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 2012 estimated population of 6,021,988 people – 1,611,261 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, 84.0% of the state’s population is white, 11.7% is Black/African-American, 1.7% is Asian, 3.7% is of Hispanic/Latino origin, 0.5% American Indian/Alaskan Native, 0.1% Native Hawaiian and other Pacific Islander, and 1.9% other/multiple races. (2011).
There are 122 hospitals in Missouri (Kaiser, 2010). The state has 34 hospitals identified as Critical Access Hospitals by the Flex Monitoring Team (March 2013). 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 177 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, 2011).
According to the USDA Economic Research Service, the average per-capita income for Missourians in 2011 was $37,968 although rural per-capita income lagged at $30,873. Estimates from 2011 indicate a poverty rate of 19.4% exists in rural Missouri, compared to a 14.5% level in urban areas of the state. 2011 ACS data reports that 17.9% of the rural population has not completed high school, compared to 11.4% of urban populations. The unemployment rate in rural Missouri is at 8.9%, while in urban Missouri it is at 8.4% (USDA-ERS, 2011).
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; Missouri Office of Primary Care and Rural Health; Kaiser Family Foundation State Health Facts; Flex Monitoring Team: Critical Access Hospital List;
Organizations
A.T. Still University (ATSU)
Academic/Research
Provides multidisciplinary healthcare programs including osteopathic medicine, health management, health sciences, and dentistry and oral health.
Health Literacy Missouri (HLM)
Nonprofit/Foundation
Offers trainings in diagnosing health literacy weaknesses in clinical settings across the state. Trains doctors and other health professionals in better communication with patients. Located in St. Louis.
Heartland Telehealth Resource Center
State/regional organization
One of the telehealth resource centers funded by the federal Office for the Advancement of Telehealth. Assists health care organizations, health care networks, and health care providers in the implementation of cost-effective telehealth programs to serve rural and medically underserved areas and populations. Includes Kansas, Missouri, and Oklahoma.
HUD Community Development Block Grants: Missouri (CDBG)
Federal government
Contact information for the State CDBG program. Provides funding for community development projects.
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. As of October 2012 is a partner with the Rural Community Assistance Corporation (RCAC) to provide technical assistance to communities in Montana, North Dakota, South Dakota, and Wyoming.
Missouri Area Health Education Centers (MAHEC)
State/regional organization
Oversees Missouri's seven AHECs which are the 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, 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
Serves as the Missouri 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 numerous programs and services for children and families including family support, health care, domestic violence, medical assistance, 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 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.
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.
VA Midwest Health Care Network (VISN 23)
Federal government
Also known as Veterans Integrated Service Network 23. Serves more than 400,000 enrolled Veterans residing in Iowa, Minnesota, Nebraska, North Dakota, South Dakota, and portions of Illinois, Kansas, Missouri, Wisconsin, and Wyoming.
Tools
ERS State Fact Sheet: Missouri
Website
Lists statistics on population, educational attainment, employment, income, farm characteristics, and farm financial indicators for the state.
Missouri AgrAbility Project
Website
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
Website
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 Research & Data
Website
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)
Website
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
Website
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
Website
Health care quality report for the state, based on the National Healthcare Quality Report.
NN/LM MidContinental Region: Missouri Resources
Website
Overview of the state, with links to state agencies, health associations, and other resources for Missouri.
See also: State-by-State Resources: Tools Maps & Map Collections
Medical Facilities in Missouri
Geographic coverage: Missouri
Searchable by county, zip code, or city to find hospitals, federally qualified health centers, and rural health clinics in Missouri. Also provides location and contact information for each facility.
Date: 2012
Missouri Rural Definition Maps
Geographic coverage: Missouri
Set of maps showing the geographic coverage provided by 9 different rural definitions for the state.
Date: 2000
Missouri Rural Health Clinic Finder
Geographic coverage: Missouri
An interactive map showing Rural Health Clinics, by county, throughout Missouri.
Date: 2012
See also: State-by-State Resources: Maps Funding
Community Resource Group (CRG) Loan Fund
Loans to help small, rural communities and tribal nations with water and wastewater projects.
Delta Health Care Services Grant Program
Provides financial assistance for the development of health care services, health care cooperatives, health education programs, health care training programs, and public health-related facilities in the Delta Region.
Delta Regional Authority States Economic Development Assistance Program (SEDAP)
Grants to help Delta communities create jobs and improve infrastructure.
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
Supports local organizations with funding priority given to programs that focus on education and neighborhood improvement, economic development, youth development, community problem-solving, assistance to disadvantaged people, environmental conservation, and cultural enrichment.
Georgia-Pacific Foundation Grants
Grants for organizations projects that focus on education, the environment, community enhancement, affordable housing, arts and culture, and entrepreneurship.
IFF Loan Fund
Offers loans to nonprofits serving low-income or special-needs populations for facilities, equipment, vehicles, construction of affordable housing, and food programs.
Kerr Foundation Grants
Provides grants in the areas of education, health, cultural development, and community service.
Missouri General Support for Advocacy
Awards funding to nonprofit organizations engaged in health advocacy work on behalf uninsured and underserved populations in Missouri.
Missouri Grow Your Own (GYO) Hospital Grant Program
Offers funding to Missouri hospitals to develop and implement methods to recruit, retain, and develop a health care workforce.
Rural Health IT Workforce Loan Fund
Loans for health care providers in underserved communities to successfully adopt and utilize a Health IT system.
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
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
Housing in the Mississippi Delta
Sponsoring organization: Housing Assistance Council
Provides statistics and describes the housing needs of the Mississippi Delta region that will require multi-level approaches to address the social, political, and economic infrastructure of the region.
Date: 10 / 2011
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
Missouri Medicaid Basics
Sponsoring organization: Missouri Foundation for Health
Describes Missouri's Medicaid program, called MO HealthNet. Includes data and statistics, plus information on all program sections, eligibility requirements, delivery systems, financing, and current economical impacts. Includes charts.
Date: 2011
Missouri Medicaid Expansion: Good for All Missourians
Author(s): Timothy McBride, Sidney Watson, Amy Blouin
Estimates the impact of the Medicaid expansion in Missouri concluding that expanding Medicaid would help every region in the state and would have the most dramatic impact in rural areas.
Date: 01 / 2013
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
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
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 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: 10 / 2012
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: 2 / 2013
Southern Rural Development Center: 2011 Annual Report: Regional Innovations, National Applications
Sponsoring organization: Southern Rural Development Center
Describes the programs and progress of the Southern Rural Development Center, one of four regional centers coordinating rural development research and extension education programs.
Date: 2012
See also: State-by-State Resources: Documents Journals
Community Connections
Published quarterly. 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.
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.
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.
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