From outpatient surgery, to rehab, to home-care, CMMC offers a full spectrum of health care services with state-of-the-art equipment and a professional, caring medical team on-hand.

Services Description Phone Location Details
Services Description Phone Location Details
Acute Care Nursing The medical-surgical unit at Central Montana Medical Center offers excellent care to patients of all ages. Pediatric patients, surgical patients, patients with varying medical diagnoses, and the elderly patients are cared for with the utmost respect and by following the high standards of care offered at CMMC. Physicians, nurses, certified nursing assistants, ward clerks, and all ancillary departments work together to provide a high level of care for patients & families from our Central Montana community, and the surrounding communities.
Cardiac Rehabilitation

Comprehensive Service Provided to Individuals with Cardiovascular Disease

The primary goal of Cardiac Rehabilitation is to enable the participant to achieve his/her optimal physical, psychological, and social functioning through exercise training and lifestyle change. (It includes a team of professionals of RN’s, exercise specialist, dietitians, socials services and a Medical Director to help you achieve your goals)

Cardiac Rehabilitation is a service that includes:

  • Prescribed exercise to improve cardiovascular fitness without exceeding safe limits.
  • Education about heart disease along with counseling on ways to stabilize or reverse heart disease by improving risk factors.
  • Reduction/Cessation of Smoking
  • Lowering Cholesterol
  • Controlling High Blood Pressure
  • Weight Loss/Control
  • Improve/Manage Diabetes
  • Increasing Physical Activity
  • Encourage Healthy Eating Habits
  • Improve Psychological Well Being

Those who benefit from Cardiac Rehabilitation include those with a history of:

  • Myocardial infarction (heart attack)
  • Coronary artery bypass graft surgery (CABG)
  • Current stable angina pectoris
  • Heart valve repair or replacement
  • Percutaneous transluminal coronary angioplasty (PTCA)/ or coronary stenting
  • Heart or heart-lung transplant
  • Heart Failure and those with ventricular assist devices
  • Coronary artery disease equivalents such as diabetes or peripheral artery disease
Cardiovascular Disease and Diabetes Prevention Program CMMC’s Cardiovascular Disease & Diabetes Prevention Program is a group program supporting participants to incorporate healthy eating and physical activity into everyday life to help prevent Cardiovascular Disease and Diabetes.

Did you know?

Losing a few pounds and starting an exercise program can:
  • Reduce your chance of getting diabetes
  • Manage blood sugar
  • Control high blood pressure
  • Lower bad cholesterol

Cardiovascular Disease & Diabetes Prevention

The CMMC Cardiovascular Disease & Diabetes Prevention Program is an affordable, one-year program. Meetings cover topics about a healthy lifestyle program that focuses on diet, exercise, and barriers that relate to achieving a healthy diet and exercise plan. Active participant have access to the CMMC Fitness Center to assist them with developing an exercise program. A daily log of exercise and food intake will be expected of all participants.

Patient must be

  1. Age 18 years or over AND
  2. Overweight/obese BMI (BMI ≥ 25 kg/m2 or if Asian, BMI ≥ 23 kg/m2) AND
  3. Have one or more of the risk factors listed:
    1. Elevated blood glucose level of 75-gram oral glucose tolerance test (OGTT) with 2-hour plasma glucose is 140-199 mg/dL, fasting plasma glucose (FPG) is 100-125 mg/dL, or A1C 5.7-6.4%
    2. Score 9 or higher on CDC prediabetes screening test.
    3. History of gestational diabetes
    4. Elevated blood pressure level of ≥130/80 mmHg OR treatment
    5. Abnormal lipid levels of HDL <50 mg/dL for women or <40 mg/dL for men, LDL >130 mg/dL, or triglycerides >150 mg/dL OR treatment
    6. Given birth to a baby weighing >9 pounds
(406)535-6265
Care Coordination https://www.youtube.com/watch?v=ogllhTs3MV0&feature=youtu.be
CMMC's Care Coordination Dept provides an additional level of care for patients and their caregivers so that they can have an extra hand up in managing their chronic condition. We offer support wherever we can to make the transition into managing a long term health issue as helpful as possible. Central to our mission is the quality improvement initiative of incorporating community based care coordination designed to help patients achieve better health, better health care and lower costs.
Clinical Nutrition Department A registered dietitian nutritionist/ ACE certified health coach provides Medical Nutrition Therapy and nutrition education/counseling through individual visits and/or group classes. The NutritionFit program, in particular, focuses on helping to reach and maintain sustained weight loss. With a referral from a provider; many insurance plans cover these sessions.
Concussion Testing [dg ids="1550,1551,1552,1553,1554"]
Developmental Disabilities Case Management The Developmental Disabilities Case Management department offers case management services for adults, age 16 and older, with developmental disabilities.  This program is to support choices and opportunities for people with developmental disabilities in their communities.  Communities we serve include the 8-county area of Fergus, Golden Valley, Judith Basin, Meagher, Mussellshell, Petroleum, Sweetgrass, and Wheatland. Case Management services include, but are not limited to:
  • Service coordination; coordination, development and implementation of a Personal Support Plan.
  • Crisis intervention
  • Quality of life
(406) 535-6322
Diabetes Education Diabetes Education at CMMC is an outpatient program that was designed to meet the highest standards for diabetes education. Since 2005, Central Montana Medical Center has been recognized as meeting the National Standards for Diabetes Patient Education, as developed and reviewed under the auspices of the American Association of Diabetes Educators. Recognition is a formal acknowledgement of excellence. The program at CMMC includes group and/or individual instruction to help persons with diabetes learn to manage their disease in an atmosphere of compassion and support. Education focuses on incorporating healthy eating and physical activity, monitoring blood sugar to avoid the risk of complications, problem solving and adjusting emotionally to diabetes. Diabetes education also offers a free support group that meets on the second Thursday of every month in the office space outside of Seiden Drug that is led by Linda Allen and Emily Heggem. At CMMC we use a team approach to help guide you through your treatment and help with any fears, issues, and problems you encounter along the way. Our team includes your personal physician, a certified diabetes educator, a registered dietitian, and a fitness specialist.

