Montana Outcomes Project

The Montana Outcomes Project

Outstanding Program Awards

Each year the Montana Outcomes Project recognizes individual programs from MACVPR that are performing “above the line”. The “line” in reference is the regional benchmark for each indicator being tracked by the outcomes project. Every year we aggregate each programs previous 4 quarters of data and find the program that has the most individual indicators that exceed the regional benchmark. We have the award broken down into 2 categories – one for large rehab programs and one for small programs.

2024 Outcomes Program Winners

Large Hospital – St. James Health Intermountain Healthcare :: Butte

Kristin Johnson & Karen Bennet – St. James Health Intermountain Healthcare &
Mike McNamara MACVPR Board member

Small Hospital Winner – Glendive Medical Center

Ashley Huber Glendive Medical Center &
Mike McNamara MACVPR Board member

Previous winners include:

Large

• 2023 – St. James Healthcare :: Butte
• 2022 – St. James Healthcare :: Butte
• 2019 – St. James Healthcare :: Butte
• 2018 – St. James Healthcare :: Butte (tie)
• 2018 – Billings Clinic :: Billings (tie)
• 2017 – Billings Clinic :: Billings
• 2016 – St. Vincent Healthcare :: Billings
• 2015 – St. Vincent Healthcare :: Billings
• 2014 – St. Patrick’s Hospital :: Missoula
• 2013 – St. Patrick’s :: Missoula (tie)
• 2013 – Billings Clinic :: Billings (tie)
• 2012 – St. Patrick’s :: Missoula
• 2011 – St. Patrick’s ::  Missoula
• 2010 – St. Patrick’s :: Missoula (tie)
• 2010 – Benefis Healthcare :: Great Falls (tie)

Small

• 2023 – West Park Hospital :: Cody, WY
• 2022 – Johnson County Healthcare :: Buffalo, WY
• 2019 – Marcus Daly Cardiac Rehab :: Hamilton, MT
• 2018 – Johnson County Healthcare :: Buffalo, WY
• 2017 – Stillwater Billings Clinic :: Billings, MT
• 2016 – Glendive Medical Center :: Glendive, MT
• 2015 – Central Montana Hospital :: Lewistown, MT
• 2014 – Barrett Hospital :: Dillon, MT
• 2013 – Livingston HealthCare :: Livingston, MT
• 2012 – Glendive Medical Center :: Glendive, MT
• 2011 – Barrett Hospital :: Dillon, MT
• 2010 – Sheridan Memorial :: Sheridan, WY

The Montana Outcomes Project

The Montana Outcomes Project started in the summer of 2005 with a collaboration between the Montana Association of Cardiovascular and Pulmonary Rehabilitation (MACVPR) and the Montana Cardiovascular Health Program (CVH).  The intent of the project is to provide a complete out-of-the-box outcomes program, provide data support to participating programs, which includes the benchmarking of indicators, and provide feedback to each program so they in turn can compare their individual data to that of the entire group.  The overall goal is to use the feedback to drive quality improvement (QI) projects that result in improved patient care.

INDICATORS

The indicator selection process focused on 2 specific goals:
1) The indicators needed to be relevant and easy to administer
2) The indicators needed to be complete enough to fulfill AACVPR certification/re-certification criteria
(Click HERE to Indicators)

FEEDBACK

Participating programs submit their de-identified data to the CVH Program for analysis on a quarterly basis.  The data is aggregated with means generated for patient demographics and for each indicator.  Each program is then provided with feedback that has their individual data plotted against the regional mean.
(Click HERE to Feedback)

QUALITY IMPROVEMENT

Based on the data from the Outcomes Project, the CVH Program and MACVPR have collaborated to provide two statewide QI projects.  The first was a train-the-trainer session on patient education fat reduction strategies, and the second was related to improved functional capacity gains for rehab patients.  Both projects were very successful with well over 20 programs taking part.

GROWTH

The Outcomes Project collects data from over 100 programs representing 18 states. Each quarter over 3,000 individual patients are added to the database which now has well over 100,000 patients. The Montana Outcomes Project is no longer accepting new programs.

NATIONAL EXPOSURE

As of 2016, Mike McNamara has presented the Montana Outcomes project at various state and national cardiac rehab conferences including:

• UPCRA – North and South Dakota
• Michigan
• Arizona
• Washington
• Montana & Wyoming
• Oregon
• Texas
• National Conference – AACVPR 2023 Milwaukee, 2022 West Palm Beach, 2018 Louisville, 2017 New Orleans, 2008 Indianapolis

Outcomes Posters & Literature

2023:

• Cardiac Rehab Patient-centered Performance Measures – Men vs. Women
• Assessment of Clinical Depression in Cardiac Rehab

2022:

• Depression & Cardiac Rehabilitation Outcomes

Mike McNamara, MS, FAACVPR at AACVPRs annual conference – West Palm Beach, FL

2021:

• Cardiac Rehabilitation Performance Measures: Hybrid vs. Traditional Cardiac Rehab
• Cardiac Rehab and Resting Blood Pressure

2020:

• Cardiac Rehab Performance Measures – Urban vs. Rural

2019:

• The Impact of Cardiac Rehabilitation on LVAD and Transplant Patients

2018:

• Impact of New Guidelines on Blood Pressure Control Rates in Outpatient Cardiac Rehabilitation

2017:

• Benchmarking Performance Measures in Outpatient Cardiac Rehabilitation

2016:

• 2016: Statin Utilization in Cardiac Rehabilitation Patients with ASCVD

2015:

• Impact of Diabetes on Cardiac Rehabilitation Outcomes

• Outpatient Cardiac Rehab Outcomes – Heart Failure vs. Non-Heart Failure

• The Dose-Response Effects of Cardiac Rehabilitation on Exercise Capacity and Health Outcomes in Cardiac Patients

2014:

• ACSM — Cardiac Rehabilitation Reduces Depression and Improves Quality of Life in Men and Women
• AACVPR — The Effects of 13 Cardiac Rehabilitation Sessions on Functional Capacity, Health, and Dietary Status in Heart Failure Patients
• AACVPR — Factors associated with non-completion of cardiac rehabilitation – Men vs. Women

2012:
Race-Gender Disparities in CR

2011: Posters presented in Anaheim at AACVPR’s 2011 National Conference:
MACVPR Outcomes Performance | Impact of CR on PHQ-9 (Depression)

A journal article was also published in the Journal of Cardiopulmonary Rehabilitation and Prevention in November of 2009. Download the JCRP article.

Posters were presented at AACVPR’s annual conference in Salt Lake City in 2007, Indianapolis in 2008, & Milwaukee in 2010, highlighting the Outcomes Project.
2007 – Establishing a Regional Outcomes Program | 2008 – Montana Regional Outcomes Project
2010 – Montana Regional Outcomes – Update  | 2010 – Long-Term Impact of CR on Heart Failure

Contact Information

If you’d like more information on the Montana Outcomes Project, please contact:
Mike McNamara, MS FAACVPR
Project Coordinator
Cardiovascular Health Program
P.O. Box 202951
Helena, MT 59620
(406) 444-9170
[email protected]