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 2008 estimated population of 5,911,605 people – 1,565,609 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, 85.1% of the state’s population is white, 11.5% is Black/African-American, 1.4% is Asian, and 3.0% is of Hispanic/Latino origin (2007).
There are 118 hospitals in Missouri, 55 of which are located in rural areas (North Carolina Rural Health Research and Policy Analysis Center, Dec. 2008). The state has 36 hospitals currently identified by the Flex Monitoring Team as Critical Access Hospitals (April, 2009). There are 342 Rural Health Clinics in Missouri (CMS, 2009), and 21 Federally Qualified Health Centers provide services at 180 sites in the state (Kaiser, 2008). Most Missourians have some form of health insurance coverage, although 13% of its residents lack any health insurance (Kaiser, 2006-2007.)
According to the USDA Economic Research Service, the average per-capita income for all Missourians in 2007 was $33,964 although rural per-capita income lagged at $25,865. 2008 estimates indicate a poverty rate of 17.6% exists in rural Missouri, compared to a 12.1% level in urban areas of the state. 2000 data reports 24.7% of the rural population has not completed high school, while only 16.4% of the urban population lacks a high school diploma. The unemployment rate in rural Missouri is at 6.2%, while in urban Missouri it is at 6.0% (USDA-ERS, 2008).
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
HUD Community Development Block Grants: Missouri (CDBG)
Federal government
Contact information for the State CDBG program. Provides funding for community development projects.
Midwest Assistance Program (MAP)
State/regional organization
Aims to help rural communities in Iowa, Kansas, Minnesota, Missouri, Montana, Nebraska, North Dakota, South Dakota, and Wyoming to improve their environment, quality of life and be self-sustaining.
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.
Missouri Association of Rural Health Clinics (MARHC)
State/regional organization
Committed to providing a forum to exchange information specific to federally-certified Rural Health Clinics.
Missouri Department of Economic Development (DED)
State government
Works to increase economic opportunities and bring high quality, high paying, family supporting jobs to Missouri.
Missouri Department of Economic Development: Division of Workforce Development (DWD)
State government
Operates programs for job training and skills development through the Missouri Career Centers located throughout the state.
Missouri Department of Elementary & Secondary Education: Division of Special Education
State government
Administers state and federal funds to support services for students and adults with disabilities, works with other state and local agencies to coordinate the First Steps Program which provides early intervention services for infants and toddlers with disabilities. The division works with local school districts to improve services for students (ages 3-21) with disabilities. It 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, nursing, emergency response, and safety.
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: Primary Care and Rural Health
State government
Helps communities provide access to necessary health care services to their residents through community-based systems of care. A division of the Department of Health and Senior Services.
Missouri Department of Mental Health
State government
Works toward the prevention of mental disorders, developmental disabilities, substance abuse, and compulsive gambling; the treatment, habilitation, and rehabilitation of Missourians who have those conditions; and the improvement of public understanding and attitudes about mental disorders, developmental disabilities, substance abuse, and compulsive gambling.
Missouri Department of Mental Health: Division of Alcohol and Drug Abuse
State government
Provides funding for prevention, outpatient, residential, and detoxification services to community-based programs that work with communities to develop and implement comprehensive coordinated plans. Provides technical assistance to these agencies and operates a certification program that sets standards for treatment programs, qualified professionals, and alcohol and drug related educational programs.
Missouri Department of Mental Health: Division of 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. Works to improve the lives of persons with developmental disabilities through programs and services to enable those persons to live independently and productively.
Missouri Department of Social Services
State government
Provides programs and services including children, family support, health care, and juvenile justice.
Missouri Department of Social Services: Child Support Enforcement (CSE)
State government
Locates parents, establishes paternity, establishes child and medical support orders, monitors and enforces compliance with child and medical support orders, reviews and initiates modification of support orders and distributes support collections.
Missouri Department of Social Services: Vocational Rehabilitation Services
State government
Creates opportunities for eligible blind and visually impaired persons in order that they may attain personal and vocational success.
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. Dedicated to strengthening communities and the lives of Missourians through the financing, development and preservation of affordable housing.