Meet our Diabetes Education team

Emily Heggem, RDN, CDE, CPT – Certified Diabetes Educator/Registered Dietitian
Emily can help you learn more about the complexities of this chronic medical condition: diabetes and its treatment regimen. Learn how to monitor your blood sugar to avoid the risk of complications, as well as problem-solve blood sugar results to adjust your self-management routine. Learn about oral medications and how to administer insulin, if needed. She will also help you develop basic skills to manage diabetes day to day. She is a certified insulin pump/sensor trainer and can help with the training and issues that are related to this technology. She can also help with carbohydrate counting and healthy food choices.
Linda Allen, RDN – Registered Dietitian
Linda can help with understanding meal planning to achieve or maintain optimal body weight while providing dietary flexibility. Making healthy food choices, understanding portion sizes, and learning the best times to eat are important in managing diabetes. For more information, call (406) 535-6265.
Debby Lee, RN
Regular activity is important for overall fitness, weight management, and blood sugar control. With your health care provider’s approval, Debbie can help you develop an exercise plan that is right for you and one you will enjoy doing. The Diabetes Self Management Education is covered by Medicare, Medicaid and by many insurance plans. Please contact your plan to find out more about your coverage. Self-pay is also accepted. A referral from your Primary Care Physician is required.
406-535-2078
Emergency Department

Emergency Department (E.D.)

CMMC is fully equipped and staffed twenty-four hours a day, seven days a week with physician, registered nursing staff, and social service coverage. For information call (406) 535-6220. For emergencies call 911.

Level IV Trauma Hospital

CMMC received designation as a Level IV Trauma center. What this means, an organized trauma response team is activated by our emergency department, ensuring prompt assessment, resuscitation, stabilization, emergency operations, and arrangement of patient transfer. This State trauma status requires that CMMC have a trauma medical director, an anesthetist, an operating room, a fast response system and on-call lab and x-ray services. Physicians must be Advanced Trauma Life Support certified. CMMC must have equipment for all age groups and lab services for procedures of cross-matching blood. A helipad and intensive care unit is not required, but CMMC has these added services. This trauma treatment process allows CMMC to transfer serious injured patients to a Level II Trauma Center in Great Falls or Billings. Trauma patients are entered into a Montana Trauma system registry which provides further Quality Performance and Improvement reviews and feedback.  Another necessary component is community outreach that involves prevention education. Hospitals may receive trauma designations from Level V to Level I, with Level I being the highest level of care. There are no Level I trauma hospitals in Montana. Re-designation is required every 3 years to ensure all requirements are being met. This Level IV trauma assures local residents that appropriate, quality trauma care is available at CMMC 24-7.

Ambulance Services

Central Montana Medical Center offers ambulance service 24-hours a day, seven days a week, to the tri-county area of Fergus, Judith Basin and Petroleum counties. Our service is staffed with AEMT's, NREMP-I99 and NREMT-P providers. . Central Montana has experienced a steady increase for ambulance service the past ten years. There are many factors that contribute to this increase, and CMMC has made necessary changes to ensure the people of Central Montana receive consistent high quality ambulance service. Our response to this demand has meant significant changes in the day to day Ambulance operation. In the past, CMMC ambulance was provided strictly by part paid Volunteer Ambulance personnel who responded first to ambulance then to the scene to begin caring for the patient.  This type of operation worked well for many years until the call volume eceeded 650 calls per year. In October 2009, Paramedics were introduced to the service to reinforce staffing coverage on weekends.  These Great Falls & out of town Paramedics have years of experience in the field.  They are also instructors/faculty at Montana State University College of Technology in Great Falls. Their expertise and professionalism has been outstanding for CMMC’s Ambulance service development. In 2015, Lewistown added several local Paramedics who are a great asset to the service. While, CMMC’s Ambulance operation is a mix of full/part-time, the majority of the staff is volunteer part paid personnel.  In January of 2010, the day shift began staffing with two, full-time primary 911 crew, one Paramedic or Intermediate-99 and an AEMT. Both day shift and night shift are staffed with part paid personnel as back-up and transfer crew.  Both back up and transfer crews became a necessity, because of increasing calls occurring at the same time.  SImultaneous calls are an operational challenge requiring more resources and personnel. Central Montana Ambulance service has been and continues to be well supported by Central Montana Medical Center Board of Directors, administration, Medical Director: Dr. Amy LePage,  emergency physicians and ambulance personnel. Everyone is committed to ensuring your call gets answered.  For information contact Rick Poss, (406) 535-6294.

Telestroke

Our urban hospital is pleased to partner with the Montana Telestroke Project which allows CMMC’s emergency department to bring a stroke specialist on site via internet-based audio/video equipment called the:  Stroke Doc.  This wireless link enables a stroke specialist to examine brain images, scan test results and observe symptoms of a possible stroke patient.  The Telestroke Project offers 5 stroke neurologists allowing for 24/7 coverage.
(406) 535-6220
Employee Health CMMC Employee Health provides the highest standard of services to our greatest asset – our Employees. We endeavor to promote a safe and healthy work environment of good morale and overall wellness and health for our workforce, which in turn positively impacts the health of our community. We take care of our employees’ health, so they can take care of our patients! The primary activities of Central Montana Medical Center Health Services are to provide the highest standard of occupational health services for employees and volunteers. This service is intended to promote a safe and healthy environment of good morale and overall wellness and health for the facility and community.

Service Hours

Monday through Friday 9:00 a.m. to 5:00 p.m., appointments preferred.

Services Location

CMMC Health Services is located at: 310 Wendell Ave, Lewistown, Montana Suite 2, Physician Clinic

Employee Health Services Activities

  • Pre-employment health examinations (completed by the Occupational Therapist for specific jobs only)
  • Routine vaccinations
  • Tuberculosis screenings (pre-employment and post exposure)
  • Work-related illness evaluations
  • Occupational exposure follow- up
  • Annual Flu Vaccination Program
  • Annual tuberculosis questionnaire review
  • Respirator medical evaluations / fit testing
  • Annual Employee Health wellness screening

Tuberculosis Screening

Pre-employment PPDs are required for all new employees before they can begin work at CMMC. One-step PPDs are needed for those individuals who can provide written documentation of TB testing in the previous 12 months prior to employment. A Two-step PPD is required if no previous testing has been completed in the last year. PPDs must be read by a physician or nurse within 48 48-72 hours after placement. You MUST have the PPD read to complete the screening. Having it placed and not read invalidates the PPD and it must be repeated. Only those who complete the reading are considered compliant with the TB screening requirement.

