Missouri is often referred to as the Gateway to the West. It is named for a Sioux Indian tribe, whose name translates to “the wooden canoe people.” Missouri covers 68,886 square miles, with a 2010 estimated population of 5,988,927 people – 1,613,417 living in rural Missouri (USDA-ERS). Jefferson City, the capital, is located in the central region of the state. The state’s largest cities are Jefferson City, Kansas City, St. Louis and Springfield. According to the U.S. Census Bureau, 82.8% of the state’s population is white, 11.6% is Black/African-American, 1.6% is Asian, 3.5% is of Hispanic/Latino origin, 0.4 percent American Indian/Alaskan Native, 0.1 percent Native Hawaiian and other Pacific Islander, and 1.9 percent other/multiple races. (2010).
There are 118 hospitals in Missouri, 68 of which are located in rural areas (North Carolina Rural Health Research and Policy Analysis Center, Dec. 2008). The state has 36 hospitals identified by the Flex Monitoring Team as Critical Access Hospitals, with 25 or less critical access beds. Of the 68 rural hospitals, only 14 have over 100 staffed beds. (Sept. 2010). There are 365 Rural Health Clinics in Missouri (Missouri Office of Primary Care and Rural Health, 2011), and 21 Federally Qualified Health Centers provide services at 180 sites in the state (Kaiser, 2010). Most Missourians have some form of health insurance coverage, although 14.0% of its residents lack health insurance (Kaiser, 2008-2009).
According to the USDA Economic Research Service, the average per-capita income for Missourians in 2009 was $36,181 although rural per-capita income lagged at $29,640. 2010 estimates indicate a poverty rate of 18.8% exists in rural Missouri, compared to a 14.0% level in urban areas of the state. 2010 ACS data reports that 18.6% of the rural population has not completed high school, compared to 12.0% of urban populations. The unemployment rate in rural Missouri is at 9.5%, while in urban Missouri it is at 9.6% (USDA-ERS, 2010).
For a national comparison, please see an overview of the United States.
Data Sources
U.S. Census Bureau: State & County QuickFacts; USDA Economic Research Service: State Fact Sheets; North Carolina Rural Health Research and Policy Analysis Center; Kaiser Family Foundation State Health Facts; Flex Monitoring Team: Critical Access Hospital List;
Organizations
A.T. Still University (ATSU)
Academic/Research
A multidisciplinary healthcare educator and home of the world’s first osteopathic medical school.
HUD Community Development Block Grants: Missouri (CDBG)
Federal government
Contact information for the State CDBG program. Provides funding for community development projects.
IFF (IFF)
Nonprofit/Foundation
Provides loans to nonprofits in IL, IN, IA, MO, and WI, which serve low-income or special-needs populations. Loans can be used for facility or equipment projects such as community health centers, including construction, acquisition, rehabilitation, purchase of equipment or furnishings, and facility improvements to leased or owned space.
Midwest Assistance Program (MAP)
State/regional organization
Helps communities and tribal nations find solutions to their infrastructure and development needs through information, resource management, expertise, and technical assistance. Helps rural communities in Iowa, Kansas, Minnesota, Missouri, Montana, Nebraska, North Dakota, South Dakota, and Wyoming.
Missouri Area Health Education Centers (MAHEC)
State/regional organization
Oversees Missouri's seven AHECs which are Northeast, Southeastern, Mid-Missouri, Southwest, Northwest, East Central, and West Central. Supports the growth of Missouri's health care workforce.
Missouri Association for Community Action (MACA)
State government
Conducts Community Action Poverty Simulations, and advocates Community Action Network priorities, including health care, child care, transportation, housing and emergency assistance, and the weatherization assistance program. Comprised of 19 community action agencies throughout Missouri.
Missouri Association of Rural Health Clinics (MARHC)
State/regional organization
Provides information specific to federally-certified Rural Health Clinics. Includes a map of RHC's in Missouri, legislative information, and additional resources.
Missouri Department of Economic Development (DED)
State government
Works to increase economic opportunities and bring high quality, high paying, family supporting jobs to Missouri. Offers numerous programs in business, housing, infrastructure, and community development; workforce training; small business entrepreneurship; redevelopment; and disaster assistance.