Missouri Primary Care Association (MPCA)
State/regional organization
Assures access to comprehensive primary health care to all residents of Missouri through its programs, activities, membership, and other available resources. Functions as an advocacy voice for the medically indigent, and explores and implements activities aimed at providing and promoting high quality, accessible, and personalized health care services to urban and rural populations (regardless of ability to pay) in the state of Missouri.
Missouri Rural Health Association (MRHA)
State/regional organization
Works to improve the health of rural Missourians through partnerships and providing leadership on rural issues through advocacy, communication, education, and research.
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.
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 with finding and giving help. It is a central phone number connecting people with available community resources and volunteer opportunities. This service, available 24-hours-a-day, 7-days-a-week will cover a 23-county area in and surrounding metropolitan Kansas City. United Way 2-1-1 spans a 23-county area-7 counties in Kansas and 16 in Missouri and has access to thousands of resources.
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.
Health Care Excel (HCE)
Web site
Evaluates health-care quality, clinical appropriateness, and outcome assessments. Also designs customized management solutions and develops appropriate educational programs to significantly improve the delivery of health services.
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 Health Workforce: Highlights from the Health Workforce Profile
Web site
Highlights compile 2000 data on levels of employment, projected growth and key environmental factors that affect demand for health care. Details for medicine, nursing, dentistry, pharmacy, mental health and aides.
Missouri KIDS COUNT Data Center (KCDC)
Web site
Provides data on child well-being for the state.
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
Web site
Works to support Missouri's rural healthcare providers by showcasing current information available for assistance.
State Profiles- Missouri: Health Information Technology (HIT)
Web site
Profiles the state’s health information technology (HIT) issues. Contains sections on demographics, HIT legislation, telemedicine, Health Information Exchanges (HIE) & Regional Health Information Organizations (RHIO), grant funded HIT projects, and HIT survey information.
See also: Resources for All States: Tools Funding
Delta States Rural Development Network Program Grant Program
Grant to fund organizations located in the eight Delta States which address unmet local health care needs and prevalent health disparities through the development of new and innovative projects.
First Children's Finance Loan Fund
Loans and technical assistance to child care and early education businesses, especially those serving lower-income communities.
IFF
IFF is a nonprofit community development lender providing affordable, flexible and accessible loans to nonprofits serving low-income or special-needs populations.
Midwest Assistance Program Loan Fund
Helps small communities and tribal nations jumpstart infrastructure, housing, technology, aging and economic development projects through low-cost, short-term loans.
Support for Local Tobacco Control Policy Change
These funds support short-term activities conducted by an organization and their partners to advance policy change at the local level.
Weyerhaeuser Company Foundation
Provides grants in communities where the company has operations.
William T. Kemper Foundation Grants
Provides grants for health, human services, the arts, and the environment.
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
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
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
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. This issue brief is based on a 2007 survey of farm and ranch operators in Iowa, Minnesota, Missouri, Montana, Nebraska, North Dakota, and South Dakota.
Date: 12 / 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 wholistic approaches to overcome barriers and improve the mental wellness of individuals, and thus, better community wellness. Information is based on data from 2006-2009.
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 Office of Rural Health Biennial Report 2008-2009
Author(s): Barbara Brendel, Lee Temmen, Marie Peoples, Santosh Krishna
Describes strategies in place that help the Missouri Office of Rural Health improve health
outcomes in rural areas. Presents county-level data that illustrates issues related to socio-economic status, health status, and health infrastructure.
Date: 11 / 2009
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
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
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: 2008
State Profiles - Missouri: Reforming the Health Care System
Sponsoring organization: AARP Public Policy Institute
Detailed profile of the state's health care system. Covers demographics, expenditures and financing, health status, utilization and quality of services, health care providers, Medicare, Medicaid, health insurance coverage, and key trends.
Date: 12 / 2005
See also: Resources for All States: Documents Success Stories
Lafayette County 4 Health Project
The project will incorporate community education and outreach approaches to connect vulnerable, low-income populations to an integrated network of local health and social support services.
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.
Miles For Smiles
The mission of the Miles for Smiles project was to create
a mobile dental unit to provide quality, onsite dental care to
low-income children in the seven-county area.
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