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

Environmental Improvements Brought by the Legal Interventions in the Homes of Poorly Controlled Inner-City Adult Asthmatic Patients (New York City, New York)

Filed under Evidence-Based Practice, Environmental Health / Built Environment, Urban

Goal: The goal is to use a medical-legal collaborative intervention to force landlords into maintaining healthy living conditions for residents with poorly controlled asthma.

Impact: This proof-of concept study exhibits that medical-legal collaboration can significantly impact the control of inner-city asthmatics by improving their domestic environment.

Flex Your Power Case Study: Orange County Water District (Orange County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: OCWD's goals in 2001 were to reduce energy load, save money and preserve/extend equipment life. Its projects targeted power use in buildings' electrical/lighting systems; chemical and energy management issues concerning the plant treatment process and HVAC systems; and energy use by employees and ultimately customers.

Forsyth County Cancer Screening (FoCaS) Project (Forsyth County, NC)

Filed under Evidence-Based Practice, Health / Women's Health, Women, Racial/Ethnic Minorities

Goal: The goal of the FoCaS Project is to improve breast and cervical cancer screening participation among low-income women.

Independence Youth Court (Independence, MO)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Teens, Rural

Goal: The primary goal of the Independence Youth Court is to reduce incidents of juvenile crime, divert offending youth from the Juvenile Justice System and to provide an alternative to the Jackson County Family court process and further contact with the police.

L.A. County's Emergency Survival Program (Los Angeles)

Filed under Good Idea, Community / Governance, Urban

Goal: The goal is to help prepare communities for earthquakes, fires, floods, terrorism, and other natural and man-made disasters.

Managing Multiple Chronic Conditions with a Community Health Worker Intervention (Philadelphia, PA)

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

Goal: To assess whether an Individualized Management for Patient-Centered Targets (IMPaCT), delivered by community health workers improved patients' chronic disease management and self-rated physical and mental health.

Impact: Individuals with multiple chronic conditions when paired with a community health worker will perceive that their care is higher quality and may have fewer hospitalizations.

Marin County Safe Routes to Schools (Marin)

Filed under Effective Practice, Community / Transportation, Children, Teens, Urban

Goal: The goal of the Safe Routes to School program is to improve safety and encourage more children to safely walk and bicycle to school. In addition, the programs work toward reducing traffic congestion and improving health and the environment.

Maternal-Child Healthcare Coordination (Santa Ana, Orange County, California)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women, Urban

Goal: The mission of MOMS Orange County is to help mothers and their families have healthy babies by providing health coordination, education, and access to community services. MOMS Orange County’s vision is that all babies born in Orange County are healthy at birth.

Impact: Measures such as the percent of babies born at a low birth weight, percent of babies born premature, and the percent of babies admitted to the NICU were all markedly better for program participants when compared to many comparison benchmarks.

Reach for Health Community Youth Service (New York City, New York)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities, Urban

Goal: The goal of the Reach for health Community Youth Service program is to reduce risky sexual behaviors among urban Latino and African American youth.

Impact: Long-term impact has been recorded among participants after two years: this includes delayed initiation of intercourse and reduced frequency of intercourse among sexually active adolescents.

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

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.