Missouri Department of Elementary & Secondary Education: Office of Special Education
State government
Administers state and federal funds to support services for students and adults with disabilities. Works with state and local agencies to coordinate the First Steps Program which provides early intervention services for infants and toddlers with disabilities. Works with local school districts to improve services for students (ages 3-21) with disabilities. Provides financial and technical support for approved Sheltered Workshops in the state.
Missouri Department of Health and Senior Services
State government
Provides information on public health including nursing homes, lead poisoning, food programs, wellness and prevention, minority health, immunizations, rural health, and birth and death certificates.
Missouri Department of Health and Senior Services: Minority Health
State government
Develops systems and community capacity to eliminate health and wellness disparities.
Missouri Department of Health and Senior Services: Rural Community Health
State government
Office of Primary Care and Rural Health. Helps communities provide access to health care services through community-based systems of care. Provides information on recruitment, flex monitoring, and Missouri's rural health clinics.
Missouri Department of Mental Health
State government
Works toward the prevention of mental disorders, developmental disabilities, substance abuse, and compulsive gambling. Provides information on health care homes, suicide prevention, systems of care, and mental health facilities and office locations.
Missouri Department of Mental Health: Alcohol and Drug Abuse (ADA)
State government
Oversees a statewide network of substance abuse prevention, treatment, and recovery support services.
Missouri Department of Mental Health: Developmental Disabilities (DD)
State government
Serves a population that has developmental disabilities such as mental retardation, cerebral palsy, head injuries, autism, epilepsy, and certain learning disabilities.
Missouri Department of Social Services (DSS)
State government
Provides programs and services including children, family support, health care, and juvenile justice.
Missouri Department of Social Services: Child Support (CS)
State government
Locates parents, establishes paternity, monitors and enforces support orders, and distributes support collections.
Missouri Department of Social Services: Vocational Rehabilitation Services (RSB)
State government
Creates opportunities for eligible blind and visually impaired persons in order that they may attain personal and vocational success.
Missouri Foundation for Health (MFH)
Nonprofit/Foundation
Serves 84 Missouri counties and the city of St. Louis. Provides information and grants to improve the health and safety of Missourians. Addresses and identifies health care needs in underserved populations of the region.
Missouri HIT Assistance Center
State/regional organization
Missouri State Health Information Technology Regional Extension Center (REC) that helps health care providers become meaningful users of electronic health records by providing information and technical assistance.
Missouri Hospital Association (MHA)
State/regional organization
Strives to improve the health in communities throughout Missouri. Represents every acute-care hospital in the state. Offers continuing education programs on current health care topics and seeks to educate the public and the media, as well as legislative representatives, about health care issues.
Missouri Housing Development Commission (MHDC)
State/regional organization
Serves as the state's housing finance agency. Provides advisory, consultative, training, and educational services to non-profit housing organizations. Administers numerous housing programs.
Missouri Primary Care Association (MPCA)
State/regional organization
Works for comprehensive primary health care to all residents of Missouri. Offers numerous programs including oral health, outreach, recruitment, workforce development, emergency preparedness, quality, and health center development.
Missouri Public Health Association (MOPHA)
State/regional organization
Identifies public health needs and problems. Works with others to initiate and support action for the health of all Missourians.
Missouri Rural Health Association (MRHA)
State/regional organization
Works to improve the health of rural Missourians. Provides leadership on rural issues through advocacy, communication, education, and research.
MissouriCareerSource.com
State government
Operates programs for job training and skills development through the 14 Missouri Career Centers located throughout the state.
National Network of Libraries of Medicine, MidContinental Region (NN/LM-MCR)
State/regional organization
Works to improve access to health information for health professionals, librarians, and members of the public in Utah, Colorado, Wyoming, Kansas, Nebraska, and Missouri. Also provides free training on using National Library of Medicine online resources.
North Central Regional Center for Rural Development (NCRCRD)
State/regional organization
One of four regional rural development centers in the nation. Works with extension professionals, researchers, and partners to enhance rural development outcomes. Serves a 12 state area in the North Central region which includes ND, SD, NE, KS, MN, IA, MO, WI, IL, IN, MI, and OH.
