Strategies

Policies and programs that work

119 Strategies

Activity programs for older adults

Offer group educational, social, creative, musical, or physical activities that promote social interactions, regular attendance, and community involvement among older adults
Scientifically Supported
  • Diet and Exercise
  • Family and Social Support

Advocacy for victims of intimate partner violence

Work to empower victims of intimate partner violence, help them with safety plans, and link them with community services (e.g., legal, housing, financial advice, emergency shelter, etc.)
Insufficient Evidence
  • Community Safety

Alcohol brief interventions

Provide information and increase motivation to change or prevent problematic alcohol consumption in a short session; also called alcohol screening & brief intervention
Scientifically Supported
  • Alcohol and Drug Use

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

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

Breastfeeding promotion programs

Provide education, information, counseling, and support for breastfeeding to women throughout pre- and post-natal care
Scientifically Supported
  • Diet and Exercise

Car seat distribution & education programs

Provide parents with car seats free of charge, via loan or low cost rental, often with education about proper installation and use
Scientifically Supported
  • Community Safety

Car seat incentive & education programs

Educate parents and caregivers about proper use of car seats and reward parents and/or children for correct use
Scientifically Supported
  • Community Safety

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

CenteringPregnancy

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

Child bicycle helmet promotion programs

Promote child bicycle helmet use via bicycle safety education, media campaigns, or provision of free or subsidized helmets
Scientifically Supported
  • Community Safety

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

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 supported agriculture (CSA)

Establish partnerships between farmers and consumers in which consumers purchase a share of a farm’s products in advance
Expert Opinion
  • Diet and Exercise

Community-based social support for physical activity

Build, strengthen, and maintain social networks that provide supportive relationships for behavior change through walking groups or other community-based interventions
Scientifically Supported
  • Diet and Exercise

Community-wide physical activity campaigns

Engage a variety of partners in a highly visible, multi-component effort to increase physical activity, often with efforts to address cardiovascular disease risk factors
Some Evidence
  • Diet and Exercise

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

Crisis lines

Provide free and confidential counseling and service referrals via telephone-based conversation, web-based chat, or text message to individuals in crisis, particularly those with severe mental health concerns
Some Evidence
  • Family and Social Support

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

Dropout prevention programs for teen mothers

Provide teen mothers with services such as remedial education, vocational training, case management, health care, child care, and transportation assistance to support high school completion
Scientifically Supported
  • Education

Early childhood home visiting programs

Provide at-risk expectant parents and families with young children with information, support, and training regarding child health, development, and care from prenatal stages through early childhood via trained home visitors
Scientifically Supported
  • Community Safety
  • Family and Social Support

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

Exercise prescriptions

Provide patients with prescriptions for exercise plans, often accompanied by progress checks at office visits, counseling, activity logs, and exercise testing
Scientifically Supported
  • Diet and Exercise

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

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 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

Financial rewards for employee healthy behavior

Offer payments, credits toward health insurance premiums, or other financial rewards to encourage employees to lose weight, eat more healthily, quit smoking, engage in physical activity, etc.
Some Evidence
  • Diet and Exercise

Fruit & vegetable taste testing

Offer samples of fresh fruits and vegetables in cafeterias, nutrition classes, school gardens, or workplace well-being meetings, often as part of a multi-faceted nutrition intervention
Some Evidence
  • Diet and Exercise

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

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

Group-based parenting programs

Teach parenting skills in a group setting using a standardized curriculum, often based on behavioral or cognitive-behavioral approaches and focused on parents of at-risk children
Scientifically Supported
  • Family and Social Support

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

Healthy Families America (HFA)

Provide home visiting services to families who are at risk for adverse childhood experiences, starting prenatally or right after birth and continuing for three to five years
Some Evidence
  • Family and Social Support

Healthy vending machine options

Increase healthy options in vending machines by reducing the price of healthy choices, increasing the number of healthy choices compared to unhealthy choices, etc.
Some Evidence
  • Diet and Exercise