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Consultants provide update on Montana State Hospital assessment

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Consultants provide update on Montana State Hospital assessment


HELENA — On Monday, a state legislative committee heard from the consultants who’ve been introduced in to assist handle the continued points at services just like the Montana State Hospital.

Diane Rafferty and Chris Baglio, of the agency Alvarez and Marsal, spoke in entrance of the Kids, Households, Well being and Human Companies Interim Committee.

The Montana Division of Public Well being and Human Companies employed Alvarez and Marsal to do a complete evaluation on seven state-run well being care services.

“The aim is to create sustainable enchancment at every facility,” Baglio stated.

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A lot of the eye has centered on MSH, which has confronted ongoing considerations about staffing and affected person security. The Facilities for Medicare and Medicaid Companies terminated its supplier settlement with the Heat Springs facility earlier this yr, citing a report that recognized quite a few deficiencies – together with some that led to affected person deaths. DPHHS has since changed the hospital’s administrator and introduced in contractors to handle the problems.

“These are points which have been long-standing and constructing over time,” stated Baglio. “In order we’re working towards that lasting change, which goes to take time, we’re additionally in search of short-term wins – alternatives the place we will present some enchancment now.”

The consultants acknowledged the persevering with problem of recruiting workers – notably nurses – which has required MSH to make use of contracted staff. In addition they stated there’s been a scarcity of wanted workers coaching.

Rafferty stated one of many largest points has been a scarcity of the information they’d want to trace high quality enchancment. She stated MSH doesn’t have digital well being information.

“Once we attempt to perceive the usage of restraints, the usage of remedy, we’ve to undergo 100 paper charts,” she stated.

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Rafferty stated DPHHS is taking a look at switching to an digital information system, but it surely’s possible a number of years away. Within the meantime, she stated they’ve requested directors at MSH and the opposite state services to determine two knowledge factors they will begin monitoring to get a greater understanding of high quality of care.

“These metrics have by no means been measured, so it’s laborious to say what success seems to be like in case you’ve by no means measured it,” stated Rafferty. “That’s why we’re ranging from scratch.”

Rafferty stated she believes fewer of the intense incidents that had been seen at MSH have occurred prior to now few months. She credited the change in management, working with the workers and help from DPHHS.

“Small steps, however we’re making the correct strikes,” she stated.

She additionally recognized one key optimistic: the dedication of MSH workers.

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“The individuals which can be nonetheless there actually care about their sufferers and are proud to return to work daily, and once they see issues within the press and so they see the unhealthy issues, it’s been laborious on their morale,” she stated. “A lot of these workers will keep, so it’s our job to get them educated, get them competent, take a look at the care supply mannequin, take a look at our affected person outcomes and make it possible for the sufferers are in the correct place, on the proper time, with the workers to ship their care.”

The consultants stated they’ve accomplished a “tradition and local weather survey.” Baglio says the aim was to listen to considerations from workers on the services they’re evaluating and to determine methods to encourage retention. The total outcomes are set to be launched subsequent week.

Their total evaluation ought to be accomplished round October.

Additionally at Monday’s listening to, the committee moved ahead with a invoice draft that can go earlier than lawmakers throughout subsequent yr’s legislative session. By 2025, it will stop individuals from being dedicated to the Montana State Hospital if they’ve a major prognosis of Alzheimer’s illness, dementia or traumatic mind damage – until they’ve harmed or are at a direct threat of harming themselves or others.





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Montana

Search underway for a missing boater in Flathead Lake

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Search underway for a missing boater in Flathead Lake


MISSOULA — The search for a boater in trouble on Flathead Lake continues.

Lake County Sheriff Don Bell has identified the missing person as 34-year-old Chad Hansen from Missoula.

He was last seen in the area north of Little Bull Island and south of Safety Bay.

Hansen became separated from his boat and witnesses who tried to help him weren’t able to.

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Based on the accounts gathered from witnesses it is believed that he has died of drowning, a news release states.

Teams from Lake County, Flathead County, Missoula County, and Kootenai County, Idaho, are searching Flathead Lake in an effort to find Hansen.







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Real Madrid's Coach Visits Montana

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Real Madrid's Coach Visits Montana


Montana — After another successful season for Los Blancos, Carlo Ancelotti is spending some time in The Treasure State.

