Strategies

Policies and programs that work

51 Strategies
Clear all

Allied dental professional scope of practice

Expand the role of allied dental professionals (e.g., hygienists, therapists, etc.) via changes to statute, dentist supervision requirements, etc.
Some Evidence
  • Access to Care

CenteringPregnancy

Provide prenatal care in a group setting, integrating health assessment, education, and support
Scientifically Supported
  • Access to Care

Child care subsidies

Provide financial assistance to working parents, or parents attending school, to pay for center-based or certified in-home child care
Scientifically Supported
  • Income

Child development accounts

Establish dedicated child development accounts (CDAs) to build assets over time with contributions from family, friends, and sometimes, supporting organizations; also called children’s savings accounts (CSAs)
Expert Opinion
  • Income
  • Education

Child tax credit expansion

Expand federal or state child tax credits by increasing credit amounts, making credits refundable, decreasing or eliminating the earnings threshold, or creating a fully refundable supplement
Expert Opinion
  • Income

Community health workers

Engage professional or lay health workers to provide education, referral and follow-up, case management, home visiting, etc. for those at high risk for poor health outcomes; also called promotores de salud
Some Evidence
  • Access to Care

Community water fluoridation

Adjust and monitor fluoride in public water supplies to reach and retain optimal fluoride concentrations
Scientifically Supported
  • Access to Care

Debt advice for tenants with unpaid rent

Offer debt advice from trained providers to tenants with unpaid, overdue rent to help repay debt and increase financial literacy
Some Evidence
  • Income
  • Housing and Transit

Earned Income Tax Credit (EITC)

Expand refundable earned income tax credits for low to moderate income working individuals and families
Scientifically Supported
  • Income

Faith community nursing

Position registered nurses within a parish or similar faith community, or in a health care system to serve as a liaison to congregations; also called parish nursing or congregational nursing
Expert Opinion
  • Access to Care

Federally qualified health centers (FQHCs)

Increase support for non-profit health care organizations and deliver comprehensive care to uninsured, underinsured, and vulnerable patients regardless of ability to pay; often called community health centers (CHCs)
Scientifically Supported
  • Access to Care

Financial education for adults

Provide one-on-one or group adult education programs that cover topics such as basic budgeting, bank use, credit management, bankruptcy, credit building and counseling, homeownership, retirement, divorce, etc.
Insufficient Evidence
  • Income

Financial incentives for new nursing faculty

Offer loan repayment, tuition assistance, competitive academic salaries, etc. to students who teach in nursing programs after completing an advanced degree
Expert Opinion
  • Access to Care

Full child support pass-through and disregard

Adopt policies that allow custodial parents who receive Temporary Assistance for Needy Families (TANF) to collect all child support paid by the non-custodial parent; no portion is retained by the state
Scientifically Supported
  • Income

Grady Memorial Hospital Interpregnancy Care Program

Provided case management, care coordination, medical care, and substance abuse treatment and referrals to black women who had recently delivered a very low birthweight infant in the Atlanta area
Expert Opinion
  • Access to Care

Health insurance enrollment outreach & support

Provide health insurance outreach and support to assist individuals whose employers do not offer affordable coverage, who are self-employed, or who are unemployed
Some Evidence
  • Access to Care

Health literacy interventions

Increase patients’ health-related knowledge via efforts to simplify health education materials, improve patient-provider communication, and increase overall literacy
Some Evidence
  • Access to Care
  • Quality of Care

Healthy Births for Healthy Communities

Provided case management, medical care, reproductive education, a medical home, and help with reproductive and self-management goals in the 18 months after an adverse birth outcome for Chicago-area women
Insufficient Evidence
  • Access to Care

Individual Development Accounts (IDAs)

Support subsidized asset accumulation programs in which deposits by low and moderate income participants are matched by program sponsors; withdrawals must be used for qualified expenses to retain matching funds
Some Evidence
  • Income

J-1 physician visa waivers

Expand use of J-1 physician visa waivers for foreign-born physicians who have trained in the US and will serve patients in designated Health Professional Shortage Areas (HPSAs)
Insufficient Evidence
  • Access to Care

Living wage laws

Establish locally mandated wages that are higher than state or federal minimum wage levels
Some Evidence
  • Income

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.
Some Evidence
  • Access to Care
  • Sexual Activity

Long-term care employee compensation

Increase wages and benefits for personal or home care workers, nurse aides, and others who provide direct care to patients in long-term care (LTC) settings
Expert Opinion
  • Access to Care