Annual Tuberculosis Signs & Symptoms Questionnaire

All employees must complete the Annual Tuberculosis Signs and Symptoms questionnaire each year for the duration of employment/placement with CMMC. This requirement must be completed electronically and submitted in order for employees to receive their annual evaluation. Once you submit your questionnaire, it will be reviewed by the Infection Preventionist and the EH nurse. If your questionnaire highlights symptoms of concern, the nurse will contact you. Otherwise, the form information will be approved by the nurse and filed in your CMMC Health Services record. and in the Human Resources. record making you compliant with the annual TB screening requirement. Human Resources will then be notified you have met this portion of compliance for your annual evaluation.

Vaccinations and Immunity

Vaccinations and Immunity For the protection of patients, staff and visitors, all employees and volunteers must have written record of immunization to specified illnesses in order to volunteer or be employed at CMMC. Written documentation of lab- identified immunity is also permissable. The following is a list of illnesses for which vaccination is required:
  • Measles / Mumps / Rubella
  • Varicella (chicken pox)
  • Tetanus / diptheria / pertussis
If record of vaccinations cannot be obtained, CMMC will provide titer testing to identify immunity of MMR and varicella, at no charge to the employee. Titer results must be completed prior to beginning employment.
Tetanus / diptheria / pertussis (Tdap):
If an employee has not received the adult booster vaccination of Tdap, CMMC will provide this vaccination free of charge to the employee.
Hepatitis B:
Hepatitis B is a serious infection that is easily spread through contact with the blood or body fluids of an infected person. Hepatitis B vaccine can prevent Hepatitis B and the serious consequences of the infection. It is highly recommended for any employee that is occupationally exposed to blood or other potentially infectious materials, including the risk of needle sticks. CMMC provides this vaccination series free of charge to all employees.
Annual Flu Vaccination Program
In a continuing effort to protect our patients as well as the employees, students and volunteers that make our organization great, influenza vaccination is strongly encouraged. If an employee, student or volunteer chooses not to receive the annual influenza vaccination, they must wear a respiratory mask during the designated flu season as determined by the CMMC Infection Prevention Physician. Please review the Influenza Vaccination policy EMP-HLT 101 located on the Intranet under Hospital Policies and Procedures for the full details. CMMC begins vaccination in October of each year. The vaccine is available for employees, students and volunteers at the annual Flu Clinics, held in conjunction with the Annual In-service, which is mandatory for all employees. Vaccination is also available on a walk-in basis during the standard CMMC Employee Health office hours. The influenza vaccine is available to these groups until the end of the traditional flu season, which is usually marked as April 1st of each year.
Ways to fight the flu:
  • Get the flu shot!
  • Wash your hands
  • Cover your nose and mouth with a tissue when you sneeze or cough
  • Avoid touching your eyes, nose, and mouth
  • If you are sick stay home
  • If your doctor prescribes flu antiviral drugs, make sure to take them

Annual Employee Health Wellness Screening

CMMC provides an annual health screening for their employees, and spouses, on the insurance program as part of a wellness benefit to encourage their employees to focus on maintaining a healthy lifestyle. CMMC believes the best way to protect and maximize your health is to start with a health screening. Health Screenings are important for early detection of disease or other possible health problems. The Health Screening is held on campus and includes a health risk assessment, vital signs, height and weight, body mass index and lab testing. The lab tests covered include: Complete Blood Count, Complete Metabolic Panel, Hemaglobin A1C, Thyroid test, Cotinine and Cholesterol levels. CMMC male employees over the age of 50, will also have a prostate level checked. Following the screening, employees receive a report that reviews all of their results and includes annual result trending if the employee participates every year.

Records Request

You can request copies of your health records on file with CMMC Health Services by completing the Request for Records / Signed Consent to Release Records form. The request form and consent can be faxed to the Occupational  Health Services office at 406-535-6607. Please allow two business days for your request to be processed. You can pick up your records after 2 p.m. on the second business day. Please be sure to bring a valid ID in order to retrieve your copies. Record Release Request Form
(406)-538-4110 310 Wendell Ave, Suite 2
Fitness Center The CMMC Fitness Center is a medically monitored health and wellness center featuring an array of programs and equipment designed to meet the conditioning needs of community members regardless of age, athletic ability, or chronic disease process. Our equipment includes free weights, Cybex weight stations, treadmills, Nusteps, Versa Climber, stationary bike, Airdyne bike, rower, Stairmaster, Ergometers, exercise balls, and much more! Our center includes:
  • Cardiac Rehabilitation
  • Pulmonary Rehabilitation
  • Circuit training; 30 seconds of exercise with 15 seconds of rest.  Stations change monthly.
  • One-on-one fitness training; for anyone needing an extra push to meet their fitness goals.
  • General membership; available to all
Employee, senior and student discounts are available. CMMC Fitness Center Hours Are:
  • Monday - Friday     6 a.m. - 7 p.m.
  • Saturday                  8 a.m. - 12 p.m.
  • Sunday                    Closed
For more information regarding programs or hours call the number below.
(406)-535-6222
Foot Clinic A program co-sponsored by CMMC and the Fergus County Council On Aging. The Foot Clinic offers low cost foot care by a trained nursing staff. Referrals to Podiatry services are available through this clinic. The Fergus County Council on Aging provides patient pick-up and delivery to the clinic. Clientele are seen by appointment. (406) 535-7486
Home Health Care Services Home Care provides multiple services supervised by your physician that enable you to stay home while recovering from an illness or injury or when suffering from a long term or terminal illness. The Home Health Program has been offering comprehensive, quality home care services since 1984. Those services available through CMMC Home Health are:
  • Registered Nurse: Visits to provide such services as Wound Care, Ostomy Care, Diabetes Education, medication education, assessment & education regarding the disease process and steps to recovery, patient & Family Education and Referrals to appropriate Therapies. Nursing services are available 7 days per week, from 8 am to 5 pm.
  • Certified Nurse Aide: Assistance with bathing, medication reminders and other personal care needs.
  • Physical Therapy: Treatments and exercise programs to facilitate mobility, transfers and safety in the home.
  • Occupational Therapy: Provides retraining in vocational and leisure activities, activities of daily living, including toileting, dressing, self care and use of specialty equipment.
  • Speech/ Language Pathology: Provides therapy for swallowing, speech and cognitive difficulties.
  • Social Services: Evaluation of community resources and needs assessment. Counseling services for patients to help cope with emotional stress that frequently accompanies illness.
  • Registered Dietician: Offers dietary and nutritional counseling.
Medicare, Medicaid, Private Insurance, HMO & Workman's Compensation cover most Home Health services. A Physician must order all services.

