Strategies

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

111 Strategies
Clear all

Labor unions

Organize workers to bargain collectively for improved wages, benefits, and working conditions

Evidence Rating:
Scientifically Supported
  • Employment
  • Employment

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

Living wage laws

Establish locally mandated wages that are higher than state or federal minimum wage levels

Evidence Rating:
Some Evidence
  • Income

Mass media campaigns against alcohol-impaired driving

Use mass media campaigns to persuade individuals to avoid drinking and driving or to prevent others from doing so; campaigns often focus on the negative consequences of alcohol-impaired driving

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Matched dollar incentives for saving tax refunds

Support programs that provide matched dollar incentives for low or moderate income individuals to place some or all of their tax refund in a savings account

Evidence Rating:
Some Evidence
  • Income

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

Medical marijuana legalization

Allow eligible patients to use marijuana for medical purposes; often called medical marijuana laws (MMLs)

Evidence Rating:
Mixed Evidence
  • Alcohol and Drug Use

Medication-assisted treatment access enhancement initiatives

Provide medications such as methadone to individuals diagnosed with opioid use disorder in outpatient, residential, and hospital settings, usually with counseling and behavioral therapies; often called MAT

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use

Microfinance & microenterprise

Support programs that provide small loans, usually to individuals with lower incomes, to start or expand a small business, often with business development training and other technical assistance

Evidence Rating:
Expert Opinion
  • Income

Minimum drinking age laws

Maintain the current legal age when an individual can purchase alcoholic beverages; currently 21 years in all states

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

Minimum wage increases

Increase the lowest hourly, daily, or monthly compensation that employers may legally pay to workers

Evidence Rating:
Mixed Evidence
  • Income

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

Naloxone education & distribution programs

Distribute Naloxone to trained community members and first responders to reverse opioid overdoses

Evidence Rating:
Scientifically Supported
  • Alcohol and Drug Use

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

New Hope Project

Provided work supports for low income individuals and families (e.g., job search assistance, transitional jobs, subsidized child care, health insurance, etc.); participants worked at least 30 hours/week

Evidence Rating:
Some Evidence
  • Income

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

On-site child care

Provide employees with child care options at work; care may be provided free of charge, partially subsidized as part of an employee benefit package, or offered at market rates

Evidence Rating:
Insufficient Evidence
  • Employment

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

Paid family leave

Provide employees with paid time off for circumstances such as a recent birth or adoption, a parent or spouse with a serious medical condition, or a sick child

Evidence Rating:
Scientifically Supported
  • Employment

Paid sick leave laws

Require employers in an affected jurisdiction to provide paid time off for employees to use when ill or injured

Evidence Rating:
Some Evidence
  • Employment

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

Payday loan regulations

Regulate short-term loans that must be repaid by a borrower’s next pay day via bans, caps on maximum interest rates and loan amounts, or require minimum loan terms and credit cost

Evidence Rating:
Mixed Evidence
  • Income

Prescription drug monitoring programs (PDMPs)

Use databases, housed in state agencies, to track prescribing and dispensing of Schedule II, III, IV, and V drugs and other controlled substances

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

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

Proper drug disposal programs

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use
  • Air and Water Quality

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

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

Refundable child and dependent care tax credit

Offer a refundable tax credit to working families with qualifying children or other dependents that receive care outside the home (e.g., a spouse with disabilities)

Evidence Rating:
Expert Opinion
  • Income

Responsible beverage server training (RBS/RBST)

Educate owners, managers, servers, and sellers at alcohol establishments about strategies to avoid illegally selling alcohol to underage youth or intoxicated patrons

Evidence Rating:
Some Evidence
  • Alcohol and Drug Use

Retail alcohol sale privatization

Repeal government control over retail sales of alcoholic beverages, allowing commercial retailing of those beverages

Evidence Rating:
Evidence of Ineffectiveness
  • Alcohol and Drug Use

Sales to intoxicated persons (SIP) law enforcement

Increase enforcement of laws that prohibit alcoholic beverage service to intoxicated customers, usually with fines, imprisonment, or revocation of a license

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

Sector-based workforce initiatives

Provide industry-focused education and job training based on the needs of regional employers within specific sectors

Evidence Rating:
Some Evidence
  • Employment

Seller & server minimum age

Require a minimum age for sellers in off-premise locations that sell alcohol and servers and bartenders in on-premise locations

Evidence Rating:
Insufficient Evidence
  • Alcohol and Drug Use

Social host laws

Adopt laws that hold private property owners who provide alcohol to minors or obviously intoxicated individuals on their property liable if someone is killed or injured as a result

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use

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

Summer youth employment programs

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

Evidence Rating:
Some Evidence
  • Community Safety
  • Employment

Supplemental Security Income (SSI) benefits

Explore ways to increase Supplemental Security Income (SSI) program benefit amounts for aged, blind, or disabled individuals, including children, with little or no income

Evidence Rating:
Expert Opinion
  • Income