Strategies

Emphasize high expectations for all students, parent and student commitment, empowered principals, and regular student assessments that inform continuous improvement in a lengthened school-year and school-day

Support a combination of land uses (e.g., residential, commercial, recreational) in development initiatives, often through zoning regulations or Smart Growth initiatives

Provide physical infrastructure (e.g., bike parking or showers), educational or social support (e.g., walking groups), and financial incentives that support active commuting

Focus heavily on reading and math achievement, enforce high behavioral expectations through a formal discipline system, lengthen instructional time, and increase feedback on teacher performance

Establish roads that avoid built-up areas such as towns, cities, or commercial/business districts

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

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

Promote walking and biking to school through education, incentives, and environmental changes; often called SRTS