Private Duty Nursing & Aide Services

Services are provided in the home by a licensed nurse for those persons who are not eligible for Home Health through Medicare, Medicaid or Private Insurance but are still in need of services.
Services available:
  • Diabetic care and education
  • Medication set-up and education
  • Physical assessment
  • Colostomy and urinary catheter care
  • Wound care
  • Blood draws
  • Blood pressure monitoring
  • Bowel programs
  • Home IV Therapy
  • Other services as requested
Private Pay
These services provide Certified Nursing Assistants (C.N.A.) in the home to assist with the activities of daily living.  They are available as self-pay and through some insurance companies.  Patients are initially assessed by a Registered Nurse (R.N.) to develop the plan of care to assure safe and optimal care.
Services available:
  • Bathing
  • Grooming
  • Dressing
  • Walking
  • Transferring
  • Routine hair/skin care
  • Assistance with self-administered medication
  • Feeding
  • Toileting
  • Exercising
  • Meal preparation
  • Shopping for and storing food
  • Light housekeeping
  • Respite (Temporary Relief for a Primary caregiver)
(406) 535-6302 408 Wendell Ave
Home Medical Equipment

Home Medical Equipment

Home Medical Equipment (HME) Celebrates Accreditation CMMC HME is an HQAA accredited durable home medical equipment company.  This accreditation is achieved only when a home medical equipment company demonstrates the highest level of quality practices in their business operations and patient care techniques.  Accreditation by HQAA assures Medicare and other payers that the highest levels of quality are practiced within all areas of CMMC HME.   The Home Medical Equipment Department provides medical equipment (for rent or purchase) to meet special needs in the home.
Some Items Available are:
  • Oxygen concentrators
  • Oxygen tanks
  • CPAP
  • BIPAP
  • Nebulizers treatment compressors
  • Suction machines
  • Pulse oximeters
  • Walkers/Rollators
  • Bath aids
  • Bedside commodes
  • Wheelchairs
  • Patient lifts
  • Hospital beds
  • Home health care supplies
  • Compression stockings
Please contact our Home Medical Equipment staff for any of your medical equipment and supply needs.  Open Monday - Friday 8:30 am - 5:00 pm. Medical equipment may be covered by Medicare, Medicaid or Private Insurance. Retail sales are also available. Additional Services:
  • Educational services available from Respiratory Staff
  • 24 hours/7 days a week on call
  • Our service area is a 60 mile radius that provides service to parts of Fergus, Petroleum, Judith basin, and Phillips counties
(406) 535-6292 202 4th Ave South
Hospice CMMC Hospice is service of Central Montana Medical Center located in Lewistown, Montana. CMMC Hospice, a not-for-profit 501c3 organization, serves both Fergus and Judith Basin Counties.  Since 1985, through nearly three decades of service, CMMC Hospice has pursued a unique approach to end-of-life care:  that the patient’s choice must be upheld, that no one should die alone or in pain, and that the needs of the entire family must be addressed.  At CMMC Hospice, we are dedicated to sharing the journey with our patients and families, enabling them to live fully through all stages of illness. It’s about living.

MISSION

CMMC Hospice provides end-of-life care that enhances life.  We strive to provide all services focused toward the individual patient’s wants and needs.  We deliver care that addresses the whole patient including emotional, spiritual, and physical needs and preferences.

VISION

The vision of CMMC Hospice is to be the model rural hospice agency, providing compassionate, visionary, quality care structured around the patients’ and families’ needs.

WHAT IS HOSPICE?

TheCMMC Hospice program of care is compassionate specialized health care and support for patients facing the advancing stages of any life-threatening illness.  Our program also provides emotional and spiritual support to patients and their loved ones, including bereavement counseling following the patient’s death. We care for patients in a setting of their choice.  Whether in a private home, assisted living, nursing home, or hospital, we help people face the challenges of terminal illness with dignity.  Members of the hospice team, such as, nurse, social worker, home health aide, volunteer, and chaplain, make regularly scheduled visits depending on the needs and wishes of the patients and their loved ones.  We help by offering:
  • Scheduled Registered Nurse visits focusing on comfort care for the patient
  • Home health aides to assist with personal care needs
  • Physical therapy training to keep the patient safe and comfortable
  • Social workers that facilitate access to resources, offer emotional support, and bereavement counseling
  • Chaplain visits to offer spiritual support
  • Volunteer support to give companionship and assistance
  • Medical equipment and supplies

“I didn’t know much about hospice before we signed up.  I did not know all that they can do for you.  It is the most wonderful organization. I’d ever run into. They set up a hospital bed and other equipment.  We had aides visit almost daily.  The nurses visited regularly and were on call day and night.  They all have such compassion.  They set up the medications and trained me how to give them.  It was just wonderful.  I highly recommend hospice to other families.” - Loire, Caregiver

