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Missouri Models and Innovations

These stories feature model programs and successful rural projects that can serve as a source of ideas. Some of the projects or programs may no longer be active. Read about the criteria and evidence-base for programs included.

Effective Examples

Children's Mercy Allergy, Asthma, and Immunology Telemedicine
Added August 2017
  • Need: To increase access to an allergy/asthma/immunology specialist for children in rural Kansas and Missouri.
  • Intervention: Children's Mercy Kansas City offers a telemedicine option for allergy/asthma/immunology visits.
  • Results: In 2017, Children's Mercy had 338 encounters from patients in rural counties. Patients and their families report satisfaction with the telemedicine visits, which a six-month study found to be as effective as in-person visits.
MU-AHEC Summer Community Program
Updated/reviewed August 2017
  • Need: Lack of healthcare providers, specifically physicians, in rural Missouri.
  • Intervention: Rising second-year medical students at University of Missouri's School of Medicine are given the opportunity to participate in a clinical program in a rural community setting.
  • Results: Almost half of the participants from 1996-2010 chose to practice in rural locations upon graduation.

Promising Examples

funded by the Health Resources Services Administration Learning Exchange Reverse Demonstration (LERD) Model
Updated/reviewed July 2017
  • Need: To make it easier for rural nurses to continue their education by decreasing the need to travel.
  • Intervention: An innovative, online health assessment course uses telehealth to allow rural RN-BSN students to demonstrate skills acquisition.
  • Results: Rural participants had similar learning outcomes to those participating in the onsite version of the course, with fewer travel costs, less time away from work, and higher overall satisfaction.

Other Project Examples

Rapid HCV Testing as an HIV Testing Strategy in Rural Areas
Updated/reviewed November 2017
  • Need: To provide HIV testing in rural areas while navigating around HIV stigma.
  • Intervention: A pilot study to provide HCV (Hepatitis C Virus) rapid tests and then offer an HIV rapid test as well.
  • Results: An increase in the number of people tested for HCV and HIV.
Poplar Bluff Skate Plaza
Updated/reviewed April 2017
  • Need: Slow the increasing rates of childhood obesity stemming, in part, from a lack of physical activity.
  • Intervention: Creating a youth-oriented downtown skate park to build a culture of daily physical activity in the rural community of Poplar Bluff, Missouri.
  • Results: Increased physical activity opportunities for youth in the far southeast corner of Missouri, especially for those not typically involved in organized sports.
funded by the Federal Office of Rural Health Policy Miles of Smiles Mobile Dental Unit
Updated/reviewed December 2016
  • Need: Children in low-income families living in a 7-county region of southwest Missouri lacked access to dental care.
  • Intervention: A mobile dental unit was created to expand access to dental care for children in the region.
  • Results: The Miles of Smiles mobile dental clinic provides comprehensive dental care to children throughout the 7-county region.
funded by the Federal Office of Rural Health Policy Health Care Coalition of Lafayette County’s Heath Information Technology Workgroup
Updated/reviewed September 2016
  • Need: To ensure the quality and sustainability of rural West Central Missouri's health services through the use of technology.
  • Intervention: The Health Care Coalition of Lafayette County convened a Health Information Technology (HIT) workgroup to establish electronic medical and prescription records, telemedicine capabilities, and training for Lafayette County and surrounding areas.
  • Results: The workgroup fully equipped a local emergency department with HIT, launched electronic prescriptions for nearly a dozen Lafayette County providers, and identified acute needs hindering the adoption of electronic health records.
Smiles of HOPE
Added June 2016
  • Need: To provide affordable exams and tooth extractions to adults unable to afford traditional dental care.
  • Intervention: Smiles of HOPE, a faith-based charity clinic inside Lighthouse Church in Dexter, Missouri, provides reduced-cost tooth extractions for residents in need.
  • Results: Over 2,200 patients in the region have had over 6,300 painful or infected teeth pulled, saving them a collective $2.5 million in dental care costs.
HealthTran Links Transit to Health
Updated/reviewed January 2016
  • Need: To provide public transportation for rural patients to access medical services in South Central Missouri.
  • Intervention: A non-emergency transportation service that offers rides for patients demonstrating a transportation need for timely primary and preventive care access.
  • Results: HealthTran has helped to improve healthcare access and long-term health outcomes, as well as reduced preventable hospitalizations and unnecessary emergency department visits.

Last Updated: 11/13/2017