Client Leadership Series · February 20, 2025

Beterra Client Leadership Series: Dr. Jessica Gilmore, PharmD, MPH

Advancing Quality and Safety in Rural Healthcare: A Leader's Journey

In the evolving healthcare landscape, leaders like Dr. Jessica Gilmore are not just keeping pace with change - they are driving it. As a force for patient-centered care at Hannibal Regional Health System (HRHS), Jessica's unwavering commitment to excellence has set new standards for quality and safety in rural healthcare.

As a licensed pharmacist, she has played a critical role in ensuring the safe and effective delivery of pharmaceutical care to her community. Her commitment to excellence earned her the Golden Star Award, a recognition of her dedication to patient care and leadership in pharmacy.

A Strong Mission to Bring Big-System Quality to Rural Healthcare

Jessica's passion for healthcare safety and quality is rooted in the close-knit nature of her community. "In small communities like Hannibal, our patients are our family, our neighbors, our friends," she asserts. "Access to care is a significant challenge across the country, but especially in rural areas. I refuse to accept that rural patients should receive anything less than world-class care. My mission is to ensure they get 'big health system quality' right here at home."

Navigating the Challenges in Quality and Safety

"The pace of change in healthcare is relentless," Jessica states. "It demands constant vigilance, agility, and a proactive approach to stay ahead of the curve and ensure compliance with the latest standards."

Through collaboration with organizations like Beterra, she ensures that HRHS remains a leader in rural healthcare innovation on new CMS guidelines such as Patient Safety Structural Measures (PSSM).

Initiatives Transforming Patient Safety

Jessica has been the driving force behind several groundbreaking initiatives at HRHS. Among her most impactful contributions is the introduction of a rigorous Morbidity & Mortality (M&M) conference, a high-level, multidisciplinary review process that identifies and addresses critical gaps in care.

"This initiative has been a game-changer," she explains. "By deeply analyzing cases, we've identified key opportunities for improvement, leading to systemic changes that significantly enhance patient safety."

One such revelation through M&M analysis led to revamped emergency response protocols, ensuring that life-saving interventions are executed with greater precision and speed. Additionally, her team pioneered early clinical decline detection strategies for patients with severe mental health diagnoses.

Leadership, Mentorship, and Shaping the Next Generation

A great safety and quality leader must possess resilience, positivity, and confidence. "Quality metrics tend not to change quickly, and moving the proverbial needle requires a great deal of work," Jessica emphasizes. "It can be easy to get discouraged, but you must stay the course to accomplish truly great things."

This mindset has led Jessica to pursue advanced education, certifications, and leadership initiatives, further strengthening her ability to drive transformational change. She encourages emerging healthcare professionals to actively seek opportunities for growth through training programs, professional networks, and industry-leading forums such as the IHI conference.