National Prevention Strategy

Clinical & Community Preventive Services

National Prevention Strategy's Clinical & Community Preventive Services

The National Prevention Strategy provides evidence-based Recommendations for Clinical and Community Preventive Services. The Strategy also identifies actions that partners including governments, businesses, health care systems, schools, community organizations and individuals can take to implement these recommendations across multiple settings. The resources in this toolkit are intended to help state and territorial governments and their partners implement the Strategy through the suggested actions below: 

  • Increase delivery of clinical preventive services, including ABCS, by Medicaid and Children's Health Insurance Program (CHIP) providers.
  • Foster collaboration among community-based organizations, the education and faith-based sectors, businesses, and clinicians to identify underserved groups and implement programs to improve access to preventive services.
  • Create interoperable systems to exchange clinical, public health, and community data, streamline eligibility requirements, and expedite enrollment processes to facilitate access to clinical preventive services and other social services.
  • Expand the use of community health workers and home visiting programs.
  • Begin with Examples of State Collaboration
  • Assess State Needs and Priorities
    • Community Health Needs Assessment Tool
      This is a web-based platform from Community Commons is designed to assist state and local health departments, hospitals, non-profit organizations, financial institutions, and others seeking to better understand the needs and assets of their communities and to collaborate to make measurable improvements in community health.
    • Coordinated Care Measures Atlas
      The Agency for Healthcare Research and Quality’s Atlas lists existing measures of care coordination and presents a framework for understanding care coordination measurement. State teams can use this to evaluate projects aimed at improving patient care activities.
    • Health Landscape: Interactive Web Atlas
      This is an interactive web atlas for healthcare providers, payers, policy makers, and community planners to use health information to promote understanding, improve outcomes, and reduce cost of health and healthcare. States can access various sources of health, socio-economic and environmental information.
    • National Healthcare Quality and Disparities Reports
      These reports from the Agency for Healthcare Research and Quality present, in chart form, the latest available findings on quality of and access to health care. States can use measure-specific benchmarks to assess national performance and establish performance improvement goals.
    • State Level Multiple Chronic Condition Reports
      The Centers for Medicare and Medicaid Services (CMS) has developed aggregated data on the prevalence of chronic conditions and multiple chronic conditions as well as utilization and Medicare spending for beneficiaries with multiple chronic conditions for the 50 U.S. states and Washington, DC.
    • Using Indicators for Program Planning and Evaluation
      This is a technical assistance tool designed to assist National Heart Disease and Stroke Prevention (NHDSP) program grantees, state health departments, advocates, evaluators, and researchers with program and evaluation planning for heart disease and stroke prevention activities.
    • Chronic Disease Costs Calculator
      Version 2 of the Chronic Disease Cost Calculator, developed by the CDC and RTI International, is a downloadable tool to help states estimate the economic burden of chronic diseases. The calculator provides state-level estimates of medical expenditures and absenteeism costs for chronic diseases including arthritis, asthma, cancer, cardiovascular diseases, depression, and diabetes.
    • See all resources »
  • Review Evidence-Based Recommendations
    • Advisory Committee on Immunization Practices Recommendations
      This CDC committee provides comprehensive recommendations for the general population, health-care personnel and emergency situations, as well as vaccine-specific recommendations. States can use these strategies to ensure that vaccination coverage in the population remains high.
    • Cochrane Library
      The Cochrane Collaboration is an international network that prepares systematic reviews to help healthcare providers, policy-makers, patients, their advocates and caregivers make well-informed decisions about health care. The Library contains over 5,000 published reviews.
    • Collaborating with Community Health Centers for Preparedness
      This report from the Task Force on Health Agency-Community Health Center Coordination in Preparedness provides recommendations for and examples of strengthening response efforts through effective collaboration among partners.
    • Community Guide – Health Communication
      The Guide to Community Preventive Services (The Community Guide) is the place to find evidence-based recommendations and findings covering many health topics and types of interventions for behavior change, disease prevention and environmental change. Other relevant topics include Cancer, Cardiovascular Disease, and Vaccination.
    • Healthy People 2020 - Access to Health Services
      Healthy People offers science-based, 10-year national objectives for improving the health of all Americans, and provides measurable objectives and goals to help states engage multiple sectors to take actions to strengthen policies and improve practices that are driven by the best available evidence and knowledge.
    • Multiple Chronic Conditions: A Strategic Framework
      Developed by a U.S. Department of Health and Human Services (HHS) work group, the Framework serves as a national-level roadmap to improve the health of individuals with multiple chronic conditions. State teams can use it to align programs, activities and initiatives with the national goals and objectives.
    • National Strategy for Quality Improvement in Health Care
      This HHS report to Congress describes the initial National Quality Strategy and implementation plan to increase access to high-quality, affordable health care for all Americans. It can guide states in their efforts to improve outcomes of care and the overall health of state residents.
    • U.S. National Vaccine Plan
      The National Vaccine Plan developed by HHS includes national strategies for advancing vaccine research and development, financing, supply, distribution, safety, global cooperation, and informed decision-making among consumers and health care providers. States can use it as a guide to ensure high vaccination coverage in the population.
    • U.S. Preventive Services Task Force Recommendations
      The Task Force was convened to evaluate clinical research in order to assess the merits of preventive measures such as screening, counseling and immunizations. Access all their recommendations organized alphabetically by topic in the A-Z Topic Guide.
    • See all resources »
  • Take Action to Make Change
    • Community Care of North Carolina Program Toolkit
      This toolkit provides a step-by-step approach to building an innovative program like North Carolina’s which is organized and operated by practicing community physicians to establish community health networks to achieve quality, utilization, and cost objectives for the care of its Medicaid recipients.
    • Improving Cancer Prevention and Control
      ASTHO’s issue brief describes how state health agencies can bolster the sustainability of patient navigator and community health worker programs to support health reform and improve health outcomes for all populations. It includes case studies from Colorado, Florida and Micronesia.
    • Including Safety-Net Providers in Integrated Delivery Systems
      The National Academy for State Health Policy’s issue brief explores key considerations for incorporating safety-net providers into integrated delivery systems and discusses the roles of state and federal agencies in supporting and testing models of integrated care delivery.
    • Multiple Chronic Conditions (MCC) Inventory
      This is a searchable database of programs, tools and research initiatives underway in the public and private sectors to address the needs of individuals with MCC. States can use it to find activities that support the goals and objectives contained in the MCC Strategic Framework.
    • State Roles in Delivery System Reform
      Chapter 3 of this report from the National Governors Association provides states with strategies for improving primary care and public health. The authors identify opportunities for working across these fields to accelerate progress in controlling costs.
    • What Works for Health
      The Robert Wood Johnson Foundation website provides communities with information to help select and implement evidence-informed policies, programs, and system changes that will improve health. It includes policies and programs that can improve access to care and quality of care.
    • See all resources »
  • Align Policies and Laws

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