Strategies

Policies and programs that work

63 Strategies
Clear all

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

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

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

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

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

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

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

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

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

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

J-1 physician visa waivers

Expand use of J-1 physician visa waivers for foreign-born physicians who have trained in the US and will serve patients in designated Health Professional Shortage Areas (HPSAs)
Insufficient Evidence
  • Access to Care

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

Long-term care employee compensation

Increase wages and benefits for personal or home care workers, nurse aides, and others who provide direct care to patients in long-term care (LTC) settings
Expert Opinion
  • Access to Care

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

Mental health benefits legislation

Regulate mental health insurance to increase access to mental health services, including treatment for substance use disorders
Scientifically Supported
  • Access to Care

Mentoring for new nurses

Pair new nurses with more experienced nurses who act as a resource and provide support as the new nurse establishes her or himself professionally
Some Evidence
  • Access to Care

Mobile health for mental health

Deliver health care services and support to individuals with mental health concerns via mobile devices using text messaging or mobile applications (apps)
Some Evidence
  • Access to Care

Mobile reproductive health clinics

Offer reproductive health services (e.g., pregnancy tests, prenatal and postpartum care, gynecological exams, STI screenings, etc.), health education, and social service referrals via medically equipped vans
Some Evidence
  • Access to 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
Scientifically Supported
  • Quality of Care

Nurse residency programs

Implement programs that continue education, mentoring, and support for novice nurses following graduation
Some Evidence
  • Access to 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

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

Preconception education interventions

Provide women with information about the risks and benefits of behaviors that affect their health before, during, and after pregnancy
Some Evidence
  • Access to 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

Radon mitigation programs

Prevent radon from entering occupied buildings and reduce existing indoor air radon levels via soil depressurization, home or room pressurization, heat recovery ventilation, etc.
Some Evidence
  • Housing and Transit

Reproductive life plans

Establish plans consistent with personal values and current life circumstances that set goals related to having or not having children; goals often change over time
Expert Opinion
  • Access to Care