More Hospice Information

406-535-6313
Laboratory / Blood Bank

Our Role is Important, Our Results Matter

Central Montana Medical Center calls attention to the vital contributions to heath care made by CMMC’s medical laboratory science professionals. National publications have reported that up to 70% of the data used for clinical decision-making by physicians is generated by the clinical laboratory. Medical diagnosis and treatment decisions depend on timely and accurate test results. Working behind the scenes, laboratory professionals are a critical component of the health care team in patient care. The CMMC Laboratory offers testing for the purpose of screening, diagnosis, and monitoring of disease condition. Lab testing is performed on inpatients, outpatients, and referred samples, providing services 24 hours a day. CMMC laboratory now has the ability to perform five new tests that were previously referred to an offsite lab. Our clinical laboratory scientists are trained and deemed competent to perform all the testing that is performed on site. Only lower volume, highly specialized testing will now be referred out to other labs. The laboratory goes through a rigorous government inspection every two years to ensure compliance. No deficiencies have been obtained for the last 8 years. Central Montana Medical Center laboratory staffs 15 persons, all of which are highly competent and team-oriented. CMMC Lab utilizes Quest Diagnostics, Inc. in Billings, Montana for the majority of testing not performed on site. Download Lab Consent Form
(406) 535-6283 408 Wendell Ave.
Maternity Birthing Room decor, rooming in, and a complete nursery. Cesarean delivery and care is also available. Complete newborn screening services are provided, including Audiometry testing to confirm normal hearing capacity. Click to Visit: "Meet the Newborns"

Frequently Asked Questions

What OB Services are available at CMMC?

CMMC has a labor and delivery, postpartum and nursery unit which is fully staffed 24 hours a day, 7 days a week. We are able to provide care to pregnant women, including those with prenatal complications (preterm labor, increased blood pressure, etc.), those having a vaginal delivery or scheduled or emergency c- sections. We provide postpartum care for new moms. CMMC has a Level I nursery, but do provide some services that Level II nursery's provide such as the ability to manage newborns with minor breathing problems, feeding difficulties, or newborns that may require IV antibiotics. This is done in consult with Neonatologists in Great Falls or Billings. Transport to those facilities is arranged if necessary.

What physicians in Lewistown provide OB services?

There are two Family Practice Physicians who provide OB services: Dr. Simpson & Dr. Marchion, 535-7791. Perinatologists from Billings and Great Falls are consulted regularly as deemed necessary by your primary physician.

Are childbirth classes available?

Prenatal Classes: Free of charge! Classes are offered in January, April, July and October. Class format is 3 classes, once weekly, from 7-9 pm. Classes are held at CMMC in conference room #1. Classes are taught by CMMC OB nurses with discussions on topics such as stages of labor, delivery, and postpartum care as well as breastfeeding and newborn care. Powerpoint presentations, videos, a tour of CMMC’s OB department and plenty of time for questions are just some of the things these classes provide. Do not miss this opportunity to prepare for your upcoming birth event! For exact dates and to register for class, call the OB department at (406)535-6286. Drop In & Latch On Meetings:
  • Are you an expectant mom?
  • Are you a breastfeeding mom?
  • Are you a mom with breastfeeding experience who would like to share her knowledge and expertise with other breastfeeding moms?
The Drop In and Latch On Group provides an opportunity to gather; with the guidance of a Certified Lactation Specialist, to share stories and offer support to each other in a warm, nurturing, and baby-friendly environment.  This group is very active on Facebook. Meetings are scheduled through the Facebook group. Sponsored by Central Montana Medical Center. Contact the OB Department at 535-6286 Breastfeeding education and support is also available by Certified Lactation Consultants.

What is available for pain management during labor?

We encourage all our mothers-to-be to attend offered Prenatal classes. By attending these classes you can be prepared for what will occur during labor and learn breathing methods to help with the management of the pain of labor. Pain medications are also available if you desire. Let your nurse know if you desire pain medication. All pain medications need a physician order so your nurse will need to contact your physician if you desire pain medications. Pain management can include pain medication given to you in your IV or intrathecal narcotic pain medication. An injection of a narcotic is done with an epidural. Ask your physician or nurse for more information.

What should I bring to the hospital?

Here is what we provide:
  • Large insulated mug for ice water
  • Toothbrush and toothpaste
  • Comb
  • Lotion
  • Kotex pads
  • Disposable stretch underwear to hold pads in place
  • Cleansing squirt bottle
  • Nightgowns & bathrobes while here
  • Diapers/clothes for baby while here
You will need to bring shampoo and conditioner, going home clothes for you and the baby, baby blankets, infant car seat and any personal items you may want. DON"T FORGET your camera. Remember though, no videotaping is allowed during the actual delivery (per hospital policy), however, you are more than welcome to tape before and after. Record those once in a lifetime moments!

Who can visit while we are in the hospital?

Hospital visiting hours are 11:00 a.m. to 8:00 p.m with exception during our "Shh...Nap Time" program. So our mom's can rest, we have limited visitation hours from 1:00 p.m to 3:00 p.m. each day. We require that all visitors check in at the OB Nurse's Station before visiting OB patients. We also ask that visitors not visit if they are ill or have ill children. Children may visit if they are not sick. The father of the baby or Mom's support person may visit at anytime. Father's may stay all night if desired. Check with the nurse.

What training/experience do the OB Staff have?

All are NRP (Neonatal Resuscitation Program) certified, Electronic Fetal Monitoring Certified, and have completed STABLE (Stabilization of newborn for transport) certification. All staff must also have CPR certification. All OB CNA's are CPR certified and extensively trained in the care of newborns.

How do you provide security against infant abduction?

CMMC has an infant security system in operation at all times. Other security measures are also taken. Your nurse will visit with you about this when you are admitted.

Can I have my baby in my room with me all the time?

YES!!  Rooming-in is encouraged as a necessary step to bonding with your new baby as well as enabling you to be successful when you go home.  All services for your baby including weights, baths, and all tests well be done in your room with you there to comfort your baby.

What if I have questions about myself or my baby after I go home?

