Strategies

Policies and programs that work

52 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

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

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

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

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

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

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

Living wage laws

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

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

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

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

Patient safety checklists

Use visual tools to prompt safe practices, standardize communication, and ensure no step is forgotten before or during a medical procedure or other health care situation
Scientifically Supported
  • Quality of Care

Patient shared decision making

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

Practice facilitation for primary care

Engage practice coaches or facilitators to work with primary care clinic staff to redesign clinical practices, organize quality improvement efforts, improve communication, share best practices, etc.
Scientifically Supported
  • Quality of Care

Price transparency initiatives for patients

Make pricing for hospital procedures and other health care services publicly available, often via websites, online databases, report cards, or similar tools
Some Evidence
  • Quality of Care

Professionally trained medical interpreters

Provide interpretation services for patients with limited English proficiency (LEP) in outpatient and inpatient health care settings, following training and certification
Scientifically Supported
  • Quality of Care

Public reporting of health care quality performance

Make clinician, clinic, hospital, long-term care facility and insurance plan performance on health care quality measures publicly available via report cards, reporting websites, or similar tools
Some Evidence
  • Quality of 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

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

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)
Mixed Evidence
  • Quality of Care

Trauma-informed health care

Shift the way health care organizations approach trauma by adopting universal trauma precautions and providing trauma-specific care
Expert Opinion
  • Quality of Care

Unemployment insurance (UI)

Extend or raise the compensation provided to eligible, unemployed workers looking for jobs
Some Evidence
  • Income