Northeast Missouri Rural Health Network (NMRHN)
State/regional organization
Works to improve health care services in the counties of Adair, Clark, Knox, Lewis, Linn, Macon, Putnam, Schuyler, Scotland, Shelby and Sullivan. The charter members included the Kirksville College of Osteopathic Medicine, Northeast Regional Medical Center, Northeast Missouri Health Council, and Hospice of Northeast Missouri. Committed to coordinating and improving the access of quality basic health care services to all residents, with a special emphasis on impacting populations such as the medically underserved, uninsured and underinsured.
Proyecto/Project IDEAS
State/regional organization
Strives to improve HIV prevention services for Latino/Hispanic populations living in Colorado, Iowa, Kansas, North Dakota, South Dakota, Missouri, Montana, Nebraska, Utah and Wyoming. Focuses on adapting and tailoring CDC-approved interventions that are culturally, linguistically and educationally appropriate. This is a capacity building assistance program for community-based organizations and state and local health departments.
U.S. Department of Housing and Urban Development: Missouri (HUD)
Federal government
Works to increase homeownership, support community development and increase access to affordable housing. The HUD state office provides information about HUD housing programs and local contacts for the state.
United Way 2-1-1 of Missouri
State/regional organization
Assists people in locating help with basic human needs, physical and mental health resources, work initiatives, support for seniors and children, and volunteering. Connects people with community resources and volunteer opportunities. Available 24-hours-a-day, 7-days-a-week. Available throughout the state of Missouri and to Illinois residents of St. Clair, Clinton, Randolph, Monroe, Madison, Jersey, Greene, Calhoun, or Macoupin counties.
USDA Rural Development Missouri State Office
Federal government
Committed to helping improve the economy and quality of life in all of rural America. The Rural Development State Office provides information about Rural Development programs and applications for financial assistance.
Tools
ERS State Fact Sheet: Missouri
Web site
Lists statistics on population, educational attainment, employment, income, farm characteristics, and farm financial indicators for the state.
Missouri AgrAbility Project
Web site
Assists people with disabilities employed in agriculture. Provides training, site visits, on-farm assessments, technical assistance, and other information directly to the farmer, ranchers, or farmworker with a disease, disability, or disorder.
Missouri Census Data Center
Web site
Provides access and education on Census Bureau products as well as other statistical resources to a network of more than 1700 agencies nationwide.
Missouri Health Centers Data
Web site
Provides access to information on Federally Qualified Health Centers for the state. Includes a map of FQHC locations, as well as information on the populations served by health centers, services provided, staff, patient visits, costs of care, and use of electronic health information.
Missouri KIDS COUNT Data Center (KCDC)
Web site
Provides data on child well-being for the state. Includes profiles for many Missouri locations; rankings, maps, or trend graphs by topic; and raw data. Includes over 100 measures of child well-being, community-level data.
Missouri QuickFacts
Web site
Basic demographic and economic statistics for the state, with links to county-level data.
Missouri State Health Facts
Database
The latest state-level data on demographics, health, and health policy, including health coverage, access, financing, and state legislation. Individual state profiles and 50-state comparisons.
National Healthcare Quality Report State Snapshot: Missouri
Web site
Health care quality report for the state, based on the National Healthcare Quality Report.
NN/LM MidContinental Region: Missouri Resources
Web site
Overview of the state, with links to state agencies, health associations, and other resources for Missouri.
Rural Spotlight: A Health Care Resource for Missouri
Web site
Works to support Missouri's rural healthcare providers by showcasing current information available for assistance.
See also: Resources for All States: Tools Maps & Map Collections
Medical Facilities in Missouri
Interactive
Geographic coverage: Missouri
Search by county, zip code, or city to find hospitals, federally qualified health centers, and rural health clinics in Missouri. The site and interactive map provide location and contact information for each facility.
Date: 2010
Missouri Rural Definition Maps
Geographic coverage: Missouri
Set of maps showing the geographic coverage provided by 9 different rural definitions for the state.
See also: Resources for All States: Maps Funding
2012 Midwest Garden Grant
Grants to schools and community organizations with child-centered garden programs.
First Children's Finance Loan Fund
Loans and technical assistance to child care and early education businesses, especially those serving lower-income communities.
