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 2007 estimated population of 5,878,415 people – 1,564,150 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 2006 Census, 85.1% of the state’s population is white, 11.5% is Black/African-American, 0.5% is American Indian, 1.4% is Asian, and 2.8% is of Hispanic/Latino origin.
There are 116 hospitals in Missouri,
56 of which are located in rural areas (North Carolina Rural Health
Research and Policy Analysis Center, 2007). The state has 36 hospitals
currently identified by the Flex Monitoring Team as Critical Access Hospitals.
There are 271 Rural Health Clinics in Missouri, and 19 Federally Qualified Health
Centers provide services at 111 sites in the state (Kaiser, 2006). Most Missourians
have some form of health insurance coverage, although 13% of its residents lack
any health insurance (Kaiser, 2005-2006.)
According to the Economic Research Service, the average per-capita income for all Missourians in 2006 was $32,789 although rural per-capita income lagged at $24,978. 2005 estimates indicate a poverty rate of 17.7% 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 5.4%, while in urban Missouri it is at 4.9% (USDA-ERS, 2007).
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
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
MARHC is a not-for-profit corporation, founded in 2000 by rural health professionals 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 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 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 Mental Retardation & Developmental Disabilities (MRDD)
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
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 Division of Workforce Development
State government
Operates programs for job training and skills development through the Missouri Career Centers located throughout the state.
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 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 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.
Missouri Vocational Rehabilitation Services
State government
Creates opportunities for eligible blind and visually impaired persons in order that they may attain personal and vocational success.
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
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 QuickFacts
Web site
Basic demographic and economic statistics for the state, with links to county-level data.
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 Community Level Information on Kids (CLIKS)
Web site
Provides data on child well-being for the state.
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 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.
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
First Children's Finance Loan Fund
Loans 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
Provides low-cost, short and intermediate term loans for community water and wastewater projects through its Community Revolving Loan Fund.
Support for Local Tobacco Control Policy Change
Funding to strengthen and develop local coalitions, implement or defend tobacco control policies in communities, and support activities necessary to advance efforts in tobacco control policy change.
Weyerhaeuser Company Foundation
Provides grants in communities where the company has operations.
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: 04 / 2006
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
Missouri Suicide Prevention Fact Sheet, 1999-2003
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: 2003
Report on the Health Care Safety Net in Missouri
Sponsoring organization: Missouri Foundation for Health
Monitors the health care safety net in Missouri by updating the existing indicators and developing new indicators to capture its demand, support, structure, and environment. Provides the baseline information to help devise an early warning system for the safety net to stay intact.
Date: 08 / 2005
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: U.S. 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: 2006
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
Building Healthy People In Healthy Families
This comprehensive, school-based program involves health education and screening for all school-age children. It also provides obstetric case management for young pregnant women.
Community Care Clinic
Four network members funded and established a clinic to link existing health care providers and social services agencies to address and provide for the medical, emotional, and health education needs of individuals and families in seven counties designated Health Professional Shortage Areas.
Dent County Healthy Communities
The primary goal of this project was to provide members of the community with improved access to health care at affordable and reasonable cost and to act as an information and referral resource base for health and social services available in Dent County.
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.
Hospice 2000: A Community Based, Rural, Teaching Hospice for Northeast Missouri
The hospice provides palliative care and extensive support services to terminally ill patients for whom curative intervention is no longer appropriate. It also provides
grief/bereavement support to family members for up to one year after the death of a loved one. All services are provided regardless of age or ability to pay.
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 seeks 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.
Missouri Valley Health Span Consortium
The consortium formed under this outreach grant, known as Missouri Valley Health Span, is a network of community service providers committed to working together to identify unmet needs and find resources to meet those needs.
Northeast Missouri Rural Health Network Prescription Drug Assistance Program
This program assists individuals by gathering the needed data and completing the necessary enrollment forms for free medications available through pharmaceutical companies, generic prescriptions through RxOutreach and/or TogetherRx drug discount cards depending on their income level.
Northeastern Missouri Rural Health Network
The Northeastern Missouri Rural Health Network targeted an
11-county, 5,926 square mile region in rural northeastern Missouri where health care resources were severely limited and poverty was rampant.
Ozark Foothills Child Health Care Program
Project created due to the lack of child immunization in the Ozark Foothills region.
Ozark Tri-County Health Care Rural Outreach
The three organizations in this network worked in close partnership to provide primary health care services to all individuals in a three county region, regardless of their ability to pay.
Project HOPE
The HOPE program was designed to address the underutilization of preventive health services in
Washington County, Missouri, a federally designated medically underserved county in the Ozark foothills.
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