All the members of the Eastern Montana Telemedicine Network are committed to continued growth and telemedicine program development that meets the needs of the patients, healthcare providers and the communities at large. The following list are the current members of the EMTN network.

Baker

Fallon Medical Complex (FMC) is the sole community health care provider for a rural population in excess of 7,200 people spread over seven counties in eastern Montana and western North Dakota. Considered "frontier" by the Montana Department of Health and Human Services, this region has less than two residents per square mile.

FMC is a nonprofit corporation providing primary care, emergent care, and long-term care to its service area. It is comprised of a Rural Health Clinic (RHCC) staffed by two physicians and one physician's assistant, a 25-bed critical access hospital offering outpatient surgery on a monthly basis, a 27-bed skilled nursing home and rehabilitation center, and a home care department offering personal care services under a Medicaid waiver program as well as skilled care services under the Visiting Nurse Services program through the RHC.

FMC's diagnostic services include:

• CLIA-certified lab
• ACR-certified mammography unit
• CT
• X-ray
• Ultrasound
• Teleradiology
• Mobile MRI.

• Cardiac Rehabilitation
• Chemotherapy
• Physical and Occupational Therapy
• Nutritional Therapy
• Dental Services
• Outreach Clinic Offered Once a Week in Neighboring Wibaux, Montana.

FMC's in-house services are augmented by routine visits from traveling physicians specializing in general surgery, ophthalmology, pathology, podiatry radiology, and urology.

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Big Timber

Located in Big Timber, Montana, Pioneer Medical Center consists of an eight-bed hospital, 52-bed nursing home, 16-unit assisted living facility, family practice clinic and an ambulance service.

Services include:

• 24-Hour Emergency Room
• X-ray & Lab Services
• Physical Therapy
• Speech Therapy
• Cardiac Rehab
• Endoscopy Procedures
• Hospice
• Prenatal Care
• Gynecology
• Vasectomies
• Geriatric Care

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Billings

Psychotherapists, psychiatrists, psychologists, licensed counselors and social workers at Billings Clinic Behavioral Health offer complete counseling for individuals, couples, groups and families.

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The Yellowstone City-County Health Department (YCCHD) is Yellowstone County's local public health agency with a mission to "build a safer, healthier community" through its array of public health, personal health, and social service programs. Programs administered by YCCHD include:

• Environmental Health (e.g., food service inspections, day care inspections, air pollution control, and septic system approvals)
• Licensed, Certified and Accredited Home Health Agency
• Licensed, Certified and Accredited Hospice Agency, including the Horizon Hospice Home, a residential hospice facility
• Private Duty Home Care (nursing services)
• Home and Community-Based Services (case management for the non-institutionalized elderly and disabled)
• Special Supplemental Nutrition Program for Women, Infants and Children - WIC
• Maternal Child Health - MCH
• School Nursing for 11 schools in Yellowstone County
• AIDS Testing, Counseling and Education
• HIV Community Planning
• Ryan White Title III
• Immunizations
• Sexually Transmitted Disease Screening and Treatment
• Communicable Disease Services
• Deering Community Health Center
• Health Care For Homeless
• Volunteer Dental Program, Community Dental Practice
• Health care services at the Montana Women's Prison and Youth Services Center
• Breast and Cervical Health Program
• Vital Statistics
• CAP - Community Access Partnership
• Pharmacy
• Medication Assistance Program

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The Montana Family Medicine Residency (MFMR) was created in 1996 to reduce the shortage of primary care physicians in Montana. Sponsored by a consortium led by Billings Clinic, St. Vincent Healthcare, and Yellowstone City - County Health Department, MFMR is fully accredited by the Accreditation Council for Graduate Medical Education. This program, Montana's only graduate medical education program, is committed to training quality family practice physicians to practice in Montana and rural or otherwise underserved areas. The residency program works in cooperation with Billings Clinic, St. Vincent Healthcare, Yellowstone City - County Health Department and various physicians, physician groups and institutional providers throughout the region to offer a highly regarded residency experience.

