Strategies

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

45 Strategies
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Activity programs for older adults

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

Evidence Rating:
Scientifically Supported
  • Diet and Exercise
  • Family and Social Support

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
  • Quality of Care

Community arts programs

Support locally-based visual, media, and performing arts initiatives for children and adults; also called participatory arts programs

Evidence Rating:
Expert Opinion
  • Family and Social Support

Community centers

Provide space to promote socializing among community members and offer programs and services such as recreational or educational activities, counseling or support services

Evidence Rating:
Expert Opinion
  • Family and Social Support

Crisis lines

Provide free and confidential counseling and service referrals via telephone-based conversation, web-based chat, or text message to individuals in crisis, particularly those with severe mental health concerns

Evidence Rating:
Some Evidence
  • Family and Social Support

Cross-age youth peer mentoring

Establish an ongoing relationship between an older youth or young adult and a younger child or adolescent, usually an elementary or middle school student

Evidence Rating:
Some Evidence
  • Family and Social Support

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
  • Quality of Care

Early childhood home visiting programs

Provide at-risk expectant parents and families with young children with information, support, and training regarding child health, development, and care from prenatal stages through early childhood via trained home visitors

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Family and Social Support

Extracurricular activities for social engagement

Support organized social, art, or physical activities for school-aged youth outside of the school time

Evidence Rating:
Scientifically Supported
  • Family and Social Support

Father involvement programs

Support fathers’ active involvement in child rearing via various father-focused or family-focused interventions

Evidence Rating:
Some Evidence
  • Family and Social Support

Georgia Fatherhood Program

Provide employment-based services for non-custodial fathers who pay child support and experience a job loss or a decrease in income

Evidence Rating:
Insufficient Evidence
  • Family and Social Support

Grocery, housing & utilities cooperatives

Establish a non-share capital cooperative model in which fee-paying members can share the communal resources of a grocery, house, or utility cooperative

Evidence Rating:
Insufficient Evidence
  • Family and Social Support

Group-based parenting programs

Teach parenting skills in a group setting using a standardized curriculum, often based on behavioral or cognitive-behavioral approaches and focused on parents of at-risk children

Evidence Rating:
Scientifically Supported
  • Family and Social Support

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
  • 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
  • Quality of Care

Intergenerational communities

Establish policies, plans, and programs that meet the needs of all residents of a community, especially children and older adults, and promote interaction and cooperation between individuals of different generations

Evidence Rating:
Expert Opinion
  • Family and Social Support

Land return for tribal restitution

Return the rights to land, property, and resources to Native people as part of policies and initiatives that promote tribal sovereignty

Evidence Rating:
Expert Opinion
  • Income
  • Family and Social Support

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
  • 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, without an individualized risk assessment

Evidence Rating:
Scientifically Supported
  • Community Safety
  • Quality of Care

National Fatherhood Initiative's 24/7 Dad

Help men improve their parenting skills and fathering knowledge via a voluntary, comprehensive fatherhood program

Evidence Rating:
Insufficient Evidence
  • Family and Social Support

National Fatherhood Initiative's InsideOut Dad

Connect incarcerated fathers to their families and prepare them for release via small group education sessions that address fathering knowledge, skills, attitudes, and behaviors

Evidence Rating:
Insufficient Evidence
  • Family and Social Support

Neighborhood associations

Establish voluntary formal groups of residents who work together to create a unified voice, enhance living conditions in their neighborhood, and address neighborhood concerns

Evidence Rating:
Expert Opinion
  • Family and Social Support

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
  • Quality of Care

Nurse-Family Partnership (NFP)

Provide home visiting services to low income, first time mothers and their babies, starting during pregnancy and continuing through a child’s second birthday

Evidence Rating:
Scientifically Supported
  • Family and Social Support

Nurse-friendly work environments

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

Evidence Rating:
Expert Opinion
  • Access to Care
  • Quality of Care

Open Streets

Allow community members to gather, socialize, walk, run, bike, skate, etc. on streets temporarily to closed to motorized traffic; also called Ciclovía programs

Evidence Rating:
Expert Opinion
  • Diet and Exercise
  • Family and Social Support

Participatory budgeting

Engage community members to determine how public budgets are spent, ideally to improve neighborhood conditions and reduce inequality.

Evidence Rating:
Mixed Evidence
  • Family and Social Support

Patient financial incentives for preventive care

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

Evidence Rating:
Scientifically Supported
  • 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
  • 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
  • Quality of Care

Public deliberations

Bring people with diverse values and perspectives together to engage in facilitated, inclusive, and informed dialogues about a topic of public concern. Examples include Citizens’ Initiative Reviews, deliberative polling, citizen juries, and citizen’s assemblies.

Evidence Rating:
Some Evidence
  • Family and Social Support

Public libraries for community building

Lend materials, offer gathering space, and provide educational, civic, and social programming; open to the community and publicly funded

Evidence Rating:
Expert Opinion
  • Family and Social Support

Public reporting of health care quality performance

Make clinician, hospital, clinic, 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
  • 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
  • Quality of Care

Social media for civic participation

Support individual and group use of internet-based tools to receive news, communicate or share information, collaborate on ideas, mobilize networks, and make collective decisions

Evidence Rating:
Some Evidence
  • Family and Social Support

Social service integration

Coordinate access to services across delivery systems and disciplinary boundaries (e.g., housing, disability, physical health, mental health, child welfare, workforce services, etc.)

Evidence Rating:
Some Evidence
  • Family and Social Support

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

Trauma-informed approaches to community building

Support and strengthen traumatized and distressed residents and communities and address effects of community trauma (e.g., poverty, violence, structural racism, etc.) via a comprehensive, multi-stakeholder, and multilevel approach

Evidence Rating:
Expert Opinion
  • Family and Social Support

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

Voter registration initiatives

Increase the number of registered voters through initiatives that reduce barriers and expand accessibility, including automatic voter registration (AVR), voter registration drives, easing voter registration requirements, and expanding registration sites

Evidence Rating:
Scientifically Supported
  • Family and Social Support

Voter turnout initiatives

Increase voter turnout through get-out-the-vote campaigns and initiatives to make voting more convenient such as allowing early in-person voting, vote-by-mail, or expanding polling locations and hours

Evidence Rating:
Scientifically Supported
  • Family and Social Support

Youth civics education

Teach students attitudes, skills, knowledge, and behavior needed to participate in and contribute to a democracy

Evidence Rating:
Some Evidence
  • Family and Social Support
  • Education

Youth leadership programs

Provide youth with leadership building opportunities, often through social activities such as advocacy groups, peer education, youth-led participatory research, and local government youth advisory councils and boards

Evidence Rating:
Some Evidence
  • Family and Social Support