Strategies

Policies and programs that work

16 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

Community water fluoridation

Adjust and monitor fluoride in public water supplies to reach and retain optimal fluoride concentrations
Evidence Rating:
Scientifically Supported
  • Access to 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
Evidence Rating:
Scientifically Supported
  • Quality of 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)
Evidence Rating:
Scientifically Supported
  • Access to 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

Medical homes

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

Multi-component fall prevention interventions for older adults

Provide a fixed, multi-component set of fall prevention interventions to older adults, usually in community settings, without an individualized risk assessment
Evidence Rating:
Scientifically Supported
  • Community Safety
  • Quality of Care

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
Evidence Rating:
Scientifically Supported
  • 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.
Evidence Rating:
Scientifically Supported
  • Quality of Care