though the state takes the Kids Count report seriously, it fit into the broader look of health in Montana now outlined in Bullock’s initiative.“We’ve done a lot of work the last year to set the priorities on where we can make the most difference,” Ebelt said.At Lewis and Clark County, county health officer Melanie Reynolds is also focused on local work.The county has been working for a number of months on their community health improvement plan and is looking to unveil soon.So while the news from Kids Count was mixed, we’re pleased the state and local governments are continuing their efforts to support better health for Montanans. We anticipate these efforts will show themselves with an improved report next year.

More than 90% of children with chronic illness now survive into adulthood, which presents a range of challenges for individuals and for the system of care. This Issue Brief describes key unmet needs regarding a) developing chronic disease self-management skills; b) enhancing the capacity of the adult health care system to care for young adults with special health care needs; and c) reducing lapses in care during the transition period. The authors, fellows at the Stanford University Clinical Excellence Research Center, offer recommendations for improving the transition.

Some key findings include the following: People with disabilities experience significant health disparities and barriers to health care, as compared with people who do not have disabilities. People with disabilities frequently lack either health insurance or coverage for necessary services, such as specialty care, long-term services, prescription medications, durable medical equipment, and assistive technologies. Most federally funded health disparities research does not recognize and include people with disabilities as a disparity population. The absence of professional training on disability competency issues for health care practitioners is one of the most significant barriers preventing people with disabilities from receiving appropriate and effective health care. The Americans with Disabilities Act (ADA) has had limited impact on how health care is delivered for people with disabilities. Significant architectural and programmatic accessibility barriers still remain, and health care providers continue to lack awareness about steps they are required to take to ensure that patients with disabilities have access to appropriate, culturally competent care.

Click here to register for this event What: This webinar presents findings from a January 2011 report, "Health Care Transition for Youth with Special Health Care Needs" published by Got Transition? The National Health Care Transition Center. The report authors, Peggy McManus and Katherine Rogers of the National Alliance to Advance Adolescent Health, will discuss their analysis of national and state transition outcome data from  the 2005-06 National Survey of Children and Youth with Special Health Care Needs . McManus and Rogers will also present a preliminary summary of Title V State activities and initiatives addressing transition to adult health care. When: Wednesday, March 23, 2011 12:00-1:00pm Mountain After registering you will receive a confirmation email containing information about joining the Webinar.

Click here to register for this event What: In the rush to develop collaborative care practices the use of health IT is a powerful, often overlooked, and crucial element. The University of Vermont and Fletcher Allen Health Care in northern Vermont have embarked on a project to develop Patient-Centered Medical Homes in each of our primary care practices. As part of that effort, there is a commitment that mental health substance abuse and health behavior services are central elements of the development. Dr. Kessler, a health psychologist, directs this effort. Dr. Burdick a family physician, is physician leader for outpatient implementation of the Fletcher Allen Helath Care Epic-based EHR, PRISM. Their collaboration has resulted in this project. The webinar will explore the backround and history, measure selection and process development, current status and future plans. When: Thursday, April 14th 2011, from 11:00am - 12:30pm Mountain

Of all the issues being debated by politicians, lawmakers and voters, health care may be the issue on which no one can agree. A study by a team of professors at the Vanderbilt Owen Graduate School of Management finds that health care is one of the most divisive issues splitting Democrats and Republicans, especially when it comes to cost and access. Even if the person works in the health care industry, political affiliation still reflects his or her opinions on health care.

This knowledge path about child and adolescent health insurance and access to care has been compiled by the Maternal and Child Health Library at Georgetown University. It offers a selection of current, high-quality resources that analyze data, describe effective programs, and report on policy and research aimed at advancing health coverage and improving health care access for children and adolescents. Emphasis is placed on Medicaid and the Children's Health Insurance Program (CHIP). Separate sections present resources for professionals (health professionals, program administrators, policymakers, and researchers) and for families. A special topics section presents resources that address health reform, outreach and enrollment, and school-based and school-linked care. This knowledge path will be updated periodically.

Seven-year-old Alex Rowe, who has a rare bleeding disorder, soon will have private health insurance again.  He is among more than 5 million Americans under the age of 19 with a pre-existing medical condition who cannot be denied coverage by insurance companies beginning as early as September under a key provision of the health care reform law. Covering consumers with pre-existing health problems has long been a point of contention and figured prominently in the national health reform debate.