Strategies

Policies and programs that work

11 Strategies
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Case-managed care for community-dwelling frail elders

Use a case management model for frail elderly patients living independently, coordinating aspects of long-term care (LTC) such as status assessment, monitoring, advocacy, care planning, etc.
Evidence Rating:
Scientifically Supported
  • 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

Culturally adapted health care

Tailor health care to patients’ norms, beliefs, and values, as well as their language and literacy skills
Evidence Rating:
Scientifically Supported
  • Quality of Care

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

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

Smoke-free policies for indoor areas

Implement private sector rules or public sector regulations that prohibit smoking indoors or restrict it to designated, often outdoor, areas
Evidence Rating:
Scientifically Supported
  • Tobacco Use

Tiered drug formularies

Vary patient drug costs by tier; e.g., generic drugs have the lowest co-pay or cost sharing in tier one, then preferred brand name medications (tier two), then non-formulary drugs (tier three)
Evidence Rating:
Mixed Evidence
  • Quality of Care

Tobacco cessation therapy affordability

Reduce patients’ out-of-pocket costs for cessation therapies such as nicotine replacement therapy (NRT) and cessation counseling participation
Evidence Rating:
Scientifically Supported
  • Tobacco Use