The Missouri Action Coalition is the driving force transforming health care through nursing in our state. Understanding that Missouri has specific health care challenges and needs, we are working with diverse stakeholders to create and model innovative solutions with nurses leading the way.



If nurses are to be as effective as possible in helping to provide high-quality patient care in Missouri, they will need to be better prepared as care becomes more complex and moves into the community. Missouri is poised to develop solutions to address these trends. 


Missouri will advance pathways for a diverse nursing workforce to achieve higher levels of education and training through an improved education system that promotes seamless academic progression through the Missouri Articulation Plan. The Action Coalition also has developed a plan to recruit, retain, develop and diversify nursing faculty, ensuring that there are sufficient numbers of nurses who can deliver high-quality, patient-centered.  


Nurses bring a unique, important perspective to health care, higher education, business and policy discussions. Faced with Missouri’s significant health care challenges, nurses at all levels must step up, and contribute their valued perspective.  


We understand that communicating the value of nursing leadership, and building allies are critical to providing opportunities for nurses to take on leadership roles. At the same time nurses must develop leadership competencies, and identify opportunities to contribute their value. We will engage Missouri nurses at all levels to train and provide them with opportunities to lead through a state-wide leadership academy and other avenues. 


Missouri faces health care shortages in underserved urban and rural areas of the state and rising costs of health care. Removing outdated laws and regulations that restrict the practice of advanced practice registered nurses will expand access to Missourians. 


Missourians are adversely affected by the outdated legislation that prevents nurses from practicing to the full extent of their education and training. We are educating consumers, have developed resources to promote Barrier Free Care for Missouri Citizens, and continue to learn from states with advanced regulations in an effort to provide care to residents of Missouri. 

Interprofessional Collaboration

The challenge of meeting the range of Missourians’ health care needs will require the full contribution of all health care professionals working in concert to improve their own and each other’s performances—and most importantly, the health of our citizens.


The Action Coalition has convened a diverse group of stakeholders who are committed to understanding what each discipline can offer and how to develop successful care teams.


The Missouri population is becoming increasingly diverse, and many residents have unique health care needs. The nursing population must evolve to reflect these changing dynamics.



We will work with our colleagues throughout the state to communicate the value of diversifying the nursing workforce to reflect the state’s population, while also looking to other successful programs. 


The diversity of Missourians’ health care needs require a highly-skilled nursing workforce. Comprehensive data about the numbers and types of professionals is essential to preparing and deploying these providers so that residents throughout the state have access to the care they need.


The Action Coalition has identified and begun work with partners to collect and standardize data on Missouri health care professionals in order to better understand the state workforce and plan for future health care demands.  



Jill Kliethermes, Chief Executive Officer, Missouri Nurses Association

Nelda Godfrey, Associate Dean for Undergraduate Programs and Clinical Associate Professor, University of Kansas School of Nursing

Nina Bakke, Executive Director, Missouri League for Nurses

Andrea Routh, Executive Director, Missouri Health Advocacy Alliance  

Tina Lear, Director, Missouri Action Coalition

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