On September 26, 2019, the Hannibal Regional Healthcare System Board of Directors approved the three-year implementation strategy recommended by the Regional Health Steering Committee to address the needs identified by the 2019 Community Health Needs Assessment.


2010 Community Health Needs Assessment:

The community, as designated by Hannibal Regional and engaged in this process, includes the counties of Marion, Ralls, Lewis, Pike, Shelby and Monroe. In the spring of 2019 a community health needs assessment was conducted. The findings from the assessment can be found at hannibalregional.org under Community Health.

Based on the feedback received from a regional survey of key stakeholders and input during a town hall held on April 16, 2019, regional health needs were prioritized as follows:

  1. Community Apathy/Self Health Accountability
  2. Chronic Care Management (Diabetes, COPD, etc.)
  3. Mental Health/Depression (Diagnosis, Treatment and Aftercare)
  4. Drug Abuse (Opioids, Meth, Heroin)
  5. Poverty
  6. Obesity (Nutrition, Exercise and Healthy Eating)
  7. Smoking (Including E-cigarettes)


Following are strategies that will drive improvement over the next three years. During the next quarter, the Regional Health Steering Committee will collaborate on measurable goals, objectives and action plans to achieve each of the identified strategies:


  • Promote community health programs. Create effective media campaigns to encourage healthy lifestyles.
  • Continue hosting community education events and partner with other organizations to do so. Promote local healthcare and wellbeing programs.
  • Engage Living BETTER group to create region-wide health initiative to make the healthy choice the right choice.
  • Engage in health fairs and other health events to promote healthy eating and nutritional habits.


  • Engage in technology to create population health programs to help patients manage chronic health conditions.
  • Further market a healthy workforce imitative to offer biometric screenings to identify chronic diseases, and engage employers in encouraging employees to manage chronic health conditions.
  • Explore grants and utilize existing grants to offer resources such as blood pressure cups and scales to those in needs of these resources who do not have the ability to pay.
  • Engage schools and launch programs to fight hypertension, diabetes and smoking in school age children.
  • Develop processes to better support family practice providers to refer patients to resources such as nutrition and diabetes education.


  • Continue efforts to expand tele-health resources in the area of mental health counseling.
  • Utilize partner of Preferred Family Health and other providers to link primary and emergent care with readily available mental health counseling.
  • Continue to improve mental health prevention and awareness through training in Mental Health First Aid.
  • Complete a new community mental health survey to document specific mental health services and offerings throughout the region.
  • Collaborate with schools and mental health providers to increase education on mental health through the school system.
  • Continue and expand education to emergency workers in mental health training.


  • Continue to offer meaningful community activities to keep youth engaged and drug free.
  • Continue to improve substance abuse prevention and awareness through the mental health first aid training.
  • Create and supply educational handouts for medical providers to distribute to patients when prescribing opioids.
  • Continue to promote discarding old prescriptions at local police departments and drug drop-off programs.
  • Offer assistance to established drug-free programs including DARE and the United Way.


  • Continue to partner and promote food pantry programs in the community.
  • Launch money management education seminars throughout partnerships to assist in educating community on financial decision making.
  • Continue partnership with Community Connect and expand the human resources/job readiness part of the program.
  • Promote and advertise surrounding area job fairs, through the Hannibal Area Chamber of Commerce and other partners.
  • Create a program to donate used business items including clothing and equipment.
  • Expand the Hannibal Free Clinic program.
  • Research and create programs that allow left-over food to be donated to food pantries and individuals


  • Support current farmers’ markets and encourage local producers to share with food pantries.
  • Promote general free fitness activities within the community, including walking trails and city resources.
  • Develop a partnership between healthcare providers, the Y and the school system, to further encourage fitness in youth.
  • Increase access to healthy foods in schools and nursing homes.
  • Utilize MU Extension and their Recess Redesign program to encourage fitness and activity in school.
  • Utilize the Girls on the Move program in the school to encourage middle school girls to be active, regardless of their sports affiliation.
  • Sponsor and promote community events that encourage fitness.


  • Assist schools in the further education of the dangers of smoking, especially e-cigarettes.
  • Continue and expand smoking cessation programs throughout the region.
  • Educate primary care and specialty providers on the availability of smoking cessation programs.
  • Explore smoke-free campuses and their benefits.
  • Continue employer programs to encourage testing for smoking and the availability of smoking cessation classes for their employees.


The Regional Health Steering Committee will guide the plans implementation from 2019-2022. Members of the committee include:

  • Betty Anderson, Community Member
  • Vickie Berhorst, Administrator - Lewis County Health Department
  • Allen Clark, HRHS Pastoral Care Manager
  • Mark Conover, Chief Operations Officer - Preferred Family Healthcare
  • Stephanie Cooper, Executive Director - Douglass Community Services
  • Denise Damron, Executive Director - United Way of the Mark Twain Area
  • Christopher Deeken, Administrator- Pike County Health Dept.
  • McKenzie Disselhorst, Director- Hannibal Area Chamber of Commerce
  • Tom Dugger, Executive Director - Families and Communities Together (FACT)
  • Pamla Faulkner, HRHS Care Management Supervisor
  • Audrey Gough, Administrator - Shelby County Health Department
  • Wendy Harrington, President - Hannibal Regional Foundation
  • Sha-Shona Hill, Probation and Parole
  • Wendy Johnson, President - Moberly Area Community College
  • Megan Karr, Hannibal Public Schools Asst. Superintendent
  • Jessica Lang, Mark Twain Behavioral Health
  • Julie Leverenz, HRHS V Patient Experience
  • Jean McBride, Marion County Health Department
  • Corey Mehaffy, Director - NEMO Economic Development
  • Jim Meyer, County Engagement Specialist - MU Extension
  • John Nemes, Marion & Ralls County Ambulance District
  • Christy Power, VP Health Services - PFH/Clarity Healthcare
  • Judith Prater, Pike County Memorial Hospital
  • Mary Lynne Richards, Hannibal Parks & Recreation
  • Rhonda Stumbaugh, Community Health Coordinator - Pike County Health Dept.
  • Tanya Taylor, Administrator - Ralls County Health Department
  • Kara Viorel, Business Manager - Hannibal YMCA
  • Jennifer Wilson, Hannibal Council on Drug & Alcohol Abuse
  • Stephanie Wilt, HRHS Population Health Director