Gannett Foundation Community Action Grants
Community action grant priorities include education and neighborhood improvement, economic development, youth development, community problem-solving, assistance to disadvantaged people, environmental conservation and cultural enrichment.
Humana Foundation Community Grants
The Humana Foundation supports charitable activities that promote healthy lives and communities.
IFF
IFF is a nonprofit community development lender providing affordable, flexible and accessible loans to nonprofits serving low-income or special-needs populations.
Support for Local Tobacco Control Policy Change
These funds support short-term activities conducted by organizations and their partners to advance policy change.
William T. Kemper Foundation Grants
Provides grants for education, health and human services, civic improvements, and the arts
Inactive Funding
Inactive Funding Opportunities -
Lists additional funding programs for this state that are not currently accepting applications. Programs that are inactive may be offered again in the future.
Documents, Reports and Other Publications
2007 Health Insurance Survey of Farm and Ranch Operators, Issue Brief #1: Overview of Findings
Author(s): Bill Lottero, Carol Pryor, Mark Rukavina, Jeffrey Prottas, Alana Knudson
Sponsoring organization: Access Project
Describes health insurance coverage among farmers and ranchers. Based on a survey of non-corporate farm and ranch operators in seven states: Iowa, Minnesota, Missouri, Montana, Nebraska, North Dakota, and South Dakota.
Date: 09 / 2007
2007 Health Insurance Survey of Farm and Ranch Operators, Issue Brief #2: How Farmers and Ranchers Get Health Insurance and What They Spend for Health Care
Author(s): Carol Pryor, Jeffrey Prottas, Bill Lottero, Mark Rukavina, Alana Knudson
Sponsoring organization: Access Project
Examines health insurance costs and health care spending of farmers and ranchers. Based on a 2007 survey of farm and ranch operators in Iowa, Minnesota, Missouri, Montana, Nebraska, North Dakota, and South Dakota.
Date: 12 / 2007
2007 Health Insurance Survey of Farm and Ranch Operators, Issue Brief #3: Who Experiences Financial Hardship Because of Health Care Costs?
Author(s): Bill Lottero, Carol Pryor, Mark Rukavina, Jeffrey Prottas, Alana Knudson
Sponsoring organization: Access Project
Examines which farmers and ranchers are at greatest risk of experiencing financial hardship due to health care costs. Based on a survey of non-corporate farm and ranch operators in seven states: Iowa, Minnesota, Missouri, Montana, Nebraska, North Dakota, and South Dakota.
Date: 08 / 2008
2007 Health Insurance Survey of Farm and Ranch Operators, Issue Brief #4: The Costs of Dental Care and the Impact of Dental Insurance Coverage
Author(s): Bill Lottero, Carol Pryor, Mark Rukavina, Jeffrey Prottas, Alana Knudson
Sponsoring organization: Access Project
Presents data on the costs of dental care, the prevalence of dental debt, and the impact of having dental insurance on the costs of dental care, access to care, and the likelihood that
people will experience financial hardship because of health care costs. Based on a survey of non-corporate farm and ranch operators in seven states: Iowa, Minnesota, Missouri, Montana, Nebraska, North Dakota, and South Dakota.
Date: 04 / 2009
2007 Health Insurance Survey of Farm and Ranch Operators, Issue Brief #5: Who is Uninsured?
Author(s): Bill Lottero, Carol Pryor, Mark Rukavina, Jeffrey Prottas, Alana Knudson
Sponsoring organization: Access Project
Examines the characteristics of uninsured family farmers and ranchers and the impact of lack of insurance on their financial situation and ability to access care. Based on a survey of non-corporate farm and ranch operators in seven states: Iowa, Minnesota, Missouri, Montana, Nebraska, North Dakota, and South Dakota.
Date: 06 / 2009
2007 Health Insurance Survey of Farm and Ranch Operators, Issue Brief #6: Who Has Medical Debt and What Are the Consequences?
Author(s): Bill Lottero, Carol Pryor, Mark Rukavina, Jeffrey Prottas, Alana Knudson
Sponsoring organization: Access Project
Examines the characteristics of farmers and ranchers who had medical debt and the impact of the debt on their financial situation and ability to access care. Based on a survey of non-corporate farm and ranch operators in seven states: Iowa, Minnesota, Missouri, Montana, Nebraska, North Dakota, and South Dakota.