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Since 1976, Bozeman OB/GYN has been dedicated to providing comprehensive health care to women in the areas of obstetrics, gynecology, infertility, and female urology. Our physicians and mid-level providers have qualified themselves by many years of formal training, as well as staying current in their specialty by attending numerous continuing education courses over the years. Our seven physicians are all board-certified by the American Board of Obstetrics and Gynecology and they are Fellows in the American College of Obstetricians and Gynecologists. Our office hours are Monday through Friday, 8 AM to 4:45 PM. OB GYN Associates merged with Billings Clinic on January 1, 2005 and became known as Bozeman OB/GYN.

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Colstrip Medical Center is a rural medical clinic serving a population of approximately 2500 and is located 130 miles east of Billings, Montana. The clinic provides routine, urgent, special and preventative health services and also offers 24-hour on-call urgent care services. Colstrip Medical Center also provides specialty and preventive health services. Two full-time physicians, a physician assistant, registered nurses, laboratory and radiology personnel and physical therapists staff the clinic. Mental health services are provided via telemedicine with psychiatrists in Billings.

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Stillwater Community Hospital is a non-profit CAH facility with 13 acute care beds (including 6 swing beds), 24 hour ER, 10 long term care beds and an assisted living facility. Located in Columbus, MT, we serve a population of approximately 8,000 and are located 40 miles west of Billings. Our facility also offers laboratory, radiology, mammography, ultrasound, cardiac rehab, home health services, physical, occupational, and speech therapies, outpatient surgery, and endoscopic procedures. Specialists for podiatry, urology, cardiology, and orthopedics offer monthly outreach clinics. We also offer maternal child health, WIC, and immunizations.

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Roosevelt Medical Center is located in the heart of northeastern Montana and is the sole healthcare provider in eastern Roosevelt County in the areas of clinic services, non-critical hospitalizations, long-term care, emergency medical services, and community education. Our vision is to be recognized as a customer-focused healthcare team, committed to the quality of life in our region through healthy communities and the healing of the body, mind, and spirit. Our dedicated, caring staff will achieve this through outstanding service to every patient and every employee with each of their experiences in an environment that cultivates learning and active participation to assure healthcare services for future generations. Our mission is dedication to providing our patients with appropriate, personalized, quality healthcare.

Roosevelt Medical Center is a 10-bed Critical Access Hospital (CAH) with a medical staff consisting of a physician and two physician's assistants who provide services through the Rural Health Clinic, the CAH, the 24-hour Emergency Room, and the 42-bed Nursing Home. The CAH includes two beds in the Skilled Care Unit; a pediatric room and a "family-style" room are also available for the care of young patients or patients who are experiencing a serious or prolonged illness. Both allow the family to stay in the room with them, day or night. Roosevelt Medical Center offers inpatient treatment, out-patient treatment and therapies, physical therapy, and monthly Orthopedic, OB/GYN, and WIC clinics. Roosevelt Clinic, our Rural Health Clinic, offers immunization clinics, cardiac stress testing, and the dietary consults are provided by a contracted on-site Registered Dietician. Roosevelt Medical Center also funds the local volunteer ambulance service with volunteer crew members from the surrounding communities staffing the three ambulances in Bainville, Culbertson, and Froid.

In 1993, Roosevelt Medical Center became one of the six founding members of the Eastern Montana Telemedicine Network. Our interactive videoconferencing capabilities of the EMTN are used for staff training and medical education, as well as for general public education on health issues and related topics. Roosevelt Medical Center has participated in medical and emergent consults within a wide variety of specialty areas, and serves as a host site for those patients needing to consult with their Mental Health providers across Montana via video. Roosevelt Medical Center is dedicated to meeting the healthcare needs of our customers. We care and it makes a difference, by providing customer value in ways that no one else can. Visit us at www.roosmem.org.

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Rosebud Health Care Center has a nine-bed acute care hospital, a medical clinic, and a fifty-five bed extended care unit within the facility. This combined, non-profit corporation is affiliated with Billings Clinic, Billings, MT. The combination of hospital, nursing home and clinic allows us to provide the residents of our communities with a continuum of care which is essential to a healthy quality of life.

