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.
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.
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.
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: In 2018 to date, Children's Mercy has had 320 Asthma/Allergy/Immunology encounters from patients in rural counties. 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.
Updated/reviewed July 2018
- 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
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.
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.
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.
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.
Added August 2019
- 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.
- Results: Since 2010, MoCAP has provided support for over 440 proposals and helped bring in more than $210 million in funding.
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.
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.
Updated/reviewed June 2018
- 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 3,000 patients in the region have had over 9,000 painful or infected teeth pulled, collectively saving them over $3 million in dental care costs.
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.
Updated/reviewed December 2017
- 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
Last Updated: 4/16/2020