County Health Rankings & Roadmaps, A Healthier Nation, County by County

The County Health Rankings models and measures

Our Approach

The County Health Rankings model of population health

What can I do?

Action Center

Explore guides and tools for improving health.

What Works for Health

Explore programs and policies that work!

What can I learn from others?

Reports

Key findings from the last four years of County Health Rankings and other national reports.

County-by-County Blog

Project updates, commentaries, events and news about health across the nation from the County Health Rankings & Roadmaps team.

What Works for Health

Policies and programs that can improve health

Active recess

Scientifically Supported

Establish a break from the school day, typically before lunch, that involves planned, inclusive, actively supervised games or activities; also called semi-structured, or structured recess

Diet and Exercise

Activity programs for older adults

Scientifically Supported

Offer group educational, social, or physical activities that promote social interactions, regular attendance, and community involvement among older adults

Diet and Exercise  ·  Family and Social Support

Administrative license suspension/revocation laws

Scientifically Supported

Enable law enforcement officials to take an individual’s drivers license when that individual refuses or fails a chemical test such as a breathalyzer

Alcohol and Drug Use

Adult vocational training

Scientifically Supported

Support acquisition of job-specific skills through education, certification programs, or on-the-job training, often with personal development resources and other supports

Employment

Advocacy for victims of intimate partner violence

Insufficient Evidence

Work to empower victims of intimate partner violence, help them with safety plans, and link them with community services (e.g., legal, housing, financial advice, emergency shelter, etc.)

Community Safety

Affordable housing tax increment financing (TIF)

Expert Opinion

Create designated tax districts that generate revenue to invest in affordable housing initiatives, blight remediation, and economic development efforts

Housing and Transit

Alcohol access restrictions in public places

Expert Opinion

Restrict alcohol availability and use at sporting events, other public events (e.g., concerts and street fairs) and in public spaces such as parks and beaches

Alcohol and Drug Use

Alcohol advertising restrictions

Some Evidence

Restrict the content and placement of alcohol advertisements via local ordinances, state laws, or industry self-regulation

Alcohol and Drug Use

Alcohol brief interventions

Scientifically Supported

Provide information and increase motivation to change or prevent problematic alcohol consumption in a short session; also called alcohol screening & brief intervention

Alcohol and Drug Use

Alcohol days of sale restrictions

Some Evidence

Limit the days alcohol can be sold in on-premise settings such as bars and restaurants or in off-premise outlets such as liquor and convenience stores; sometimes with limits to times of sale

Alcohol and Drug Use

Alcohol outlet density restrictions

Scientifically Supported

Use regulatory authority to reduce density of alcohol beverage outlets (i.e., places that sell alcohol) or limit increases in the density of such outlets

Alcohol and Drug Use

Alcohol taxes

Scientifically Supported

Increase the price of alcohol via regular adjustments to taxes levied for beer, wine, and liquor purchases

Alcohol and Drug Use

Allied dental professional scope of practice

Some Evidence

Expand the role of allied dental professionals (e.g., hygienists, therapists, etc.) via changes to statute, dentist supervision requirements, etc.

Access to Care

Alternative fuels initiatives

Expert Opinion

Support alternative fuel and vehicle use via financial incentives (e.g., tax benefits, rebates, etc.), mandates (e.g., consumption targets or renewable fuel standards), research and development investments, etc.

Air and Water Quality

Alternative high schools for at-risk students

Scientifically Supported

Provide educational and social services in an alternative setting for students at-risk of dropping out of traditional high schools

Education

Attendance interventions for chronically absent students

Scientifically Supported

Support interventions that provide chronically absent students with resources to improve self-esteem, social skills, etc. and address familial and school-related factors that can contribute to poor attendance

Education

Behavioral health primary care integration

Scientifically Supported

Revise health care processes and provider roles to integrate mental health and substance abuse treatment into primary care

Quality of Care

Behavioral interventions to prevent HIV and other STIs

Scientifically Supported

Use individual, group, and community-level interventions to provide education, support, and training that can affect social norms about HIV and other STIs

Sexual Activity

Bicycle helmet laws

Scientifically Supported

Establish laws that require bicyclists to wear helmets; laws can apply to children or all bicyclists and can be established at the state or local level

Community Safety

Bicycle paths, lanes & tracks

Some Evidence

Accommodate or provide dedicated space for bicyclists via bicycle paths, lanes, cycle tracks or protected bike lanes, etc.