Magnolia Project

Provide prenatal and interconception care, family planning and case management services, and group-based education to eligible women via Healthy Start
Expert Opinion
  • Access to Care

Matched dollar incentives for saving tax refunds

Support programs that provide matched dollar incentives for low or moderate income individuals to place some or all of their tax refund in a savings account
Some Evidence
  • Income

Medical homes

Provide continuous, comprehensive, whole person primary care that uses a coordinated team of medical providers across the health care system
Scientifically Supported
  • Quality of Care
  • Access to Care

Mental health benefits legislation

Regulate mental health insurance to increase access to mental health services, including treatment for substance use disorders
Scientifically Supported
  • Access to Care

Mentoring for new nurses

Pair new nurses with more experienced nurses who act as a resource and provide support as the new nurse establishes her or himself professionally
Some Evidence
  • Access to Care

Microfinance & microenterprise

Support programs that provide small loans, usually to disadvantaged individuals, to start or expand a small business, often with business training and other assistance
Insufficient Evidence
  • Income

Minimum wage increases

Increase the lowest hourly, daily, or monthly compensation that employers may legally pay to workers
Mixed Evidence
  • Income

Mobile health for mental health

Deliver health care services and support to individuals with mental health concerns via mobile devices using text messaging or mobile applications (apps)
Some Evidence
  • Access to Care

Mobile reproductive health clinics

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
Some Evidence
  • Access to Care

New Hope Project

Provided work supports for low income individuals and families (e.g., job search assistance, transitional jobs, subsidized child care, health insurance, etc.); participants worked at least 30 hours/week
Some Evidence
  • Income

Nurse residency programs

Implement programs that continue education, mentoring, and support for novice nurses following graduation
Some Evidence
  • Access to Care

Nurse-friendly work environments

Improve work environments for nurses via establishment of strong nursing leadership, organizational support, etc.
Expert Opinion
  • Access to Care
  • Quality of Care

Payday loan regulations

Regulate small, short-term loans that must be repaid by a borrower’s next pay day via bans, caps on maximum interest rates and loan amounts, minimum loan terms, truth in lending statements, etc.
Insufficient Evidence
  • Income

Preconception education interventions

Provide women with information about the risks and benefits of behaviors that affect their health before, during, and after pregnancy
Some Evidence
  • Access to Care

Refundable child and dependent care tax credit

Offer a refundable tax credit to working families with qualifying children or other dependents that receive care outside the home (e.g., a spouse with disabilities)
Expert Opinion
  • Income

Reproductive life plans

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
Expert Opinion
  • Access to Care

Retail clinics

Establish clinics in retail stores that provide basic services for simple health conditions and procedures such as sore throats, immunizations, pregnancy testing, lipid and diabetes screening
Expert Opinion
  • Access to Care

Rural training in medical education

Expand medical school training and learning experiences focused on the skills necessary to practice successfully in rural areas
Scientifically Supported
  • Access to Care

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.
Expert Opinion
  • Access to Care
  • Housing and Transit

School dental programs

Provide sealants, fluoride treatment, screening, and other preventive dental care on school grounds via partnerships with dental professionals
Scientifically Supported
  • Access to Care

School-based health centers

Provide health care services on school premises to attending elementary, middle, and high school students; services provided by teams of nurses, nurse practitioners, and physicians
Scientifically Supported
  • Education
  • Access to Care

Supplemental Security Income (SSI) benefits

Explore ways to increase Supplemental Security Income (SSI) program benefit amounts for aged, blind, or disabled individuals, including children, with little or no income
Expert Opinion
  • Income

Synthetic progesterone (17P) access

Ensure appropriate access to 17P, a synthetic version of the hormone progesterone, by identifying high-risk women, reducing barriers to treatment receipt and completion, coordinating care, etc.
Expert Opinion
  • Access to Care

Telemedicine

Deliver consultative, diagnostic, and treatment services remotely for patients who live in areas with limited access to care or would benefit from frequent monitoring; also called telehealth
Scientifically Supported
  • Access to Care

Telemental health services

Provide mental health care services (e.g., psychotherapy or counseling) via telephone or videoconference
Some Evidence
  • Access to Care

Text message-based health interventions

Provide reminders, education, or self-management assistance for health conditions, especially chronic diseases, via text message
Scientifically Supported
  • Access to Care