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Rural Health
Resources by State: Missouri

Selected Rural Healthcare Facilities in Missouri
Shows the state's Critical Access Hospitals (CAHs) and Rural Health Clinics (RHCs), as well as Federally Qualified Health Center (FQHC) sites located outside of urbanized areas.
Date: 10/2020
Type: Map/Mapping System
Sponsoring organization: Rural Health Information Hub
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Certified Community Behavioral Health Clinics Demonstration Program: Report to Congress, 2019
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration. Describes participating states' CCBHC activities including improved access to treatment and recovery support services, the range of services provided during the first year of the demonstration, how states have been reporting and utilizing required quality measures, and assess the costs to CCBHCs. This is the third of five annual reports to Congress on the CCBHC demonstration.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research, RAND Corporation
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Preliminary Cost and Quality Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Describes the CCBHC payment rates and costs of care through the first demonstration year as well as the experiences of states and CCBHCs reporting the required quality measures. Includes a comparison of payment rates by urban and rural clinic location.
Author(s): Joshua Breslau, Brian Briscombe, Michael Dunbar, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica
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Implementation Findings from the National Evaluation of the Certified Community Behavioral Health Clinic Demonstration
Provides an overview of the Certified Community Behavioral Health Clinic (CCBHC) demonstration through April 2019. Presents findings on implementation progress, successes, and challenges regarding CCBHC staffing, access to care, scope of required services, and care coordination. Includes rural references and case studies throughout.
Author(s): Allison Wishon Siegwarth, Rachel Miller, Jasmine Little, et al.
Date: 09/2020
Type: Document
Sponsoring organizations: HHS Office of the Assistant Secretary for Planning and Evaluation, Mathematica Policy Research
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The Alcoholic Beverage: An Elixir, and Yet a Poison?
Examines health messages related to alcohol from federal agencies and the journal literature. Features a Missouri cardiologist who reviews the science on alcohol use and its impact on health and well-being.
Author(s): Kay Miller Temple
Citation: Rural Monitor
Date: 08/2020
Type: Document
Sponsoring organization: Rural Health Information Hub
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The Influence of Telehealth for Better Health Across Communities
Describes the use of Extension for Community Healthcare Outcomes (ECHO), a videoconferencing peer learning application used by healthcare providers in predominantly rural areas of Missouri for the treatment of COVID-19–positive patients with chronic diseases such as diabetes, COPD, and hypertension. Discusses implications for public health and ways to optimize health system performance.
Author(s): Jane A. McElroy, Tamara M. Day, Mirna Becevic
Citation: Preventing Chronic Disease, 17
Date: 07/2020
Type: Document
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COVID-19: Rural Hospital Compendium
Summarizes Missouri Hospital Association's (MHA) efforts to help rural hospitals address the COVID-19 pandemic. Includes information on advocacy and financial support, the rural healthcare workforce, telehealth, personal protective equipment, and more.
Date: 06/2020
Type: Document
Sponsoring organization: Missouri Hospital Association
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Embracing the Power of Show-Me ECHO Learning Communities to Transform Clinical Practice in Missouri
Describes the Show-Me ECHO project, a collaborative video and case-based healthcare education model in Missouri that facilitates professional development across the state. Describes Show-Me ECHO's role in bringing clinicians together to share and learn through practical and experiential knowledge in order to expand healthcare access in rural and underserved communities. Specifically addresses Show-Me ECHO's impacts on knowledge sharing and collaboration in response to the COVID-19 pandemic.
Author(s): Lea Brandt, Melissa Warne-Griggs, Kimberly Hoffman, et al.
Citation: Missouri Medicine, 117(3), 216-221
Date: 05/2020
Type: Document
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HIV Testing Outcomes Among Blacks or African Americans — 50 Local U.S. Jurisdictions Accounting for the Majority of New HIV Diagnoses and Seven States with Disproportionate Occurrences of HIV in Rural Areas, 2017
Reports on HIV testing and diagnoses by a variety of demographic characteristics, including race/ethnicity. Examines linkage to medical care for African Americans with newly diagnosed HIV infection. Study covers 50 U.S. jurisdictions with the majority of new diagnoses as well as the seven states — Alabama, Arkansas, Kentucky, Mississippi, Missouri, Oklahoma, and South Carolina — with high rural rates of HIV. Rural-specific data is not provided in the results.
Author(s): Aba D. Essuon, Hui Zhao, Guoshen Wang, et al.
Citation: MMWR (Morbidity and Mortality Weekly Report), 69(4), 97-102
Date: 01/2020
Type: Document
Sponsoring organization: Centers for Disease Control and Prevention
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Assessing Health and Safety Concerns and Psychological Stressors among Agricultural Workers in the U.S. Midwest
Results of a 2018 study of 540 farmers in Iowa, Ohio, Missouri, Minnesota, and Nebraska, identifying agricultural work stressors including chemical and equipment safety, finances, and health concerns such as hearing loss, respiratory problems, depression, and acute illnesses. Examines differences between mail and in-person survey modes, and compares their effectiveness in promoting farm workers' willingness to participate in the surveys. Features demographics and statistics on the types of stress experienced.
Author(s): Kanika Arora, Marsha Cheyney, Fredric Gerr, et al.
Citation: Journal of Agricultural Safety and Health, 26(1), 45-58
Date: 01/2020
Type: Document
Sponsoring organization: American Society of Agricultural and Biological Engineers
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