Over the past few days, Real Madrid Coach Carlo Ancelotti has shared some photos from a vacation with his spouse, Mariann Barrena McClay, in Montana. They have spent some time horseback riding and checking out the Sawmill Saloon in Darby.

This vacation follows a trophy-filled season at Real Madrid, during which they won La Liga, the Champions League, and the Spanish Super Cup. They probably feel alright about their chances next season, considering that Mbappe is joining the squad.

The small town of Darby, situated on Montana Highway 93, recorded a population of 783 in the 2020 census. The town is home to logging and rodeo events, along with a farmer’s market. In July, they host a Bluegrass and Strawberry Festivals. The closest ski area to Darby is Lost Trail Powder Mountain, which is in Idaho and Montana.

Image Credits: Carlo Ancelotti, Visit Darby (Image above)

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There is a way for Montana residential property taxes to go down

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There is a way for Montana residential property taxes to go down



The upcoming property tax year could be a little easier on homeowners and renters than last year.

The operative word in that sentence is could. Here’s why this year could be easier, not a slam-dunk “will be easier.”

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Three policy-generated numbers mathematically merge in a complex equation to determine what you pay in property taxes: 1) the state’s assessed value of your property; 2) the state’s tax rate applied to your property; and 3) every city and county’s total ask in taxes for the year (for the sake of simplicity, schools won’t be part of this particular explanation).

Cities and counties determine the size of the property tax pie (No. 3); state policy determines the size of your slice (Nos. 1 and 2). State law already caps how much cities and counties can increase the size of the pie, with a few exceptions falling outside of that cap, including voted bonds and levies and new properties that have come online in the last year.

2024 is not a reappraisal year, so the value of your home will not go up, for tax purposes. The Legislature also won’t meet this year, so the residential property rate will remain at 1.35%. So, for many jurisdictions across the state, if there are no voted bonds or levies, residential property taxes should only increase by the statutorily mandated one-half of the 3-year average of inflation. That should be the case, but it won’t be. Given that the tax pie is finite, if one piece gets smaller, another must get bigger.

There are 16 classifications of property, each with a different appraisal method and tax rate. The centrally assessed tax classification (telecoms, railroads, pipelines, airlines and NorthWestern Energy) appeal their valuations every year, regardless of where we are in the re-appraisal cycle. This process is underway, and they had until June 20 to submit their protests. These industries have deployed fleets of attorneys to Helena to contest their valuations. These negotiations happen behind closed doors and are always successful in reducing values for these industries.

This dramatically affects residential property taxpayers. When corporations in these industries successfully argue for a reduction in their value, they reduce the taxes they pay and increase yours. When the national telecoms, railroads, airlines, pipelines and NorthWestern Energy get a tax break in Montana, the size of their piece of the property tax pie gets smaller. That means someone else’s piece necessarily gets bigger – yours. When these corporations’ property taxes go down, yours go up. Residential taxpayers cover the costs of tax breaks for the centrally assessed industries. Even if cities’ and counties’ total tax levies remain the same this year, the state granting a reduction in value for centrally assessed property will make residential property taxes go up.

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But it doesn’t have to be this way.

If the centrally assessed industries were to acknowledge the massive property tax gut punch for homeowners and renters in 2023 and just sit out this round of appeals, that could really help your 2024 property taxes. For many of these national corporations, Montana is a tiny piece of their market. These reductions won’t matter much for them, but the property tax increases for Montanans sure will.

National telecoms, railroads, pipelines, airlines and NorthWestern Energy should just say no when it comes to appealing their respective valuations. The Montana employees and customers who need to afford to live here deserve your consideration more than your shareholders.

That’s not the only way to avoid this situation, though. If the Department of Revenue, at the direction of the governor, didn’t cave during these negotiations but instead stood tall for homeowners and renters and didn’t reduce these valuations, that could keep your property taxes down.

The state’s Property Tax Task Force is meeting now. Productive property tax conversations are happening in interim legislative committees and across the state. But 2025 is a long way off in terms of relief. Things could be better this year. National telecoms, railroads, airlines, pipelines and NorthWestern Energy should not appeal their valuations. And if they do, the Department of Revenue should make the negotiations public.

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That actually would help.

Missoula County Commissioners Dave Strohmaier, Juanita Vero and Josh Slotnick.



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