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Frances Mahon Deaconess Hospital (FMDH) is a Joint Commission accredited, CAH acute care facility licensed for 54 beds (including swing beds). FMDH has two operating room suites with recovery, a four-bed ICU, a four-bed telemetry unit, a medical/surgical wing, with OB and an emergency room all in close proximity to our nurses' station. The hospital recently completed a $1.2 million remodeling project that included a new nurses' station and emergency room. Average inpatient daily census is 10 patients, and we perform an average of 120 surgeries per month (most on an outpatient basis). Each month, the emergency room staff sees about 200 patients; each year FMDH delivers approximately 75 babies. FMDH has a dedicated, fixed-wing air ambulance that transports patients from throughout northeastern Montana to tertiary care facilities located anywhere in the United States.

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Glendive Medical Center (GMC) has been providing medical care in Eastern Montana for 100 years. GMC is a fully integrated medical system that includes: Gabert Clinic, The Heritage Extended Care and Eastern Montana Veteran's Home.

GMC is a full service, 25-bed licensed acute care hospital with 24-hour emergency care, full medical and surgical services and an attached 75-bed skilled extended care facility. We are dedicated to being a leader in providing and promoting health and wellness to the residents of east central Montana and western North Dakota. GMC is a designated Critical Access Hospital.

With our highly qualified team of medical providers, GMC offers a comprehensive, integrated system of care including primary, long-term and specialty care as well as prevention and wellness services. Our providers are easily accessible at the attached Gabert Clinic.

Telemedicine and teleradiology networks allow GMC to connect directly with patients and medical providers throughout the world.

GMC also owns and operates The Heritage, a 13-unity assisted living facility ofrering personal, 24-hour professional care. In addition, CMB managers the 80-bed Eastern Montana Vereran's Home, a skilled long-term care facility that includes a secure Alzheimer's unit.

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The Big Horn Hospital Association was incorporated in 1979 as a not for profit 501(c)(3) medical facility. The Hospital Association serves patients in three contiguous counties with a significant percentage of these patients utilizing medicare/medicaid as a primary payor for health care services.

Big Horn Hospital Association manages Heritage Acres extended care facility along with the adjoining assisted and independent living facilities. The Big Horn Hospital Association is governed by a seven-member volunteer board of directors, charged with the mission of

"providing caring, economical, quality medical health services in Big Horn County and surrounding areas."

The Hospital Association offers the following patient care services:

Additional patient services include physical therapy, nursery, laboratory, nutritional counseling, social services, and community education and outreach. Big Horn Hospital Association continues to be the premier health care provider in Big Horn County striving to provide "health care for all life cycles."

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MHA is a leadership organization and principal advocate for health care facilities in Montana. MHA serves a diverse membership that provides the full spectrum of health care services including hospitals, long-term care facilities, critical access hospitals, home health and hospice agencies, psychiatric facilities, physician groups, assisted living centers, senior housing and insurance services - organizations that are dedicated to improving the quality of health care in our state. MHA is proud to be affiliated with the American Hospital Association, the American Association of Homes and Services for the Aging, the National Hospice and Palliative Care Organization and the National Association for Home Care.

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The Montana Primary Care Association (MPCA) is a non-profit organization of ambulatory health care providers whose primary purpose is to serve Montana's medically unserved and underserved residents without financial or other discrimination.

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Livingston HealthCare is a unique group of healthcare professionals providing services to the residents of Park County and surrounding communities. Included in those services are a 25-bed hospital (CAH), a multispecialty physician practice, home care, home oxygen, hospice care, a sleep center, and the regionally-renowned Orthopedic and Rehabilitation Institute. A not-for-profit organization, Livingston HealthCare is governed by a Board of Directors, populated by community volunteers, and provides the following services:

