Strategies

Provide preschool education and comprehensive support to families with low incomes, including small classes, student meals, and home visits with referrals for social service support as needed

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

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

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

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

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

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

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