Special Health Services for Children & Youth | Montana Dept. of Public Health and Human Services

1. MaryLynn Donnelly, Nurse Consultant Children’s Special Health Services Mt Dept of Public Health and Human Services

2. Serving children with special health care for many years…. • Children and Youth with Special Health Care Needs are: • Children with developmental delays or disabilities, such as learning disabilities, sensory impairment, and mental retardation • Children with ongoing medical conditions, such as diabetes, asthma, chronic renal disease, CF, congenital heart disease • Children with emotional or behavioral problems such as autism and psychiatric disorders

3. CSHS Activities • Coordinate and contract for specialty clinics to reduce out of state travel and care • Provide financial assistance for treatment and prescription drugs • Provides resource, referral, and training opportunities for families and providers • Coordinate statewide and local programs to prevent service gaps or overlap

4. Limited Financial Assistance • Covered conditions include: • Asthma • Cystic Fibrosis • Diabetes • Epilepsy • Spina bifida

5. Ensure a broad range of Pediatric Specialty Clinics: • Cerebral Palsy/Spasticity Management • Cleft/Craniofacial Clinic • Diabetes Clinic • Endocrine Clinic • Gastrointestinal Clinic • Genetic Evaluation & Outreach Services • Genitourinary Clinic

6. Clinics continued.. • Juvenile Arthritis • Metabolic Clinic • Muscular Dystrophy • Neural Tube Defects /Spina Bifida Clinic • Neonatal Intensive Care Follow Up Clinic • Neurology Outreach Clinics • Pulmonary Clinics • Rehabilitation Clinic

7. During Calendar Year 2009 Partnerships with local communities provided regional pediatric specialty clinic access for 3437 Montana children & youth with special health care needs, a 10% increase from 2008. In 2009, 754 of those visits were to pulmonary clinics held in Missoula, Great Falls, and Helena for asthma and other respiratory conditions. 70% of visits were for asthma disorders

8. Pediatric Pulmonologist Jerrold Eichner MD 1400 29th Street S Great Falls MT 59405-5363 (W) 454-2171 (W) 800-421-1649 (F) 771-3009 jerrold.eichner@gfclinic.com

9. Western Region Pediatric Specialty Clinic Joline Hartze, RN, Clinic Coordinator Terry Halls, RN, Clinic Coordinator Community Medical Center 2618 South Avenue West Missoula MT 59804-6406 Phone: 327-4329 (toll free) 888-506-9366 Fax: 327-5199

10. North Central Region Pediatric Specialty Clinics Krystal Tweet, RN, Clinic Coordinator Julie LaRoque, RN, Clinic Coordinator Great Falls Clinic 1400 29th Street South, Great Falls MT 59406-5353 (W) 406-771-3360 (toll free) 800-421-1649 (F) 406-771-3009 krystal.tweet@gfclinic.com

11. Eastern Region Pediatric Specialty Clinics Cyndi Leaphart, RN, Clinic Coordinator Stacy Smith, RN, Clinic Coordinator Medical Arts South Ste 200 1230 N 30th Street Billings MT 59101-0128 (W) 237-8199 (toll free) 866-822-1411 (F) 237-4285

12. Pediatric Pulmonologist • Jerimiah Lysinger, MD • Billings Clinic-Pediatric Specialties Clinic • 2800 Tenth Ave. North • Billings, MT 59107 • Phone: 406 238-5137 or 406 238-5097 • Fax: 406 438-2278 • jlysinger@billingsclinic.org Pediatric patients in Billings, with outreach clinics in Bozeman and Miles City