Strategies

Offer reproductive health services (e.g., pregnancy tests, prenatal and postpartum care, gynecological exams, STI screenings, etc.), health education, and social service referrals via medically equipped vans

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

Establish plans consistent with personal values and current life circumstances that set goals related to having or not having children; goals often change over time

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system

Revise health care processes and provider roles to integrate mental health and substance abuse treatment into primary care; continue to refer patients with severe conditions to specialty care

Regulate mental health insurance to increase access to mental health services, including treatment for substance use disorders

Conduct individual assessments that gauge older adults’ risk of falling and develop personalized approaches to help prevent falls

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

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

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