Community Safety

Big Brothers Big Sisters (BBBS)

Some Evidence

Match disadvantaged or at-risk youth with volunteer mentors in school or community settings

Community Safety  ·  Education

Bike & pedestrian master plans

Some Evidence

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area

Housing and Transit  ·  Diet and Exercise

Birthing Project Sister Friends

Insufficient Evidence

Provide one-on-one support and education to women of color, by women of color during pregnancy and for one year after birth

Family and Social Support

Blood alcohol concentration laws

Scientifically Supported

Set legal limits for drivers’ blood alcohol concentrations (BACs)

Alcohol and Drug Use

Breastfeeding promotion programs

Scientifically Supported

Engage health care professionals, lay health workers, and others to increase breastfeeding initiation, exclusive breastfeeding, and duration of breastfeeding

Diet and Exercise

Breath testing checkpoints

Scientifically Supported

Implement checkpoints where law enforcement officers can stop drivers suspected of drinking and driving and assess their level of alcohol impairment; also called sobriety checkpoints

Alcohol and Drug Use

Bridge programs for hard-to-employ adults

Expert Opinion

Provide basic skills (e.g., reading, math, writing, English language, or soft skills) and industry-specific training with other supports; often incorporated in career pathway programs

Education  ·  Employment

CAFO regulations

Expert Opinion

Establish local regulations for confined animal feeding operations (CAFOs) that address location, size, facility management, and pollution contributions to complement US EPA regulations

Air and Water Quality

Campus alcohol bans

Insufficient Evidence

Restrict alcohol consumption anywhere on a college or university campus or ban alcohol only in specific areas (e.g., residence halls)

Alcohol and Drug Use

Car seat distribution & education programs

Scientifically Supported

Provide parents with car seats free of charge, via loan or low cost rental, often with installation support

Community Safety

Car seat education & enforcement campaigns

Scientifically Supported

Share information about the importance of proper car seat use and enforce existing laws via checkpoints, dedicated law enforcement officials, etc.

Community Safety

Car seat incentive & education programs

Scientifically Supported

Educate parents and caregivers about proper use of car seats and reward parents and/or children for correct use

Community Safety

Career & technical education for high school graduation

Scientifically Supported

Provide career and technical education (CTE) as an integrated part of an academic curriculum for students at risk of dropping out of high school; also called vocational training

Education

Career Academies

Scientifically Supported

Establish small learning communities in high schools focused on fields such as health care, finance, technology, communications, or public service

Education

Carpool & rideshare programs

Expert Opinion

Help commuters share transportation through informal arrangements between individuals, formally arranged dynamic ridesharing programs, or other ride-matching services

Air and Water Quality  ·  Housing and Transit

Case-managed care for community-dwelling frail elders

Some Evidence

Use a case management model for frail elderly patients living independently, coordinating aspects of long-term care such as status assessment, monitoring, advocacy, care planning, etc.

Quality of Care

Cell phone-based support programs

Some Evidence

Deliver real-time ongoing or crisis support to individuals with mental health concerns via mobile phone applications (apps) or texts

Family and Social Support

Cell phone-based tobacco cessation interventions

Scientifically Supported

Deliver tobacco cessation advice and motivational messages via text or video message

Tobacco Use

CenteringPregnancy

Scientifically Supported

Provide prenatal care in a group setting, integrating health assessment, education, and support

Access to Care

Charter schools

Mixed Evidence

Establish publicly financed schools that are not subject to many of the regulations that govern traditional public schools, such as staffing, curriculum, and budgeting requirements

Education

Chicago Child-Parent Centers

Scientifically Supported

Provide preschool education and comprehensive support to low income families, including small classes, student meals, and home visits with referrals for social service support as needed

Education

Child bicycle helmet promotion programs

Scientifically Supported

Promote child bicycle helmet use via health education, media campaigns, or provision of free or low-cost helmets

Community Safety

Child care subsidies

Scientifically Supported

Provide financial assistance to working parents, or parents attending school, to pay for center-based or certified in-home child care

Income

Child firearm access prevention laws

Some Evidence

Impose penalties on adults for a child’s unsupervised access to firearms or violation of safe firearm storage requirements

Community Safety

Child tax credit expansion

Expert Opinion

Expand federal or state child tax credits by increasing eligibility by age (e.g., to families with 17 and 18 year old children), increasing credit amounts, making credits refundable, or creating a fully refundable supplement

Income

Child-focused advertising restrictions for unhealthy foods & beverages

Some Evidence

Restrict child-focused advertising for unhealthy foods and beverages via bans on unhealthy food and drink ads during children’s TV programs, product placement in children’s movies, etc.

Diet and Exercise

Children's savings accounts

Expert Opinion

Establish dedicated children’s savings account (CSAs) to build assets over time with contributions from family, friends, and sometimes, supporting organizations; also called children’s development accounts (CDAs)

Income  ·  Education

Chronic disease management programs

Scientifically Supported

Implement multi-component efforts that include coordination of health services by multidisciplinary teams of health care professionals, patient self-management, and patient education

Quality of Care

Chronic disease self-management (CDSM) programs

Scientifically Supported

Provide educational and behavioral interventions that support patients’ ability to actively manage their condition(s) in everyday life

Quality of Care

Clean diesel technology fleet transition programs

Scientifically Supported

Replace or retrofit diesel buses or other vehicles to operate with clean diesel technology

Air and Water Quality

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