Date: 10 / 2009
2007 Health Insurance Survey of Missouri Farm and Ranch Operators, Executive Summary: Health Care in the Heartland
Author(s): Bill Lottero, Carol Pryor, Mark Rukavina, Jeffrey Prottas, Sidney Watson
Sponsoring organization: Access Project
Presents the results of a survey involving 257
Missouri farmers and ranchers to gather data about their health insurance and the burden that health care expenses are placing on farm and ranch families.
Date: 2008
2010-2013 Rural Health Plan
Sponsoring organization: Missouri Department of Health and Senior Services
Identifies and addresses four priority health issues regarding the concerns and the needs of rural Missouri. These are: access to affordable health care, access to transportation, access to emergency services, and lack of rural health workforce.
Date: 04 / 2011
2011 Missouri Rural Health Clinic Survey: Comprehensive Data Report
Sponsoring organization: Missouri Department of Health and Senior Services
Results of a survey of Missouri Rural Health Clinics regarding access to quality health care in rural communities.
Date: 2011
Demographic and Economic Profile: Missouri
Author(s): Kathleen K. Miller
Sponsoring organization: Rural Policy Research Institute
Presents demographics, economics, and research on Missouri. Includes statistics and data, maps, charts, and graphs.
Date: 11 / 2008
Health Insurance, Health Care Costs, and Access to Care: How Are Missouri Farmers and Ranchers Faring Compared to Farmers and Ranchers in Other Great Plains States?
Sponsoring organization: Access Project
Discusses how health care costs effects farmers and ranchers in Missouri, including the effects on their families, businesses, and surrounding rural economies.
Date: 07 / 2009
High-Deductible Health Plans with Health Savings Accounts: Emerging Evidence and Outstanding Issues
Author(s): Lisa Clemans-Cope, Fredric Blavin, Genevieve M. Kenney
Sponsoring organization: Missouri Foundation for Health
Presents the 10th paper in the series titled Cover Missouri Project. Discusses data regarding the combination of high-deductible health plans and Health Savings Accounts and how these plans are likely to affect health care costs, risk segmentation, and overall levels of health insurance coverage.
Date: 2006
Housing in the Lower Mississippi Delta
Sponsoring organization: Housing Assistance Council
Discusses the housing needs of the Lower Mississippi Delta that will require multi-level approaches to address the social, political, and economic infrastructure of the region.
Date: 10 / 2010
Legislative Update: PRIMO 2011
Sponsoring organization: Missouri Department of Health and Senior Services
Highlights Missouri’s Primary Care Resource Initiative (PRIMO), which seeks to improve the delivery of health care by creating economically sustainable systems that provide high quality primary care involving medical, dental, and behavioral health services.
Date: 11 / 2011
Living in the Red: Medical Debt and Housing Security in Missouri: Survey Findings and Profiles of Working Families
Author(s): Sidney Watson, Margarida Jorge, Andrew Cohen, Robert Seifert
Sponsoring organization: Access Project
Presents findings from a survey of working families in Missouri about the causes and consequences of medical debt. Includes urban and rural families.
Date: 2007
Minds Matter: Making the Connection Between Mental Health and Community Well-Being
Sponsoring organization: Foundation for the Mid-South
Describes the mental health status of people living in both rural and urban Missouri, Louisiana, and Alabama. Summarizes how some of their health centers implement holistic approaches to overcoming barriers and improving the mental wellness of individuals, and thus, better community wellness. Information is based on data from 2006-2009.
Missouri Health Center Fact Sheet
Sponsoring organization: National Association of Community Health Centers
Provides a description of what health centers are, and the most recent state-level data available for health center patients, services provided, staff, patient visits, and costs of care.
Date: 12 / 2010
Missouri Medicaid Basics
Author(s): M. Ryan Barker,
Sponsoring organization: Missouri Foundation for Health
Describes Missouri's Medicaid program, MO HealthNet. Includes data and statistics, plus information on all program sections, eligibility requirements, delivery systems, financing, and current economical impacts.
Date: 02 / 2009
Missouri Quick Health Facts 2010
Author(s): Leigh Purvis
Sponsoring organization: AARP Public Policy Institute
Presents data on Missouri including demographics, health expenditures and financing, health status, utilization and quality of services, Medicare and Medicaid, and access to care.
