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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.

Evidence-Based Examples

Domestic Violence Enhanced Home Visitation Program (DOVE)
Updated/reviewed January 2020
  • Need: To reduce violence against pregnant women and women with infants in rural Missouri.
  • Intervention: A tool for existing home visiting programs, DOVE is a brochure-based and safety planning intervention for women experiencing interpersonal violence.
  • Results: Women receiving the DOVE intervention saw a larger average decrease in number of violent incidents than women in the control group.

Effective Examples

MU AHEC Summer Community Program
Updated/reviewed January 2020
  • 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.
Children's Mercy Allergy, Asthma, and Immunology Telemedicine
Updated/reviewed August 2018
  • 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: Patients and their families report a 98% satisfaction rate with the telemedicine visits, which a six-month study found to be as effective as in-person visits.

Promising Examples

funded by the Health Resources Services Administration Learning Exchange Reverse Demonstration (LERD) Model
Updated/reviewed July 2020
  • 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

funded by the Federal Office of Rural Health Policy Miles for Smiles Mobile Dental Unit
Updated/reviewed September 2020
  • Need: Dental care access for children in low-income families living in a 7-county region of southwest Missouri.
  • Intervention: A mobile dental unit was created to expand dental care access.
  • Results: The Miles for Smiles mobile dental clinic provides comprehensive dental care to children throughout the 7-county region
MoCAP
Updated/reviewed August 2020
  • Need: To help rural Missouri organizations secure funding to improve health outcomes.
  • Intervention: MoCAP provides free grant writing services, technical assistance, and a mailing list of funding opportunities to organizations in its 84-county service area.
  • Results: Since 2010, MoCAP has provided support for over 600 proposals and helped bring in more than $290 million in funding.
Poplar Bluff Skate Plaza
Updated/reviewed April 2020
  • 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.
Healthy Places for Healthy People in Monett
Updated/reviewed December 2019
  • Need: Monett, Missouri's high tobacco use rates, lack of access to fresh foods, limited walkability and bikeability, and aging downtown infrastructure were all affecting residents' health.
  • Intervention: With planning assistance from Healthy Places for Healthy People, CoxHealth Monett led a coalition to revitalize downtown infrastructure and create opportunities for healthy living.
  • Results: Changes have helped to improve patient health, increase exercise opportunities, enhance downtown, and engage Monett's Hispanic population.
funded by the Federal Office of Rural Health Policy University of Missouri School of Medicine's Rural Track Elective Program
Updated/reviewed December 2019
  • Need: Increase number of medical providers in rural Missouri.
  • Intervention: Expansion of the Rural Track training sites and additional medical student and resident rural curriculum offerings with programs through the Rural Medical Services Grant.
  • Results: Early results show 22 medical students have rotated through the training sites and more than 50 medical students and residents have attended the focused lecture series.
Rapid HCV Testing as an HIV Testing Strategy in Rural Areas
Updated/reviewed October 2019
  • 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.
HCC of Rural Missouri's Project Connect Event
Updated/reviewed April 2019
  • Need: To expand public health and human services to adults living in rural West Central Missouri.
  • Intervention: The Health Care Collaborative of Rural Missouri's Network organizes Project Connect events, a 1-day public health event that offers free public health and human services to underserved adults.
  • Results: In 2018 alone, Project Connect events provided a total of 8,870 incidents of services to guests, a $302,000 value.
funded by the Federal Office of Rural Health Policy HCC of Lafayette County's Heath Information Technology Workgroup
Updated/reviewed January 2019
  • 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.
HealthTran
Updated/reviewed February 2018
  • Need: To provide transportation to patients in South Central Missouri who otherwise have non-existent, limited, or expensive transportation options to and from healthcare appointments.
  • 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: 9/8/2020