Strategies

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

225 Strategies
Clear all

Practice facilitation 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
  • Quality of Care

Preschool education programs

Provide center-based programs that support cognitive and social-emotional growth among children who are not old enough to enter formal schooling

Evidence Rating:
Scientifically Supported
  • Education

Preschool programs with family support services

Provide center-based programs that support cognitive and social development among young children from families with low incomes, with supports such as home visiting or parental education

Evidence Rating:
Scientifically Supported
  • Education

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

Primary seat belt enforcement laws

Allow law enforcement officials to stop drivers solely for failing to use a seat belt

Evidence Rating:
Scientifically Supported
  • Community Safety

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

Promise Academy Charter Schools

Create a school culture of high behavioral and academic expectations, with intense tutoring, increased teacher performance feedback, lengthened instruction time, and health care services

Evidence Rating:
Some Evidence
  • Education

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

Publicly funded pre-kindergarten programs

Provide publicly funded pre-kindergarten (pre-K) education to 3- and 4-year-olds, through large-scale or universal efforts

Evidence Rating:
Scientifically Supported
  • Education

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

Reach Out and Read

Partner with doctors, nurse practitioners, and other medical professionals to incorporate literacy support into regular well-child visits, especially in lower income communities

Evidence Rating:
Scientifically Supported
  • Education

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

Recreational sports leagues for adults

Offer opportunities for adults to play athletic games such as soccer, softball, kickball, basketball, etc. at beginner, intermediate, and competitive levels

Evidence Rating:
Expert Opinion
  • Diet and Exercise

Restaurant nutrition labeling

Provide nutrition information on menus and signboards at restaurants and other food outlets

Evidence Rating:
Some Evidence
  • Diet and Exercise

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

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

School and district level zero tolerance policies

Require school officials to apply predetermined consequences for certain infractions, regardless of situational context or circumstances; consequences are usually severe (e.g., suspension or expulsion)

Evidence Rating:
Evidence of Ineffectiveness
  • Education

School breakfast programs

Support programs to provide students with a nutritious breakfast in the cafeteria, from grab and go carts in hallways, or in classrooms

Evidence Rating:
Scientifically Supported
  • Education
  • Diet and Exercise

School food & beverage restrictions

Limit access to competitive foods and beverages in schools via restrictions on foods that are not provided through the National School Lunch Program and School Breakfast Program.

Evidence Rating:
Some Evidence
  • Diet and Exercise

School fruit & vegetable gardens

Establish designated areas where students can garden with guidance, often with nutrition and food preparation lessons and opportunities for taste tasting and hands-on learning

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

School fundraiser restrictions

Prohibit the sale of unhealthy foods such as sugar sweetened beverages, candy, and other non-nutritious snacks at school fundraisers, often as part of a broader nutrition policy

Evidence Rating:
Expert Opinion
  • Diet and Exercise

School nutrition standards

Regulate the quality of food that can be sold to students through the National School Lunch Program (NSLP), à la carte options, vending machines, etc.

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

School-based health centers

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians

Evidence Rating:
Scientifically Supported
  • Education
  • Access to Care

School-based nutrition education programs

Address nutrition in schools via educational (e.g., classroom or curricula-wide efforts, peer training, etc.), environmental (e.g., school menus, classroom snacks, etc.), and other approaches

Evidence Rating:
Some Evidence
  • Diet and Exercise

School-based physical education enhancements

Expand or enhance school-based physical education (PE) by lengthening existing classes, increasing physical activity during class, adding new PE classes, etc.

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

School-based social and emotional instruction

Implement focused efforts to help children recognize and manage emotions, set and reach goals, appreciate others’ perspectives, and maintain relationships; also called social and emotional learning (SEL)

Evidence Rating:
Scientifically Supported
  • Education

School-based trauma counseling

Help students process trauma exposure and develop coping skills through individual or small group counseling with mental health professionals or school staff with trauma-specific training

Evidence Rating:
Some Evidence
  • Education

School-based violence & bullying prevention programs

Address students’ disruptive and antisocial behavior by teaching self-awareness, emotional self-control, self-esteem, social problem solving, conflict resolution, team work, social skills, etc.

Evidence Rating:
Scientifically Supported
  • Education

School-community liaisons

Provide students from public schools, from low income backgrounds, or who have a high risk of dropping out and their families with information about social services and health care supports; also called community resource or family and community liaisons

Evidence Rating:
Insufficient Evidence
  • Education

Screen time interventions for children

Encourage children to spend time away from TV and other stationary screen media, often as part of a multi-faceted effort to increase physical activity and improve nutrition

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

Shared use agreements

Create contracts that support community access to existing public, private, or nonprofit facilities before or after business hours; also called joint use, open use, or community use agreements

Evidence Rating:
Some Evidence
  • Diet and Exercise

Small elementary classes

Reduce the number of students in elementary school classrooms

Evidence Rating:
Some Evidence
  • Education

Smart Start North Carolina

Provide comprehensive early childhood services, including high quality educational child care, health, and family support to address local needs

Evidence Rating:
Some Evidence
  • Education

Soda taxes

Increase the price of sugar sweetened beverages (e.g., soda) by adding an excise or sales tax

Evidence Rating:
Scientifically Supported
  • Diet and Exercise

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 learning programs

Provide academic instruction to students during the summer, often along with enrichment activities such as art or outdoor activities

Evidence Rating:
Scientifically Supported
  • Education

Summer youth employment programs

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

Evidence Rating:
Some Evidence
  • Community Safety
  • Employment

Technology enhanced classroom instruction

Incorporate technology into classroom instruction via computer-assisted instruction programs, computer-managed learning programs, use of interactive white boards, etc.

Evidence Rating:
Scientifically Supported
  • Education

Teen pregnancy prevention programs

Support school-, community-, and clinic-based teen pregnancy prevention programs such as comprehensive sex education, HIV/STI prevention and youth development efforts, service learning, etc.

Evidence Rating:
Some Evidence
  • Sexual Activity