• Athlete Wellness Program
• Birth Services
• Cardiac Rehabilitation/Healthy Steps
• Chemotherapy
• Diabetes Education
• Diagnostic Imaging
• Dietary
• Emergency Department
• Home Care
• Home Oxygen
• Hospice Care
• Intensive Care Unit/Critical Care Unit
• Laboratory
• Park County Tobacco Use Prevention Project
• Pharmacy (in-house)
• Rehabilitation Services
• Respiratory Therapy
• Sleep Center
• Surgery Services
• Swing Beds

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Phillips County Hospital Association was incorporated in 1946 as a community, non-profit corporation organized for the purpose of owning and operating medical facilities to serve the needs of the people of Phillips County, Montana. The organization's service area covers 5,100 square miles (five times larger than the State of Rhode Island) and a population of 4,900 people (less than one person per square mile)---There are more cows than people in Phillips County. The Hospital Association owns and operates a 6-bed Critical Access Hospital (CAH) and a federally-certified Rural Health Clinic (RHC). The organization completed construction of a new $4.4 million hospital in 2004, replacing a hospital built in 1952. The clinic was built in 1978 and remodeled in 2004. It houses 3 medical providers - a physician, physician assistant and nurse practitioner. Both the hospital and clinic provide space and support for 21 visiting medical specialists and services. The hospital offers a wide range of diagnostic lab services, physical & occupational therapy, emergency room, home health, radiology, ultrasound, cardiac stress testing, acute swing-bed care, Women-Infant-Children (WIC), mental health, nerve conduction testing and homebound personal care services. In October, 2005, the hospital purchased Hi-Line Retirement Center (46 nursing home & 16 assisted living beds plus 6 senior apartments) from an out-of-state corporation. Phillips County Medical Center now includes an integrated clinic, hospital & retirement center under one roof. The hospital retirement center boards, medical providers and employees work hard to provide high-quality health care services to people who live and work in the Phillips County as well as visitors. Phillips County Medical Center is well-managed, financially sound, enjoys solid community support and is fully responsive to patient, resident and medical provider needs.

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Eastern Montana Community Mental Health Center is a private, nonprofit corporation that provides quality, professional and comprehensive mental health and substance abuse treatment to the citizens of eastern Montana. The organization is committed to helping create healthy and secure communities, achieved through a comprehensive system of care that holds paramount the needs of the consumers. Vital to this commitment is a network of services and professional providers offering services of unparalleled value.

Billings Clinic Miles City offers complete care for your family in a convenient location. Our board-certified family practice physicians, physician assistant and professional staff provide quality care for the entire family.

• General Health Exams
• Health & Wellness Screenings
• Preventive Medicine
• Sports Medicine
• Injury Evaluation & Treatment
• Minor Surgery
• Urgent Care
• Skin Conditions
• Geriatrics
• Women's Care
• Pediatrics
• Mental Health Evaluations
• X-ray & Lab Services
• Cardiology
• Pulmonology
• Sleep Disorders

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Sheridan Memorial Hospital is a 19-bed Critical Access Hospital and 78-bed nursing home, certified by Medicare/Medicaid and governed by a local board of community representatives. SMH offers services in physical therapy, occupational therapy, speech pathology, home health, ambulance and emergency services, radiology, mammography, ultrasound, CT, laboratory, acute and long-term care, and telemedicine. CNA classes are offered on a regular basis.

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In July of 1996, the health care facilities in Wolf Point and Poplar merged to form Northeast Montana Healthcare Services, Inc. (NEMHS). NEMHS is a non-profit organization, which owns and operates 2 Critical Access Hospitals, one free-standing Long Term Care facility and, 2 Rural Health Clinics. Both hospitals have provided quality health care to eastern Montana for over 40 years.

Our health care services encompass the Fort Peck Indian Reservation, located primarily in Roosevelt County. However we also deliver health care to parts of Valley, Richland, and McCone counties. In addition to the typical services offered, Northeast Montana Health Services has join ventures with the Indian Health Services allowing us to offer a variety of other services such as Cardiac Rehab. Although owned by the Fort Peck Tribes, the community boasts a dialysis center second to none.

