RiverStone Health Clinic is the primary care home for the majority of the under-served population of Yellowstone County. Because the Montana Family Medicine Residency Program is tied to an urban community health center, our residents gain experience in managing complex medical and psychosocial issues for patients who often have high needs and limited resources. Of the nearly 20,000 RiverStone Health Clinic patients, about half are uninsured. In 2013, we had 71,200 total visits, which included 45,770 medical visits and 11,814 dental visits.
The diverse mix of patients includes retired ranchers, single parents, the working poor, the homeless, nursing home residents, and members of the Crow and Northern Cheyenne tribes. In addition to the urban clinic, we see patients at a nearby school-based health center, and at three satellite clinics in small rural communities, each within a 45-minute drive of Billings. Our main Clinic, along with satellite Clinics in Bridger, Joliet, and Worden, were the first in Eastern Montana to be recognized as Patient-Centered Medical Homes by the National Committee for Quality Assurance. Our Orchard School Clinic, which opened in 2015, is one of first school-based health centers in the state.
The residency offers many opportunities to work with established physicians in small towns across the state. Those rural rotations give residents time away from Billings to practice what they’ve learned while experiencing a rural lifestyle.