Give us a call at 535-6286 anytime, day or night. Someone is always available to answer your questions and help you through the wonderful new experience. Note: The CMMC OB Department is Baby Friendly Designated, which is a nation wide program advocating breastfeeding as the best care practice for newborns. This program also advocates rooming-in and immediate and frequent skin to skin contact with your baby.
(406) 535-6286
Men’s Cancer Support Group From coping with a diagnosis of cancer to handling treatment to dealing with long-term emotional and financial concerns, cancer patients and survivors often face stressful situations. Our goal is to help create a comfortable and relaxed environment for men to share their experiences and concerns. In addition to bringing in guest speakers and experts in fields such as nutrition, pain management, treatments and more, we will encourage an open discussion and dialog in a laid-back atmosphere designed to meet your needs. This group is a supportive network providing the necessary information to help everyone who has had or currently has any cancer diagnosis.

Why join a cancer support group?

Studies have shown that being part of a cancer support group can have important benefits. These include:
  • feeling better about yourself
  • finding a new focus in life
  • making new friendships
  • improving your mood & learning to cope
  • having better pain control
  • better understanding of your family needs
  • finding a way to support & help others newly diagnosed

Meeting Times

Meetings are the 2nd Thursday of each month at 12pm - 1pm. For more information, please contact us at the number below.
406-535-6382
Nutrition Counseling / Dietician A Registered Dietitian Nutritionist (RDN) is available to provide Medical Nutrition Therapy for diabetes, kidney disease, cardiovascular disease, and many other diagnoses through referral made by the individual patient’s healthcare provider. Counselling is also available for the NutritionFit weight loss program, which may include ‘one on one’ sessions and/or in a group setting; depending on the individual’s preference. 406-535-6265
Occupational Health

CMMC OCCUPATIONAL HEALTH SERVICE

We understand that maintaining a healthy workforce is key. We provide a complete package of services for individual business that can be tailored to your specific needs. Our programs are designed to be affordable for all employees. We offer multiple services to assist you and your business success.

Drug and Alcohol Testing

  • Pre-Employment (DOT & non-DOT)
  • Post-Accident (DOT & non-DOT)
  • Quick test urine drug screens; 5,12 panel
  • Breath alcohol testing (DOT and non-DOT)
  • Mobile drug and alcohol testing

Rehabilitation Services

  • Physical Therapy
  • Work Hardening
  • Ergonomic assessment
  • Stretch and flex training
  • Function capacity exams
  • Kraus Weber muscular strength

Nutritional Services

  • Diet Analysis
  • Cooking Classes
  • Education - Breakfast 101: Why the first thing you eat every day can affect your overall health
  • Nutrition after 40 - How your diet should change with each decade
  • Grocery store tours

Medical Services

  • CDL Physical - CDL Exam Checklist
  • Pre-placement exams
  • Physical exam/history review
  • Workers compensation
  • Medical clearance/Quantitative respiratory fit testing
  • Pulmonary function test
  • Tuberculosis skin testing
  • Paternity testing
  • On-Site Vaccinations Influenza Hepatits B Tetanus, Diptheria, Pertusis (TDaP) Measles, Mumps, Rubella (MMR) Pneumonia Shingles
  • On-site wellness screenings
  • Health risk assessments
  • Vital Signs
  • Biometrics
  • Lab testing (CBC, CMP, TSH & Lipids)
  • Personal fitness programs
  • Weight management programs
  • Concussion management
  • ImPACT testing
  • Sports Physicals (click here for Sports Physical Form)

Safety Development

  • Blood borne pathogen program
  • Emergency preparedness planning
  • CPR training
  • First Aid classes

Health Education

  • Prevention and care of diabetes
  • Heart health
  • Steps to reduce stroke
  • Building blocks of nutrition
  • Cholesterol: what the numbers mean
  • Exercise basics
  • Ostoporosis - the aging spine
  • Blood borne pathogens
  • Stress management
  • Recognizing depression
  • Skin care
  • Vein disorders and sitting disease
  • Sleep disorders
  • Body mechanics - back injury prevention
  • Infection prevention

Health Awareness

  • Education materials/pamphlets
  • Monthly health education newsletters
  • healthy lifestyle calendars
We are not just here to make healthcare manageable, but make it easier. Let us help you succeed in the investment of one of your greatest assets - Your Employees! Call us to see how we can help you.
406-538-4110 (fax: 406-535-6607) 310 Wendell Ave. Ste. 2
PADnet Testing The easiest and least expensive method to test for Peripheral Arterial Disease (PAD). 8-10 million Americans have PAD. Without proper treatment, 30% are likely to die in 5 years of PAD-related heart attack or stroke. PAD is a condition in which fatty deposits build up on the inner linings of arteries, and restrict the flow of blood to muscles and organs; especially the kidneys, stomach, arms, legs and feet. A PADnet test measures the blood volume in the patient’s extremities by using a series of blood pressure readings. This non-invasive test can be completed in 15-20 minutes at CMMC. This vascular test can also check for Peripheral Venous Disease (PVD) – a general term for damage, defects or blockage in the peripheral veins, most commonly found in the arms and legs (like varicose veins and chronic venous insufficiency).
Pharmacy The CMMC Pharmacy provides pharmaceuticals for the prevention, diagnosis and treatment of various disease states. Chemotherapy is provided on an outpatient basis through our Emergency Department. Clinical services include, but are not limited to, Pharmacokinetic dosing, Drug Regimen Review and Pain Management.
Can I fill my Prescriptions here at the hospital?
CMMC's pharmacy is not meant to replace an individual's regular pharmacy. If a prescription is written during regular business hours , it will need to be filled by your own pharmacist. However, if all pharmacies are closed, we will dispense enough medications to get you through until the next business day when your regular Pharmacy opens.
If I run out of my regular prescriptions or they do not show up in the mail, can I get a refill at the hospital?
Refilling Prescriptions is left to the discretion of the ER physician on call that particular day. This physician may request that you be seen through the ER so that an accurate assessment and medical history can be obtained. If the ER physicain decides to refill your prescription, enough medication will be dispensed to carry through until your medicine arrives or your regular physician is avaliable to authorize refills.
(406) 535-6253
Physical Therapy, Occupational Therapy and Speech and Language Pathology
Pulmonary Rehab

What is Pulmonary Rehabilitation?

