Strategies

What Works for Health includes evidence-informed strategies to create communities where everyone can thrive.

140 Strategies
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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
  • Quality of Care

Public transportation systems

Introduce or expand transportation options that are available to the public and run on a scheduled timetable (e.g., buses, trains, ferries, rapid transit, etc.)

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Radon mitigation programs

Prevent radon from entering occupied buildings and reduce existing indoor air radon levels via soil depressurization, home or room pressurization, heat recovery ventilation, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Rain barrels

Use ready-made or home constructed barrel systems to collect and store rainwater from rooftops that would otherwise flow to storm drains and streams

Evidence Rating:
Some Evidence
  • Air and Water Quality

Rain gardens & other bioretention systems

Establish bioretention systems (e.g., rain gardens, bioretention cells, green roofs, planter boxes, bioswales, etc.) to make city landscapes more permeable to help control stormwater

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Raise the Age

Increase the minimum and/or maximum age boundaries for youth to be processed in the juvenile justice system

Evidence Rating:
Expert Opinion
  • Community Safety

Rapid re-housing programs

Transition families and individuals experiencing homelessness into permanent housing quickly, often with supports such as short-term financial assistance, case management, landlord negotiations, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Recreational marijuana legalization

Allow adults to possess a limited amount of marijuana for personal, non-medical use

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use
  • Community Safety

Rent regulation policies

Establish tenant protections via regulations to the housing rental market such as limits on rent increases and eviction protections for tenants with low incomes; typically via rent stabilization

Evidence Rating:
Expert Opinion
  • Housing and Transit

Restorative justice in the criminal justice system

Use victim-offender dialogue to address the harm caused by a crime and victims’ needs; can take place pre-arrest or post sentence via sharing circles, victim-offender mediation, or face-to-face conferences

Evidence Rating:
Scientifically Supported
  • Community Safety

Rollover protective structures (ROPS)

Attach metal bars, frames, or crush proof cabs to a tractor that provide a safety zone for an operator in the event of a rollover or overturn

Evidence Rating:
Scientifically Supported
  • Community Safety

Rural transportation services

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.

Evidence Rating:
Expert Opinion
  • Access to Care
  • Housing and Transit

Safe Routes to Schools

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Scared Straight

Organize tours of prison facilities for juvenile delinquents or youth at risk of delinquency and allow them to observe prison life and attend inmates’ presentations; also called juvenile awareness programs

Evidence Rating:
Evidence of Ineffectiveness
  • Community Safety

Scrap programs for old vehicles

Provide incentives to trade in old cars or light duty trucks with low fuel efficiency and high emissions and buy new vehicles with higher efficiency and lower emissions; also called scrappage or vehicle early retirement programs

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Service-enriched housing

Provide permanent, basic rental housing with social services available on-site or by referral, usually for families with low incomes, older adults, veterans, or people with disabilities

Evidence Rating:
Some Evidence
  • Housing and Transit

Sports-related concussion education

Educate youth and college athletes, coaches, and parents about the severity of concussions in sports, proper prevention, detection, reporting, and treatment

Evidence Rating:
Insufficient Evidence
  • Community Safety

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
  • Quality of Care

Strong graduated driver licensing laws

Strengthen laws that allow young drivers to gain driving experience in stages; often includes passenger and nighttime driving limitations and higher minimum ages for learner’s permits, intermediate, and full licenses

Evidence Rating:
Scientifically Supported
  • Community Safety

Summer youth employment programs

Provide short-term employment opportunities for youth, especially those from disadvantaged backgrounds

Evidence Rating:
Some Evidence
  • Community Safety
  • Employment

Tax increment financing (TIF) for affordable housing

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

Evidence Rating:
Expert Opinion
  • Housing and Transit

Traffic calming

Modify the built environment to affect traffic speed and patterns via speed humps, pedestrian center crossing islands, roundabouts, etc.

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Community Safety

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
  • Quality of Care

Trauma-informed juvenile justice systems

Support a trauma-informed juvenile justice system to recognize and respond to trauma’s impact on youth through staff training and broad adoption of trauma-informed practices and policies

Evidence Rating:
Expert Opinion
  • Community Safety

Treatment Foster Care

Place youth with mental, emotional, and behavioral health challenges in foster families that provide a structured, nurturing, therapeutic environment; also called Therapeutic Foster Care (TFC)

Evidence Rating:
Some Evidence
  • Community Safety

Treatment Foster Care Oregon

Place severely and chronically delinquent youth in foster families that are trained in structured behavior management and connected to TFCO program staff; formerly called Multidimensional Treatment Foster Care

Evidence Rating:
Scientifically Supported
  • Community Safety

Universal distracted driving laws

Prohibit all drivers from texting or talking on a cell phone while driving

Evidence Rating:
Some Evidence
  • Community Safety

Universal firearm background checks

Require both licensed firearm dealers and unlicensed (i.e., private) firearm sellers to conduct background checks of potential firearm purchasers; also known as comprehensive background checks

Evidence Rating:
Some Evidence
  • Community Safety

Universal motorcycle helmet laws

Require all motorcycle operators and passengers to wear a helmet; laws are established statewide and may also include mopeds and scooters

Evidence Rating:
Scientifically Supported
  • Community Safety

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
  • 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
  • Quality of Care

Vehicle anti-idling initiatives

Implement anti-idling policies and awareness campaigns to reduce engine idling for passenger vehicles, school buses, and/or equipment and truck fleets

Evidence Rating:
Some Evidence
  • Air and Water Quality

Vehicle inspection & maintenance (I/M) programs

Require scheduled testing of vehicles’ tailpipe and evaporative emissions; federally mandated in areas with particularly poor air quality

Evidence Rating:
Some Evidence
  • Air and Water Quality

Walking school buses

Arrange active transportation with a fixed route, designated stops, and pick up times when children can walk to school with adult chaperones

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

Weatherization assistance program

Provide assistance to families with low incomes to make their homes more energy efficient and to permanently reduce their energy bills

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Youth football full contact rules

Restrict full contact between youth football players via limits to the number of contact practices, head hits per player, delay tackling until a certain age, etc.

Evidence Rating:
Expert Opinion
  • Community Safety

Youth in adult justice system

Transfer arrested youth from the juvenile justice system to the adult criminal justice system

Evidence Rating:
Evidence of Ineffectiveness
  • Community Safety

Zoning regulation and land use policy reforms

Reform zoning regulations to remove exclusionary zoning codes, address physical environment aesthetics and safety, street continuity and connectivity, residential density, and mixed-use development, etc.

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise