Policies & Programs

Policies and programs that can improve health

filtered by "Quality of Care"

34 results

Behavioral health primary care integration

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

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Case-managed care for community-dwelling frail elders

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

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Chronic disease management programs

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

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Chronic disease self-management (CDSM) programs

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

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Computerized clinical decision support systems (CDSS)

Provide health care providers with patient-specific prompts or warnings, treatment guidelines, automatic medication dosing calculators, or reports of overdue tests and medications via electronic tools

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Computerized provider order entry (CPOE)

Allow health care providers to enter orders or prescriptions (e.g., imaging studies, laboratory tests, admissions, referrals, etc.) into a computer system; also called electronic prescribing

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Consumer participation in health care governance

Involve consumers in health care governance via roles on governing boards, advisory committees, or shorter-term special projects

Evidence Rating:
Expert Opinion
Health Factor(s):
Quality of Care

Consumer-directed health plans

Establish high deductible health plans, often paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs)

Evidence Rating:
Mixed Evidence
Health Factor(s):
Quality of Care

Cultural competence training for health care professionals

Increase health care providers’ skills and knowledge to understand and respond to cultural differences, value diversity, etc. via factual information, skills training, and other efforts

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Culturally adapted health care

Tailor health care to patients’ norms, beliefs, and values, as well as their language and literacy skills

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Electronic health information exchange

Share patient data electronically between different health care organizations, allowing providers to see necessary portions of a patient’s medical record outside the patient’s usual clinic

Evidence Rating:
Some Evidence
Health Factor(s):
Quality of Care

Green House homes

Support self-contained, homelike dwellings for 10-12 elderly adults who require nursing care; universal caregivers, usually CNAs, provide care and other supports while clinical teams visit for specialized care

Evidence Rating:
Some Evidence
Health Factor(s):
Quality of Care

Health literacy interventions

Increase patients’ health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy

Evidence Rating:
Some Evidence
Health Factor(s):
Access to Care, Quality of Care

Hospital wristband color standardization

Establish national standards for the colors of patient wristbands used to alert health care providers about specific conditions such as allergies or elevated fall risk

Evidence Rating:
Insufficient Evidence
Health Factor(s):
Quality of Care

Integrated long-term care for community-dwelling frail elders

Support a collaborative approach by a multidisciplinary team of professionals working to meet the full range of long-term care (LTC) needs for frail elderly patients living in community settings

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Medical homes

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care, Access to Care

Multi-component fall prevention interventions for older adults

Provide a fixed, multi-component set of fall prevention interventions to older adults, usually in community settings

Evidence Rating:
Scientifically Supported
Health Factor(s):
Community Safety, Quality of Care

Nurse practitioner scope of practice

Use regulation to extend nurse practitioners’ (NPs’) scope of practice to provide care to the full scope of their training and skills without physician oversight, especially for primary care

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Nurse-friendly work environments

Improve work environments for nurses via establishment of strong nursing leadership, organizational support, etc.

Evidence Rating:
Expert Opinion
Health Factor(s):
Access to Care, Quality of Care

Patient financial incentives for preventive care

Use payments, vouchers, tickets for prize drawings, and other incentives to encourage patients to undergo preventive care such as screenings, vaccinations, etc.

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Patient navigators

Provide culturally sensitive assistance and care coordination, and guide patients through available medical, insurance, and social support; also called systems navigators

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Patient safety checklists

Use visual tools to prompt safe practices, standardize communication, and ensure no step is forgotten before or during a medical procedure or other health care situation

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Patient shared decision making

Support joint decision making between health care practitioners and patients through shared decision making (SDM); part of patient-centered care

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Price transparency initiatives for patients

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools

Evidence Rating:
Some Evidence
Health Factor(s):
Quality of Care

Professionally trained medical interpreters

Provide interpretation services for patients with limited English proficiency (LEP) in outpatient and inpatient health care settings, following training and certification

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Public reporting of health care quality performance

Make clinician, clinic, hospital, long-term care facility and insurance plan performance on health care quality measures publicly available via report cards, reporting websites, or similar tools

Evidence Rating:
Some Evidence
Health Factor(s):
Quality of Care

Public reporting of health care-associated infections

Make health care facilities’ health care-associated or hospital-acquired infection (HAI) rates readily available to patients and providers

Evidence Rating:
Expert Opinion
Health Factor(s):
Quality of Care

Quality improvement practice coaches for primary care

Engage practice coaches or facilitators to work with primary care clinic staff to redesign clinical practices, organize quality improvement efforts, improve communication, share best practices, etc.

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Risk assessments & personalized approaches to fall prevention among older adults

Conduct assessments that gauge older adults’ risk of falling and develop personalized approaches to help prevent falls

Evidence Rating:
Scientifically Supported
Health Factor(s):
Community Safety, Quality of Care

State-level minimum nurse staffing requirements for nursing homes

Establish state level regulations that require nursing homes to employ at least a set number of licensed and non-licensed nursing staff, often set in terms of staff hours per resident day

Evidence Rating:
Expert Opinion
Health Factor(s):
Quality of Care

Tiered drug formularies

Vary patient drug costs by tier; e.g., generic drugs have the lowest co-pay or cost sharing in tier one, then preferred brand name medications (tier two), then non-formulary drugs (tier three)

Evidence Rating:
Mixed Evidence
Health Factor(s):
Quality of Care

Trauma-informed health care

Shift the way health care organizations approach trauma by adopting universal trauma precautions and providing trauma-specific care

Evidence Rating:
Expert Opinion
Health Factor(s):
Quality of Care

Value-based insurance design

Create financial incentives or remove financial disincentives to affect consumer choices and incentivize provision of cost efficient health care services

Evidence Rating:
Scientifically Supported
Health Factor(s):
Quality of Care

Value-based purchasing (VBP)

Use the purchasing power of employers and groups of insured individuals to create incentives and disincentives for health care providers to deliver high quality, high value care

Evidence Rating:
Some Evidence
Health Factor(s):
Quality of Care