Strategies

Policies and programs that work

71 Strategies
Clear all

Behavioral health primary care integration

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
Scientifically Supported
  • Quality of Care

Behavioral interventions to prevent HIV and other STIs

Use individual, group, and community-level interventions to provide education, support, and training that can affect social norms about HIV and other STIs
Scientifically Supported
  • Sexual Activity

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.
Scientifically Supported
  • Quality of 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

Chronic disease management programs

Implement multi-component efforts that include coordination of health services by multidisciplinary teams of health care professionals, patient self-management, and patient education
Scientifically Supported
  • Quality of Care

Chronic disease self-management (CDSM) programs

Provide educational and behavioral interventions that support patients’ ability to actively manage their condition(s) in everyday life
Scientifically Supported
  • Quality of Care

Comprehensive risk reduction sexual education

Provide information about contraception and protection against sexually transmitted infections (STIs) in classroom or community settings
Scientifically Supported
  • Sexual Activity

Computerized clinical decision support systems (CDSS)

Provide health care providers with patient-specific prompts or warnings, treatment guidelines, automatic medication dosing calculators, or reports of overdue tests and medications via electronic tools
Scientifically Supported
  • Quality of Care

Computerized provider order entry (CPOE)

Allow health care providers to enter orders or prescriptions (e.g., imaging studies, laboratory tests, admissions, referrals, etc.) into a computer system; also called electronic prescribing
Scientifically Supported
  • Quality of Care

Condom availability programs

Provide condoms free of charge or at a reduced cost in community and school-based settings
Scientifically Supported
  • Sexual Activity

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
Mixed Evidence
  • Quality of Care

Cultural competence training for health care professionals

Increase health care providers’ skills and knowledge to understand and respond to cultural differences, value diversity, etc. via factual information, skills training, and other efforts
Scientifically Supported
  • Quality of Care

Culturally adapted health care

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

Electronic health information exchange

Share patient data electronically between different health care organizations, allowing providers to see necessary portions of a patient’s medical record outside the patient’s usual clinic
Some Evidence
  • Quality of Care

Expedited partner therapy for treatable STIs

Provide prescriptions or medications to patients diagnosed with treatable STIs to give to their partners without provider visits; also called patient-delivered partner therapy (PDPT)
Scientifically Supported
  • Sexual Activity

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

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

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
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
Some Evidence
  • Access to Care
  • Quality of Care

HIV/STI partner notification by providers

Elicit information about sex or needle-sharing partners from STI-positive patients, then notify partners of risk, testing, and services; also called contact tracing, or partner counseling and referral services
Scientifically Supported
  • Sexual Activity

Hospital wristband color standardization

Establish national standards for the colors of patient wristbands used to alert health care providers about specific conditions such as allergies or elevated fall risk
Insufficient Evidence
  • Quality of Care

Human papillomavirus (HPV) vaccine education

Inform young women and men about HPV and its consequences as well as the benefits of vaccination via telephone, writing, video, or in-person efforts
Insufficient Evidence
  • Sexual Activity

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

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
Scientifically Supported
  • Quality of Care

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
Some Evidence
  • Sexual Activity

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

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

Media restrictions on sexual content

Reduce child and adolescent access to sexual content in television, movies, music, and videogames via rating systems, parental advisories, parental guidelines, etc.
Insufficient Evidence
  • Sexual Activity

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

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.
Some Evidence
  • Quality of 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

Multi-component interventions: pregnancy and STIs

Support initiatives that combine classroom instruction, individual counseling, and broad community efforts to reduce pregnancy and STIs among youth
Some Evidence
  • Sexual Activity

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 practitioner scope of practice

Use regulation to extend nurse practitioners’ (NPs’) scope of practice to provide care to the full scope of their training and skills without physician oversight, especially for primary care
Scientifically Supported
  • Quality of 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

Patient financial incentives for preventive care

Use payments, vouchers, and other incentives to encourage patients to undergo preventive care such as screenings, vaccinations, etc.
Scientifically Supported
  • Quality of Care

Patient navigators

Provide culturally sensitive assistance and care coordination, and guide patients through available medical, insurance, and social support; also called systems navigators
Scientifically Supported
  • Quality of Care