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Big Sky. New Horizons. A Healthier Montana.

Prevent, Identify and Manage Chronic Diseases

Cardiovascular diseases and cancer jointly account for approximately half of all deaths in Montana each year. Tobacco use remains the single most preventable cause of morbidity and mortality in Montana across the lifespan, contributing to adverse outcomes of pregnancy, cardiovascular disease, many kinds of cancer, and asthma. Increasing rates of obesity and overweight contribute to the growing epidemic of diabetes and cardiovascular disease. Chronic disease deaths could be postponed and healthy living enhanced through a combination of Montanans complying with health recommendations and improving personal lifestyle.

Health Indicators: By 2018

  • Decrease the proportion of adults who report they engage in no leisure time physical activity from 24% to 22%
  • Decrease the proportion of adults who report they are overweight or obese from 60% to 54%
  • Increase the proportion of adult Montanans who report they are up-to-date with colorectal, breast, and cervical cancer screening from 57%, 71%, and 78%, respectively to 61%, 80%, and 86%, respectively
  • Decrease the average consumption of cigarettes in Montana from 46 to 40 packs per person per year
  • Decrease the proportion of youth who report they have smoked cigarettes in the past 30 days from 17% to 14%
  • Decrease the proportion of adults who report they are smokers from 22% to 19%


A1. Public Health Policies

A.1.1 Support worksites and schools to implement health promotion policies that promote chronic disease prevention (e.g., healthy food and beverage choices, physical activity, breastfeeding, tobacco-free workplaces)

A.1.2 Promote implementation of smoke-free and tobacco-free campuses (e.g., K-12 schools, colleges, hospitals) and public housing that include the outdoor grounds of the facilities

A.1.3 Promote the implementation of smoke-free multi-dwelling housing

A.1.4 Support and promote communities to adopt and implement policies addressing the built environment (e.g., structures, transportation, and land use) that promote the health of the community

A.1.5 Create and monitor policies that define medical homes to include health care practices related to chronic disease that are consistent with evidence-based guidelines (e.g., blood pressure control)


A2. Prevention and Health Promotion Efforts


A2.1 Increase awareness of chronic disease prevention and control through public education (e.g., Montana Tobacco QuitLine, awareness of signs and symptoms of stroke)

A.2.2 Implement programs to facilitate chronic disease prevention and self-management (e.g., heart disease and Type 2 diabetes prevention, asthma, arthritis, diabetes and disability self-management)


A3. Access to Care, Particularly Clinical Preventative Services


A3.1 Implement quality improvement activities that improve the delivery of clinical preventive services and the use of clinical practice guidelines (e.g., cancer screenings, 5As (ask, advise, assess, assist and arrange) for tobacco cessation, diabetes care)

A.3.2 Use available and emerging technologies to improve the delivery of clinical preventive services (e.g., electronic health records, telehealth)


A4. Montana's Public Health and Health Care System


A4.1 Maintain public health surveillance systems to monitor and reduce the burden of chronic disease, and produce regular surveillance reports based on the data collected

A.4.2 Provide training and resources to health professionals and others to implement programs to facilitate chronic disease prevention and management (e.g., heart disease and diabetes prevention, asthma, arthritis, disability)

A.4.3 Encourage the integration of DPHHS programs and services to prevent, identify and manage chronic disease

A.4.4 Facilitate the achievement of chronic disease prevention and management goals through implementation of health care reform activities

A.4.5 Provide training for school staffs to support students with chronic disease to self-manage their condition (e.g., asthma, diabetes)