Date: 07 / 2010
Missouri Rural Health Biennial Report 2010-2011
Author(s): Barbara Brendel, Lee Temmen, Ben Harvey
Sponsoring organization: Missouri Department of Health and Senior Services
Provides a snapshot of rural communities; including economic and health care delivery challenges, health care delivery systems, and health determinants for Missourians. Includes health resources, activities, and programs provided by the MO SORH.
Date: 11 / 2011
Missouri Suicide Prevention Fact Sheet, 1999-2005
Sponsoring organization: Suicide Prevention Resource Center
Describes statistics on deaths by suicide, estimated hospitalized attempts, and data on medical costs, work loss costs, gender, race/ethnicity, age and method.
Date: 2006
Past Silos and Smokestacks: Transforming the Rural Economy in the Midwest
Author(s): Mark Drabenstott
Sponsoring organization: Chicago Council on Global Affairs
Discusses a development strategy that includes regional cooperation, innovation, and a leveraging of all strengths for the rural Midwest to transform its economy.
Date: 2010
Primary Care Physicians: The Status in Rural Missouri
Sponsoring organization: Missouri Hospital Association
Looks at Missouri's rural physician shortage and policy options. Discusses workforce shortages, supply and demand for nurses and other skilled health professionals in acute care settings, and the Patient Protection and Affordable Care Act.
Date: 08 / 2011
Rural Dental Practice: A Tale of Four States
Author(s): C. Holly A. Andrilla, Denise M. Lishner, L. Gary Hart
Sponsoring organization: WWAMI Rural Health Research Center
Reports the findings of a study investigating rural dentist issues, such as: demography, training, practice characteristics, staff, and job satisfaction in Alabama, California, Maine, and Missouri.
Date: 03 / 2006
Rural Dropout Problem: An Invisible Achievement Gap
Author(s): Jerry Johnson, Marty Strange, Karen Madden
Sponsoring organization: Rural School and Community Trust
Reviews high school dropout rates and related factors in rural high schools throughout 15 Southern and Southwestern states: Alabama, Arizona, Arkansas, California, Georgia, Kentucky, Louisiana, Mississippi, Missouri, New Mexico, North Carolina, Oklahoma, South Carolina, Texas, and West Virginia.
Date: 2010
Rural Health Clinics in Missouri
Sponsoring organization: Missouri Department of Health and Senior Services
Lists all Rural Health Clinics in Missouri by facility name, city, and county. Updated quarterly.
Date: 08 / 2011
Small Business Profile: Missouri
Sponsoring organization: Small Business Administration
Profile of the state's economy, covering the number of firms, industry composition, small business income, banking, women and minority business ownership, and employment.
Date: 02 / 2011
See also: Resources for All States: Documents Journals
Community Connections
Published quarterly, Community Connections reports on research, programs, and emerging issues affecting low and moderate-income and small business communities. As a regional headquarters of the central bank, the Kansas City Fed seeks to link the communities of the seven-state region to the work of the Federal Reserve, including Colorado, Kansas, Nebraska, Oklahoma, Wyoming, and portions of western Missouri and northern New Mexico.
Missouri - Rural Health Spotlight
Published four times a year. Provides news and articles on rural health issues in Missouri.
Source Newsletter
Published three times a year. Provides news on infrastructure and development needs for rural communities in Iowa, Kansas, Minnesota, Missouri, Montana, Nebraska, North Dakota, South Dakota, and Wyoming.
Success Stories
EMS Co-op Helps Rural Providers
Using the power of group purchasing within a cooperative structure, the North Central EMS Cooperative (NCEMSC) is an Emergency Medical Services (EMS) cooperative developed to serve Minnesota and surrounding states.
Rural Health Outreach (Cape Girardeau, Missouri)
The Cross Trails Medical Center (CTMC) used grant funds for expanded evening hours and hired a nurse educator in the towns of Marble Hill and Advance.
Mercer County Behavioral Health Outreach Project
The Mercer County Behavioral Health Outreach Project sought to increase access of children and isolated rural farm families to behavioral health care by providing outreach and education resources and promoting greater community involvement in an integrated network of services.
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