Strategies

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

159 Strategies
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HOME Investment Partnership Program

Provide grants to states and localities to fund activities that build, buy, or rehabilitate affordable housing for rent or homeownership, or provide direct rental assistance to households with low incomes

Evidence Rating:
Expert Opinion
  • Housing and Transit

Hospital wristband color standardization

Establish national standards for the colors of patient wristbands used to alert health care providers about specific conditions such as allergies or elevated fall risk

Evidence Rating:
Insufficient Evidence
  • Quality of Care

Household lead control education interventions

Inform parents and caregivers about lead exposure pathways from contaminated dust, soil, water, and air as well as the irreversible health consequences of lead exposure

Evidence Rating:
Evidence of Ineffectiveness
  • Housing and Transit
  • Air and Water Quality

Housing Choice Voucher Program (Section 8)

Provide eligible families with low and very low incomes with vouchers to help cover the costs of rental housing; also called Section 8

Evidence Rating:
Some Evidence
  • Housing and Transit

Housing First

Provide rapid access to permanent housing and support (e.g., crisis intervention, needs assessment, case management), usually for chronically homeless individuals with persistent mental illness or substance abuse issues

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Housing mediation services

Facilitate mediation between tenants and landlords to resolve conflict and prevent eviction

Evidence Rating:
Insufficient Evidence
  • Housing and Transit

Housing rehabilitation loan & grant programs

Provide funding, primarily to families with low or middle incomes, to repair, improve, or modernize dwellings and remove health or safety hazards

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Housing reparations

Apologize for discriminatory housing policies; increase subsidies, financing, and paths to homeownership for people of color; and invest in systematically disadvantaged neighborhoods

Evidence Rating:
Expert Opinion
  • Income
  • Housing and Transit

Housing trust funds

Support funds that help create or maintain affordable housing, subsidize rental housing, and assist homebuyers with low incomes and non-profit housing developers

Evidence Rating:
Expert Opinion
  • Housing and Transit

Inclusionary zoning & housing policies

Require developers to reserve a proportion of housing units for residents with low incomes via mandatory requirements or incentives, such as density bonuses

Evidence Rating:
Some Evidence
  • Housing and Transit

Incredible Years

Support young children who exhibit or are at risk for behavioral problems with interpersonal relationship training and parents and teachers who are trained to meet their needs

Evidence Rating:
Scientifically Supported
  • Education

Individual incentives for public transportation

Offer incentives such as free or discounted bus, rail, or transit passes, reimbursements, partial payments, or pre-tax payroll deductions to encourage individuals’ use of existing public transit

Evidence Rating:
Some Evidence
  • Housing and Transit

Integrated long-term care for community-dwelling frail elders

Support a collaborative approach by a multidisciplinary team of professionals working to meet the full range of long-term care (LTC) needs for frail elderly patients living in community settings

Evidence Rating:
Scientifically Supported
  • Quality of Care

Integrated pest management for indoor use

Support a four-tiered approach to indoor pest control that minimizes potential hazards to people, property, and the environment

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Internet-based tobacco cessation interventions

Use websites, computer programs, and other electronic means to provide information, strategies, or behavioral support to tobacco users who want to quit, sometimes with counseling or pharmacotherapy

Evidence Rating:
Scientifically Supported
  • Tobacco Use

K-12 school finance reforms

Change state-level school finance systems to increase funding for school districts serving large populations of students from low income backgrounds, students of color, and students with disabilities, special needs, or limited English skills

Evidence Rating:
Scientifically Supported
  • Education

Knowledge is Power Program (KIPP) in middle schools

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

Evidence Rating:
Scientifically Supported
  • Education

Land banking

Acquire, hold, manage, and develop properties such as vacant lots, abandoned buildings, or foreclosures, and transition them to productive uses, often affordable housing developments

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Diet and Exercise

Later middle and high school start times

Delay school start times for middle and high schools to better align with adolescent sleep-wake cycles; often until 8:30 a.m. or later

