Strategies

Protect underground water resources via regular groundwater monitoring, education about risks to groundwater, water quotas and taxes, and other efforts

Support initiatives that combine multiple components such as education, skills building, and contraceptive promotion to reduce pregnancy among youth

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools

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

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

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

Promote abstinence from sexual activity, generally only with mention of condoms and birth control to highlight failure rates

Provide reproductive health care services such as counseling, contraception, and testing in middle and high school-based health centers

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.

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