A service that is designed for those who experience lung problems such as:
  • COPD (Emphysema or chronic bronchitis)
  • Bronchiectasis
  • Sarcoidosis
  • Pulmonary Hypertension
  • Pulmonary Fibrosis
  • Interstitial lung disease
  • Lung cancer and lung cancer surgery
  • Lung volume reduction surgery
  • Pre and post lung transplantation
  • Idiopathic pulmonary fibrosis

Pulmonary Rehabilitation helps participants:

  • Experience less difficulty with breathing
  • Increase muscle strength and endurance
  • Improve their ability to cope with daily activities
  • Understand how to use medications and oxygen appropriately
  • Improve quality of life
  • Reduce hospitalizations
  • Improve depression

Typical Pulmonary Rehabilitation programs include:

(A Team of RN’s, exercises specialist, RT’s, Dietitian, social services and a Medical Director which help the patient achieve their goals for improved lung health.)
  • Monitored and supervised exercises
  • Education about your pulmonary condition, control of symptoms, medications, and oxygen
  • Assistance with smoking cessation
  • Stress reduction and/or management techniques sessions
  • Nutritional guidance
(406) 535-6209
Radiology / Imaging When it comes to your health, we don't want you to travel 110 miles down the road to get the answers. That's why our Diagnostic staff works efficiently to get test results to your physician as soon as possible. What's more, you can rest assured that we work with some of the most advanced diagnostic equipment available at most larger cities in Montana. Our staff is a group of highly trained technologists, many of whom hold advanced level registries in specialty areas. Our imaging services include state-of-the-art modalities such as diagnostic X-ray, computed tomography (CT scan), nuclear medicine, Mammography, Dexa Scan (osteoporosis screen), magnetic resonance imaging (MRI) and ultrasound. (406) 535-6205
Respiratory Care Respiratory care is a specialized area in health care. It works hand in hand with individuals who suffer from cardiac and breathing disorders. Respiratory Therapists are trained and certified in advanced modalities and medical equipment to assist in the management of respiratory conditions. Our Respiratory care team provides support and care for patients of all ages, covering a wide range of support including diagnostic, emergent, and every day management of chronic respiratory therapies. Our focus is to help improve pulmonary function and quality of life for those affected in a broad spectrum of pulmonary illnesses to include: Asthma, Pneumonia, Chronic Obstructive Pulmonary Disease (COPD), Neonatal support, Cardiac and Respiratory Arrest, Post-Surgical Support, Rib and sternal fractures, Hemothorax, and collapsed lung. Our services include:
  • Patient assessment and Education
  • Bronchodilator and medicated therapies
  • Comprehensive Pulmonary Function testing
  • Pulmonary Hygiene therapy
  • Chest Physiotherapies
  • Non-invasive Mechanical ventilation
  • Invasive Mechanical Ventilation
  • Oxygen therapy
  • Neonatal High risk and Cesarean deliveries
  • Neonatal non-invasive ventilation
  • Arterial Blood gas analysis
  • PADnet (Peripheral Artery disease testing)
  • Sleep testing and treatment
Patients are encouraged to talk to their physicians about possible testing and treatments. We're here to help you get the breath you need!
(406) 535-6293
Sleep Study Sleep is not just a quality-of-life issue. Chronic sleep deprivation and poor sleep quality pose serious risks to your health. One of the biggest concerns is obstructive sleep apnea, which has been strongly linked with high blood pressure, coronary artery disease, congestive heart failure, stroke and heart attack. Apnea may also play a role in diabetes. In addition, people with sleep apnea are three to seven times more likely than others to be in a car crash. Our Sleep Lab is over seen by Roy Kohler, MD who is Board Certified in Sleep Medicine. CLICK HERE TO TAKE THE SLEEP APNEA QUIZ Talk to your doctor about having a sleep study performed if you suffer from any of the following symptoms:
  • Snoring
  • Pause in breathing
  • Gasping for air
  • Unrestful Sleep
  • Excessive Day-time sleep
  • Abnormal night-time sleep
Under qualified medical supervision, our Sleep Study service offers accurate information needed for the diagnosis of sleep disorders. Our service is provided with the same caring attitude you have come to expect from CMMC.

Conditions Treated

A physician's order is required to participate in our sleep study program, under which a wide variety of conditions, such as these, may be treated:
  • Neurological Disorders
  • Movement Disorders
  • Breathing Disorders
Our trained staff, which includes technicians and respiratory therapists, is available to answer any questions you may have regarding your sleep habits.

Procedure

  • No needles, no pain.
  • Generally easy to tolerate and comfortable to the patient.
  • Electrodes and censors measure brain waves, heart rate, movement, and blood oxygen levels.
  • A technician monitors the sleep study and is available if the patient needs him.
  • Your test is scored and interpreted by a qualified physician, providing information needed for an accurate diagnosis and subsequent treatment.

Home Care Needs Related to Sleep Apnea

The caring continues with assistance at home! Our service can help determine your need for rental/purchase of health care equipment such as:
  • CPAP/BIPAP machines
  • Masks
  • Tubing
  • Filters
  • Humidifiers
Patients are encouraged to talk to their physicians about possible sleep disorders. We're here to help you get the restful sleep you need!
(406) 535-6292
Surgery CMMC's surgery services are designed to meet the highest standards of care, whether it be for an inpatient surgery or same day surgery. We combine a warm, caring environment with modern technology, and skilled physicians, anesthetists and nurses.  Plus, we're close to home. You do not have the added stress of an extended drive. CMMC's surgery team is experienced in providing services for a wide range of surgeries that include both general and specialty surgical practices, such as:
  • Dermatology (skin)
  • Endoscopy (all gastrointenstinal and sinus)
  • General surgery
  • Gynecology (female reproductive system)
  • Laproscopy (gall bladder)
  • Obstetrics (maternity)
  • Ophthalmology (eye)
  • Orthopedics (joint and bone)
  • Otolaryngology (ear/nose/throat)
  • Pediatrics (children's surgeries)
  • Podiatry (foot)
  • Urology (urinary)