Our medical staff consists of 4 physicians; 3 CFNPs, and 1 CNM. All Emergency Room services are covered by our private health care providers who are on call 24/7.

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Beartooth Hospital and Health Center, in Red Lodge, MT, is a primary care hospital, licensed for 22-beds, which includes six swing beds and a 30-bed long term care facility. Beartooth Hospital and Health Center offers a wide variety of inpatient and outpatient services under the direction of our local medical staff, all Board Certified Family Practitioners.

Services Include:
Inpatient

• Medical Surgical

• Emergency Care which includes: 24 hour physician, anesthesia, laboratory and radiology access
• Outpatient Surgery which includes: Orthopedics, General Surgery, Ears, Nose & Throat and Endoscopy

• Mammography
• Radiology
• Ultrasound

• OB laboratory testing
• On site testing
• Reference lab

• Cardiac Pulmonary Rehabilitation Phase I - IV
• Cardiac Stress Testing
• Occupational Therapy
• Physical Therapy
• Speech Therapy
• Sports Medicine

• Day Care
• Home Health and Hospice
• Long-Term Care
• Prenatal Classes

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Daniels Memorial Health Care Center is committed to providing excellence in rural community health care. A 24-bed acute care hospital/swing Critical Access Hospital is attached to a 30-bed nursing home. The nursing home offers adult daycare. Included in the center is a medical clinic with Rural Healthcare status. The clinic is staffed by one physician and one physician assistant. Daniels Memorial also has a home health department that also manages the immunization clinic and community outreach services. An outpatient physical therapy department is staffed by two physical therapists and one physical therapy assistant. The physical therapy department has the only hydrotherapy pool in Eastern Montana.

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Sidney Health Center is a non-profit medical center providing quality healthcare services for over 90 years. Located in eastern Montana, Sidney is a rural community with a local population of about 6000. Due to the widespread population and vastness of rural Montana, Sidney Health Center's primary service area consists of 2079 square miles, with a secondary service area of 12278 square miles. Our facility employs approximately 400 individuals with staffing by 16 medical practitioners and many visiting specialists who provide clinics on a monthly basis. The facility has 27 acute care beds, licensing for 11 transitional (swing) beds, four intensive care beds, four obstetrical beds with a newborn nursery, an active outpatient surgery wing, emergency services, radiology, home health, hospice, the local ambulance service, 93 extended care beds, a clinic with private practice physicians and a pharmacy.

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Wyoming

Billings Clinic Cody offers complete care in a convenient location. Our board certified family practice, internal medicine, and pulmonary (lung) physicians and physician assistant provide quality care for the entire family.

• Bones, Joints, and Sports Medicine-- Strains, sprains, fractures, arthritic pain, and sports physicals
• Children's Health - Well child care, immunizations, common childhood illnesses
• Diabetes Care - Diabetes care and education
• Ear Nose and Throat - colds, flu, sinus problems, allergies, nosebleeds
• Emotional Health - Depression, anxiety, hyperactivity
• FAA flight exams
• Heart Health - High blood pressure, high cholesterol, chest pain, palpitations
• Men's Health - Vasectomy, prostate problems
• Occupational Medicine - DOT and occupational examinations
• Nutritional Counseling - cholesterol, diabetes, renal, weight loss
• Pulmonary Health - coughing, wheezing, asthma
• Skin Care - Moles removed, warts, rashes, skin cancers
• Stomach and Colon Care - Heartburn, abdominal pain, diarrhea, constipation, colonoscopies, flexible sigmoidoscopy
• Women's Health - Well woman exams, menopause, maternity care, child birth

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North Big Horn Hospital (NBHH) is committed to providing quality medical services to the community and the surrounding area. NBHH offers various health care services including:

• 24-hour Emergency Room
• Cardiac Rehab
• Respiratory Therapy
• Physical Therapy
• Occupational Therapy
• In & Outpatient Surgery

For your convenience the hospital has a pharmacy and is connected with a Medicare Certified Rural Health Clinic. This clinic offers comprehensive health care services Monday through Saturday. Outreach Specialty Clinics are also held at NBHH.

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