Strategies

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

43 Strategies
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Bicycle & pedestrian master plans

Establish a framework to increase walking and biking trails and improve connectivity of non-auto paths and trails in a particular area

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

Community Development Block Grants (CDBGs)

Provide funding for local community development activities such as affordable housing, anti-poverty programs, and infrastructure development

Evidence Rating:
Some Evidence
  • Housing and Transit

Community land trusts

Purchase the land a home is on to lease to homeowners with low and middle incomes and require homeowners to sell the home back to the trust or to another resident with low income upon moving

Evidence Rating:
Some Evidence
  • Housing and Transit

Consumer participation in health care governance

Involve consumers in health care governance via roles on governing boards, advisory committees, or shorter-term special projects

Evidence Rating:
Expert Opinion
  • Quality of Care

Consumer-directed health plans

Establish high deductible health plans paired with pre-tax medical expense accounts such as Health Reimbursement Arrangements (HRAs) or Health Savings Accounts (HSAs) and information tools

Evidence Rating:
Mixed Evidence
  • Quality of Care

Financial education for adults

Provide education on basic budgeting, bank use, credit management, bankruptcy, credit building and counseling, homeownership, retirement, divorce, etc.

Evidence Rating:
Some Evidence
  • Income

Green House homes

Support self-contained, homelike dwellings for 10-12 elderly adults who require nursing care; universal caregivers, usually CNAs, provide care and other supports while clinical teams visit for specialized care

Evidence Rating:
Some Evidence
  • Quality of Care

Health literacy interventions

Increase patients’ health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy

Evidence Rating:
Some Evidence
  • Access to Care
  • Quality of Care

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

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 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

Intensive case management for pregnant & parenting teens

Provide pregnant or parenting teens with services based upon their needs (e.g., counseling, connections to health care or social services, academic support, etc.) in school or community settings

Evidence Rating:
Some Evidence
  • Sexual Activity

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

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 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

Long-acting reversible contraception access

Increase access to LARCs through cost reduction, comprehensive birth control counseling, provider training, efforts to ensure availability at local clinics, etc.

Evidence Rating:
Some Evidence
  • Access to Care
  • Sexual Activity

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

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

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

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

Paid sick leave laws

Require employers in an affected jurisdiction to provide paid time off for employees to use when ill or injured

Evidence Rating:
Some Evidence
  • Employment

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

Proper drug disposal programs

Establish programs that accept expired, unwanted, or unused medicines from designated users and dispose of them responsibly

Evidence Rating:
Expert Opinion
  • Alcohol and Drug Use
  • Air and Water Quality

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

Radon mitigation programs

Prevent radon from entering occupied buildings and reduce existing indoor air radon levels via soil depressurization, home or room pressurization, heat recovery ventilation, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Rapid re-housing programs

Transition families and individuals experiencing homelessness into permanent housing quickly, often with supports such as short-term financial assistance, case management, landlord negotiations, etc.

Evidence Rating:
Some Evidence
  • Housing and Transit

Rural transportation services

Establish transportation services for areas with low population densities using publicly funded buses and vans on a set schedule, dial-a-ride transit, volunteer ridesharing, etc.

Evidence Rating:
Expert Opinion
  • Access to Care
  • Housing and Transit

Secondhand smoke education interventions

Use counseling, informational materials, etc. to inform smokers and non-smokers of the harms of secondhand smoke and encourage them to implement home smoking bans

Evidence Rating:
Mixed Evidence
  • Tobacco Use

Service-enriched housing

Provide permanent, basic rental housing with social services available on-site or by referral, usually for families with low incomes, older adults, veterans, or people with disabilities

Evidence Rating:
Some Evidence
  • Housing and Transit

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

Tax increment financing (TIF) for affordable housing

Create designated tax districts that generate revenue to invest in affordable housing initiatives, blight remediation, and economic development efforts

Evidence Rating:
Expert Opinion
  • Housing and Transit

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

Tobacco retailer location restrictions

Set the number, type, proximity, and density of tobacco retailers, especially near homes and schools, via state or local zoning, licensing restrictions, or other regulations

Evidence Rating:
Expert Opinion
  • Tobacco Use

Trauma-informed health care

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

Evidence Rating:
Expert Opinion
  • Quality of Care

Value-based purchasing (VBP)

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

Evidence Rating:
Some Evidence
  • Quality of Care