Same day surgery

Many procedures and surgeries are now done as "out-patient", in which patients can return to the comfort of their own home the same day.  Same day surgeries specialize in minimally invasive procedures, so recovery time and discomfort are minimal.  Typically, same day surgeries are scheduled in the morning to allow you to recover and return home later in the afternoon or evening. The following are some of our same-day surgeries:
  • Colonoscopy (colon exam)
  • Cystoscopy (bladder exam)
  • Gastroscopy (upper gastrointestinal exam)
  • Laparoscopy (abdominal exam or surgery)
  • Laparoscopic cholecystectomies (gall bladder removal)
  • Myringotomy (ear tube insertion)
  • Tonsillectomy (removal of tonsils)
  • Tendon repair (repair of damaged tendons)
  • Arthroscopy (joint examination or surgery)
  • Ovarian cystectomy (removal of cyst (s) on ovaries)
  • D and C (dilatation and curettage or uterine scraping)
  • Breast biopsy (removal of tissue for examination)
  • Hernia repair
  • Knee
  • Shoulder
  • Eye (cataracts)
  • Dental
  • Podiatry (foot)
  • Hand
Our team of physicians, nurses and anesthetists monitor you throughout your surgical procedure and follow-up with you after your discharge from the hospital. During recovery at home, support may be provided through follow-up phone calls, as well as through home care programs and rehab services. For information please contact your physician, or call CMMC at the number below.
(406) 535-6220
Swing Bed Program

There is no place like home...

At Central Montana Medical Center, we are committed to helping you or a loved one recover here “at home” after surgery or hospitalization. Our swing bed program can provide a transition period between hospitalization and your return home. If you or a loved one are recovering from surgery, stroke, head injury, need IV antibiotics, or specialized wound care, our healthcare team here at CMMC is ready to help you recover while close to family and friends.

Often Asked Questions

What is Swing Bed?
Swing Bed is a program established by Medicare specifically for smaller hospitals and communities.  It is the term used to describe a hospital room that can be used as an acute care bed and/or a skilled care bed.  The actual bed/room does not change; what changes is the level of care the patient receives. Not everyone is able or strong enough to return to everyday living after a hospital stay.  Some need extra time to recuperate and recover.  Swing Bed can help make a smooth transition between hospital and home. Even if you were hospitalized elsewhere, you can transfer to the Swing Bed program at CMMC bringing you closer to home and family.
Who qualifies for Swing Bed?
Patients who would benefit from CMMC’s Swing Bed Program are those who have already been in the hospital for at least 3 days, but require additional nursing care and/or rehab services on a daily basis. Some qualifications include:
  • Ongoing skilled nursing
  • Ongoing rehab services such as physical therapy, occupational therapy or speech therapy.
  • Long term inpatient IV antibiotic therapy
  • Specialized wound care
  • Accepted by CMMC and a local physician to the Swing Bed Program
Who pays for Swing Bed?
Medicare will generally pay for Swing Bed if the patient meets the following criteria:
  • Your Swing Bed care must be related to an acute hospital stay
  • You have a 3-night inpatient qualifying stay in the past 30 days
What can I expect while I’m a Swing Bed?
  • An individualized plan that is developed with you, your family and a multi-disciplinary team to establish and work toward discharge goals
  • Dress in your own clothes daily
  • Meet with therapist’s daily
  • Participate in activities as desired
Why choose CMMC for my Swing Bed stay?
  • Designated RN and CNA with low patient-to-nurse ratio
  • On-site hospital resources including radiology, lab and ER if needed.
  • Physician on site 24 hours/day if needed.
  • Ongoing discharge planning
  • Individualized caregiver training and education when preparing for discharge
  • Most importantly, we’re close to your home, family and friends

For more information

We would be happy to assist you in your recovery.  For more information or referral, please call Central Montana Medical Center:
  • Susie Wilber RN; Swing Bed Coordinator: 406-535-6255 or 406-535-2070
  • Joanie Slaybaugh; Social Worker: 406-535-6382 or 406-380-2108
  • Karen Weinheimer RN; Swing Bed RN: 406-535-6255
  • On weekends, call the main hospital number 406-535-7711 and ask to leave a message for the SWB coordinator.
We are available Monday-Friday 7 a.m. to 4:00 p.m.
406-535-6255 or 406-535-2070
Wound Care

How do I know if I need Wound Care Services?

Anyone who has a non-healing wound may benefit from this specialty service.

What types of wounds can be treated?

  • Pressure ulcers
  • Venous stasis ulcers
  • Arterial ulcers
  • Chronic non-healing wounds
  • Non-healing surgical wounds
  • Radiation injuries
  • Ostomies (new and old)
[caption id="attachment_1200" align="alignright" width="234"] Wendy Maddux, BSN, RN, WCC (Outpatient Wound Care)[/caption]

What will I experience in the clinic?

Patients are generally referred by their primary physician, nurse practitioner, or physician assistant to the outpatient wound care department. You will then be evaluated by the wound care specialist where a complete review of your medicines, history, and evaluation of the wound will be done. There may be additional tests as necessary determined at that time. After the initial evaluation, the wound care specialist and your primary physician will develop a plan of care based on your individual needs. This involves regular visits to the outpatient wound care department where progression, evaluation, measurements, and treatment adjustments will be made if necessary to promote healing. The patient and family is always involved in the plan of care and instructed to help with the healing progression. This includes dressing changes, lifestyle, and diet. You will be taught to monitor progression between visits and to inform your primary physician and wound care specialist of any problems.

What kind of treatments may be used?

  • Wound VAC therapy
  • Specialized dressings - some have chemicals or medicines within fibers of the dressings that promote wound healing and limit the potential for infection. There are different types of dressings indicated for different types of wounds.
  • Special compression wraps - some wounds require compression to heal properly. Some diabetic wounds need special off-loading casts
  • Debridement - some wounds have unhealthy tissue which needs to be removed before healthy tissue can grow. Some wounds need surgical debridement which can be performed by our surgeon.
  • Nutrition - we also have a registered dietician and diabetic educator that you may see also as wounds need certain vitamins, minerals, and proteins order to heal properly.
  • Additional medical tests - you may need to have vascular studies, x-rays, or labs to see why a wound will not heal.
Central Montana Medical Center Outpatient Wound Care Services is evidence based, comprehensive, holistic care of the patient where all factors contributing to, and affecting the wound and patient are addressed.