Strategies

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

61 Strategies

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

Community Conditions

  • Income, employment and wealth
  • Clinical care
  • Housing and transportation
  • Civic and community resources

Societal Rules

  • Budgets
  • Worldviews, culture and norms

School dental programs

Provide sealants, fluoride treatment, screening, and other preventive dental care on school grounds via partnerships with dental professionals
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices

School-based health centers

Provide health care services on school premises to attending elementary, middle, and high school students; physical and mental health services provided by teams of nurses, nurse practitioners, and physicians
Evidence Rating:
Scientifically Supported

Community Conditions

  • Education
  • Clinical care

Societal Rules

  • Institutional practices

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

Community Conditions

  • Clinical care

Societal Rules

  • Laws and policies
  • Worldviews, culture and norms

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely, especially for patients who live in areas with limited access to care or who experience transportation or mobility barriers; sometimes called telehealth
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care
  • Climate

Societal Rules

  • Institutional practices

Telemental health services

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference
Evidence Rating:
Some Evidence

Community Conditions

  • Clinical care
  • Climate

Societal Rules

  • Institutional practices

Text message-based health interventions

Provide reminders, education, or self-management assistance for health conditions, especially chronic diseases, via text message
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Trauma-informed health care

Adopt universal trauma precautions and provide trauma-specific care to patients in health care organizations
Evidence Rating:
Expert Opinion

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices
  • Worldviews, culture and norms

Value-based insurance design

Create financial incentives or remove financial disincentives to affect consumer choices and incentivize provision of cost efficient health care services
Evidence Rating:
Scientifically Supported

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices

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

Community Conditions

  • Clinical care

Societal Rules

  • Institutional practices
  • Budgets