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.

Submit a Promising Practice

Countywide Concussion Program (Miami Concussion Model) (Miami-Dade County, FL)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens

Goal: The goals of the MCM are to provide a comprehensive and centralized concussion care program to 1) increase concussion awareness and identification through education and training; 2) facilitate the return to play decision with effective medical treatment, which includes baseline neurocognitive testing; and 3) implement a standardized concussion care protocol and concussion injury surveillance system to assist in the prevention of concussions, improve player safety, and limit school liability.

Impact: From the pilot evaluation of the model it was determined that the MCM model or a similarly designed one is effective in increasing the number of concussions identified, reported, and also treated at a clinic.

Niagara County Childhood Lead Poisoning Prevention Program (Niagara County, NY)

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

Goal: The goal of this program is to reduce the impact of lead poisoning and to prevent new cases of lead poisoning among Niagara County children.

Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

Santa Barbara Car Free Project (Santa Barbara)

Filed under Good Idea, Community / Transportation, Children, Teens, Adults, Families, Urban

Goal: The project's mission is to encourage car free, carefree travel to and around Santa Barbara for cleaner air and a healthier planet.

Santa Monica Urban Runoff Recycling Facility (Los Angeles)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Children, Teens, Adults, Older Adults, Urban

Goal: SMURRF aims to mitigate the pollution affecting Santa Monica Bay from urban runoff and raise public awareness of Santa Monica Bay pollution. We have reviewed the SMURRF system and began an investigation of installing a RO system to produce potable water in the coming years. This goal is to contribute to the city’s new sustainable master water plan to become self-reliant on local water by 2020

Triple P - Positive Parenting Program: Palm Beach County (Palm Beach County, FL)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families

Goal: Triple P aims to enhance the knowledge, skills, and confidence of parents to prevent behavioral, emotional, and developmental problems in children and prevent child maltreatment.

Impact: Triple P increased confidence in parenting ability and reduced the incidence of verified maltreatment among participants in the program.

California Childcare Healthline (San Francisco Bay Area)

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

Goal: The goals of this program are to promote and maintain the broadest understanding of health and wellness in early childhood settings and to create linkages and promote collaboration between health and safety professionals and child care professionals.

California Votes Initiative (California)

Filed under Good Idea, Community / Civic Engagement, Adults, Racial/Ethnic Minorities

Goal: The Initiative's goal was to increase voter participation rates among infrequent voters, particularly in low-income and ethnic communities.

Cost Benefit Analysis of Providing Non-Emergency Medical Transportation

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

Goal: The goals of this promising practice were to identify the transportation-disadvantaged population that lacks nonemergency medical care because of low access to transportation; determine the medical conditions that this population experiences and describe other characteristics of these individuals, including geography; estimate the cost of providing the transportation necessary for this population to obtain medical transportation according to various transportation service needs and trip modes; estimate the healthcare costs and benefits that would result if these individuals obtained transportation to non-emergency medical care for key healthcare conditions prevalent for this population; and compare the relative costs (from transportation and routine healthcare) and benefits (such as improved quality of life and better managed care, leading to less emergency care) to determine the cost-effectiveness of providing transportation for selected conditions.

Impact: These results show that adding relatively small transportation costs do not make a disease-specific, otherwise cost-effective environment non-cost-effective. Providing increased access to non-emergency medical care does improve quality of life and saves money per patient.

Flex Your Power Case Study: City and County of San Francisco (San Francisco)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: The goal of these projects was to find ways to maximize energy conservation and efficiency through measures with a quick payback period.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.