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Midwest Health Initiative
8888 Ladue Road, Suite 250
St. Louis, MO 63124
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"The data is a starting point. The journey is process improvement, sharing best practices and openness to self and system improvement/change."
-Tom Hastings
Primary Care Physician, Chair, MHI Physician Leadership Council


MHI's Community Scorecard of key health statistics for St. Louis commercial populations, 2015-2018.

Released and updated annually, this October 2019 scorecard provides regional benchmark information to enable St. Louis employers, medical groups, health plans, and others to understand how their population compares to the broader commercially insured population in our region.  These comparisons help to shine a light on improvement opportunities and progress made over time.

The Scorecard also provides measures by which the community can gauge its collective progress toward making St. Louis a national leader in health and the quality and affordability of health care. Metrics are categorized into four domains: population health; care quality; utilization; and cost and affordability.  Have an idea for new metrics to be included, click here.

Click here to view the scorecard.



MHI November 2018 report highlights differences in health care prices, resource use and cost for commercially-insured people in St. Louis and 5 other U.S. regions.

Since 2014, MHI has been one of six Regional Healthcare Improvement Collaboratives (RHICs) in a national Total Cost of Care Project.  The project is funded by the Robert Wood Johnson Foundation and led by the Network for Regional Healthcare Improvement (NRHI). In addition to regional comparisons, the newly released report provides price, resource use and cost comparisons across larger St. Louis medical groups.

Among other things, the report finds that:

1. Prices vary widely, both across and within regions. In aggregate, prices
    in St. Louis were below those of the other regions.  

2. Differences in prices and resource use drive differences in cost.
    Providers with lower prices may use more resources to provide care.

3. While in aggregate costs were below average in St. Louis, component
    cost for outpatient services and prescription drugs were above
    average, driven by higher utilization.

Click here to read the complete report and see how St. Louis compares with other regions.



Provider and Employer Playbooks for reducing unnecessary emergency department visits and scorecard of key ED use metrics, created by MHI and community partners, May 2018

Missouri ranks 10th nationally for the most Emergency Department (ED) visits per 1,000 people, according to Kaiser Family Foundation State Health Facts.  In response, MHI and community partners representing local medical groups, health plans, employers, labor unions, and consumer advocates shared ideas and best practices to help patients find better alternatives than the emergency Department for health care needs that could be better treated in another setting.

MHI and its community partners have recently created informational resources including a Provider Playbook, an Employer Playbook, and an ED Scorecard of key metrics. 

Click here to access these resources aiming to reduce preventable ED visits.  


Our Mission

To provide a forum where trusted information and shared responsibility are used to improve health and the quality and affordability of health care.


Scorecard of key health statistics for St. Louis commercial populations, 2015 – 2018.  


Report analyzing health care prices, resource use and cost in St. Louis and 5 other U.S. regions.


Provider and Employer tips for reducing unnecessary emergency department visits.

Our Vision

A community that consistently leads the nation in health, care quality and affordability.