Evidence Rating:
Scientifically Supported
  • Education

Lead contaminated soil abatement

Clean, remove, replace, or cover lead contaminated soil with non-contaminated soil, mulch, sod, grass, or concrete

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Lead paint abatement programs

Eliminate lead-based paint and contaminated dust by removing or encapsulating lead paint, or removing lead painted fixtures and surfaces

Evidence Rating:
Scientifically Supported
  • Housing and Transit

Lead pipe & plumbing material replacement

Replace lead plumbing material such as pipes, service lines, fittings, solder, flux, and fixtures with non-lead plumbing material

Evidence Rating:
Expert Opinion
  • Air and Water Quality

Legal support for tenants in eviction proceedings

Provide legal representation for tenants with low incomes in eviction proceedings or offer limited legal assistance to prepare tenants to represent themselves in court

Evidence Rating:
Some Evidence
  • Housing and Transit

Low Income Home Energy Assistance Program (LIHEAP)

Provide funds to households with low incomes to meet home energy needs, especially for households with children, older adults, or individuals with disabilities

Evidence Rating:
Expert Opinion
  • Housing and Transit

Low Income Housing Tax Credits (LIHTCs)

Provide funding via tax credits at the state and local level to support development and rehabilitation costs of low income rental housing

Evidence Rating:
Some Evidence
  • Housing and Transit

Mass media campaigns against tobacco use

Use broad media-based efforts to educate large groups of current and potential tobacco users about the dangers of tobacco use

Evidence Rating:
Scientifically Supported
  • Tobacco Use

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-legal partnerships

Integrate legal services into health care settings to address legal issues that affect health (e.g., housing, food, utilities); services provided by private practice lawyers, law students, etc.

Evidence Rating:
Some Evidence
  • Quality of Care

Mentoring programs for high school graduation

Establish programs that connect students at risk of dropping out with trained adult mentors who provide ongoing guidance for academic and personal challenges

Evidence Rating:
Scientifically Supported
  • Education

Minimum tobacco age laws

Minimum legal tobacco age (MLTA) laws specify the legal age to purchase or publicly consume tobacco products, including cigarettes, cigars, and e-cigarettes

Evidence Rating:
Scientifically Supported
  • Tobacco Use

Mixed-use development

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

Evidence Rating:
Scientifically Supported
  • Housing and Transit
  • Diet and Exercise

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

Multi-component groundwater management programs

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

Evidence Rating:
Some Evidence
  • Air and Water Quality

Multi-component workplace supports for active commuting

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

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Diet and Exercise

No Excuses charter school model

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

Evidence Rating:
Scientifically Supported
  • Education

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-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

Nutrient management plans

Support site-specific plans for crop production that match nutrient applications to crop needs, typically with agricultural best management practices

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Out of town bypasses

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

Evidence Rating:
Some Evidence
  • Housing and Transit
  • Community Safety

Parents as Teachers (PAT)

Support home visits that teach parents about early childhood development and effective parenting strategies, with child development screenings, parental meetings, and links to community resources

Evidence Rating:
Some Evidence
  • Education

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

Patient navigators

Provide culturally sensitive assistance and care coordination, and guide patients through available medical, insurance, and social support; also called systems navigators

Evidence Rating:
Scientifically Supported
  • Quality of Care

Patient safety checklists

Use visual tools to prompt safe practices, standardize communication, and ensure no step is forgotten before, during, or after a medical procedure or other health care situation

Evidence Rating:
Scientifically Supported
  • Quality of Care

Patient shared decision making

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

Evidence Rating:
Scientifically Supported
  • Quality of Care

Permeable pavement projects

Use pervious concrete, porous asphalt, permeable interlocking pavers, open-jointed blocks or cells, or other permeable pavement in individual or commercial development efforts; also called porous or pervious pavement

Evidence Rating:
Scientifically Supported
  • Air and Water Quality

Plastic bag bans

Prohibit the manufacture, use, and provision of single-use plastic bags, either partially or completely, and provide education and outreach to raise consumer awareness and support of bans

Evidence Rating:
Some Evidence
  • Air and Water Quality

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