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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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Medical Legal Partnerships: Embedding Civil Legal Aid Services in Care for High-Utilizing Patients (Lancaster, PA)

Filed under Effective Practice, Community / Governance, Children, Teens, Adults, Families, Urban

Goal: The goal of the pilot was to assess the impact on health care use of addressing patients’ civil legal problems – the social, financial, or environmental problems that require assistance from lawyers to remedy. The lawyer was embedded in the health care team and present during case management discussions to identify specific civil legal problems and to help the team better understand how to address them. Additionally, this partnership provided civil legal aid services to patients when needed in a community health care system.

Impact: This pilot shows a medical-legal partnership for the super-utilizers of healthcare can lead to efficiencies within the health care system, reduce costs, and improve health outcomes among the most vulnerable patients.

Medical-Legal Partnership (Kansas City Metropolitan Area)

Filed under Good Idea, Health / Prevention & Safety, Children, Families, Urban

Goal: The goal of the medical-legal partnership is to improve health outcomes through quality legal services.

Impact: The Medical-Legal Partnership provides legal assistance to patients on issues that directly or indirectly affect health.

Medical-Legal Partnerships: Investing in Social Services as a Core Strategy for Healthcare (New York City)

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

Goal: New York City LegalHealth is a fruitful partnership that operates in 11 clinics of the city's public hospitals. One example is by supporting individuals in tenant-landlord disputes.

Impact: With an average of $225 per case, LegalHealth was able to effectively demand fixes in asthma patients' living conditions. This impact directly resulted in a 90% drop in emergency room visits and hospital admissions for this asthma patient group.

Methodist Germantown Diabetes-Self Management Education & Support (DSMES) Service (Shelby County, TN)

Filed under Good Idea, Health / Diabetes, Children, Teens, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The organization goal for the DSMES Service is to help each person living with diabetes attain knowledge and/or skills that may enable and empower them to perform effective self-care, promote wellness and prevent sickness and complications

Michigan Child Death Review Program (Michigan)

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

Goal: The purpose of CDR is to use the findings from the reviews to improve agency systems and to take action to prevent other deaths.

Michigan State Diversion Project (Michigan)

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

Goal: The goal of this program is to provide effective and affordable treatment for juvenile offenders.

Migrant Education Even Start (MEES) (California)

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

Goal: The program's mission is to help prepare children of migrant workers in California to be successful in school.

Milwaukee Extreme Heat Plan (Milwaukee, WI)

Filed under Effective Practice, Health / Mortality Data, Children, Older Adults, Urban

Goal: The goal of this program is to reduce heat-related morbidity and mortality in Milwaukee.

Milwaukee Tobacco-Free Sports Program (Milwaukee, WI)

Filed under Good Idea, Health / Alcohol & Drug Use, Children

Goal: Program objectives are to:

- Plan and conduct five sets of interactive tobacco prevention mini-sessions for youth and parents in multiple school-linked settings;
- Plan and implement one annual media advocacy event coordinated with the national Campaign for Tobacco-Free Kids
- Plan and conduct tobacco educational outreach and implementation guidance for coaches and athletic staff. Teen Presenters deliver tobacco prevention mini-sessions to younger children, grades 1-6.

Mineral Belt Trail (Leadville, CO)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Adults, Families, Rural

Goal: The goal of the Mineral Belt Trail is to provide safe access throughout Leadville, CO to schools, historic areas, and natural landscapes.

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.
Michigan Health Improvement Alliance