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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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A Living Laboratory: The City of Chattanooga, USA (Chattanooga, TN)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: Chattanooga's vision is to become a city where ecological initiatives generate a strong economic base, nurture social institutions and enhance the natural and made environment.

AccessHealth Spartanburg (Spartanburg County, SC)

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

Goal: AccessHealth Spartanburg's mission is to improve access to healthcare for the uninsured of Spartanburg County, SC.

Impact: AHS reduced inappropriate emergency room use and inpatient caseloads while increasing access to healthcare services for its clients in Spartanburg County. Furthermore, the organization reported a $17 to $1 ROI.

Adopt-A-Highway (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of Adopt-A-Highway programs is to improve the appearance of roadsides and to reduce the annual cost of picking up litter on the highway system.

Carolinas Cancer Education and Screening (CARES) Project (North Carolina & South Carolina)

Filed under Good Idea, Health / Cancer, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of this project is to improve colorectal cancer screening awareness among low-income women traditionally underserved by cancer control efforts.

Cervical Cancer Screening and Follow-up (Brevard County, FL)

Filed under Effective Practice, Health / Women's Health, Women

Goal: The goal of this program is to provide timely, effective, clinically appropriate intervention for abnormal Pap tests at no or very-low cost in order to reduce cervical cancer mortality.

Community Planning Program (San Francisco, CA)

Filed under Good Idea, Community / Social Environment, Urban

Goal: The goal of the Community Planning Program is to provide underserved communities with the tools and support they need to be able to shape equitable, safe, and vibrant neighborhoods throughout San Francisco, CA.

Flex Your Power Case Study: City of Visalia (Visalia, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of these projects is to conserve energy and to reduce energy costs.

Jamaica Service Program for Older Adults (Jamaica, NY)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The Jamaica Service Program for Older Adults mission is "a total community working together to provide services to, and develop skills in, older adults in order to promote independence and enhance their quality of life."

Kentucky Mountain Housing Development Corporation (KMHDC) (Clay and Jackson Counties, KY)

Filed under Effective Practice, Economy / Housing & Homes, Rural

Goal: The goal of this program is to provide safe and affordable low-income housing in Clay and Jackson Counties.

Market Makeovers/Corner Store Conversions (South Los Angeles)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Urban

Goal: The goal of this program is to reduce childhood obesity and diabetes by increasing access to nutritious food for children and families.

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.