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Promising Practices

The Promising Practices database informs professionals and community members about documented approaches to improving community health and quality of life.

The ultimate goal is to support the systematic adoption, implementation, and evaluation of successful programs, practices, and policy changes. The database provides carefully reviewed, documented, and ranked practices that range from good ideas to evidence-based practices.
Learn more about the ranking methodology.

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Smoking?...Not in Mama's House! (Kauai District, HI)

Filed under Good Idea, Health / Children's Health, Children

Goal: The goal of this program is to prevent children's exposure to secondhand smoke.

Special Needs Project (SNP) (California)

Filed under Good Idea, Education / Childcare & Early Childhood Education, Children, Families

Goal: The project's goal is to identify children with disabilities and other special needs at an early age and provide those identified with the appropriate support so they can be successful when entering kindergarten.

Summer Bridge (Marin)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: The program's goal is to help four- and five-year old children become better prepared for kindergarten.

Taking the HyRoad (Alameda and Contra Costa County, CA)

Filed under Effective Practice, Community / Transportation

Goal: The goal of Taking the HyRoad is to improve fuel economy and reduce the emissions from public transit buses through the use of hydrogen fuel cell vehicles.

Targeted Outreach for Women Act (Florida)

Filed under Good Idea, Health / Women's Health, Women

Goal: The goal of the Targeted Outreach for Pregnant Women Act is to improve prenatal care among high risk and HIV-positive pregnant women in order to reduce the number of babies born with HIV-infection and prenatal drug exposure.

Targeted TB Testing and Treatment Program (Suffolk County, NY)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Racial/Ethnic Minorities

Goal: The goal of this program is to reduce rates of TB among foreign-born populations and to increase rates of treatment for latent TB infection.

The Berkeley Charleston Dorchester Regional Bicycle and Pedestrian Action Plan (Berkeley-Charleston-Dorchester, SC)

Filed under Good Idea, Community / Transportation

Goal: The Berkeley Charleston Dorchester Regional Bicycle and Pedestrian Action Plan is based on three principles:

(1) Children should be able to safely walk and bike to school if they and their parents so choose.

(2) Roadways should equally accommodate pedestrians, bicyclists, and motorists.

(3) Bicycling and walking should become a routine part of daily activity in the BCD region.

WISEWOMAN Michigan (Lansing, MI)

Filed under Good Idea, Health / Cancer, Women

Goal: The goal of this program is to reduce barriers to exercise and increase the likelihood that people will engage in physical activity.

Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban

Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.

Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.

King County Asthma Program (King County, WA)

Filed under Effective Practice, Health / Health Care Access & Quality, Children

Goal: The goal of the King County Asthma Forum is to improve asthma outcomes among low-income children.

An Effective Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success and/or promise in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures of improvement in outcome of interest (i.e. increase in voter registration, not just delivery of voter registration drive) and/ or the outcome measure is increased or improved compared to the baseline measurement or the control group but the difference is not statistically significant.

A Good Idea meets the following HCI criteria:

  1. The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
  2. The program evaluation is limited to descriptive measure(s) of success/accomplishment (i.e., program participation rates, number of services/education sessions/radio messages provided). Note: oftentimes, the program has been newly implemented and a program evaluation has not yet been conducted. Programs that have not yet been evaluated, but which show promise in improving health or quality of life, are classified as Good Ideas until an evaluation is conducted.

An Evidence-Based Practice meets the following HCI criteria:

  1. The program description includes at a minimum: the sponsoring organization, program goals, program implementation steps, and outcomes that have demonstrated program success in achieving the program goal in one or more localities.
  2. The results from an evaluation of the program include quantitative measures showing improvement in the outcome(s) of interest after the implementation of the program (i.e. increase in smoking cessation, not just the delivery of a smoking cessation program). The outcome measure(s) is/are compared at relevant time periods before and after the intervention or program implementation. Alternatively, the evaluation study compares the outcome(s) between an intervention group and an appropriate control group.
  3. The study is of peer-review quality and presents numbers in a scientific manner; measurements of precision and reliability are included (e.g. confidence intervals, standard errors), results from statistical tests show a significant difference or change in the outcome measure(s), and relevant point estimates and p-values are presented. Note: if the results from an evaluation of a program are presented in a scientific manner and the outcome measure is improved compared to the baseline measurement or the control group but the difference is not statistically significant, the practice is classified as effective and not evidence-based.