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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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Outdoor Air Quality Flag Program (San Joaquin Valley Air Pollution Control District)

Filed under Effective Practice, Environmental Health / Air, Children

Goal: The program aims to accomplish two things in Central California: (1) permanently change local policy with respect to existing operating procedures in school districts and schools to help reduce exposure of students, teachers, staff and nearly communities to outdoor environmental asthma triggers ;and (2) provide education on air quality and potential health effects from exposure to air pollutants.

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.

Flex Your Power Case Study: Santa Clara Valley Water District (San Jose, CA)

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

Goal: Besides attempting to prevent rolling blackouts, the City of San Jose wanted to participate in the water conservation program to reduce the amount of treated wastewater that is released into San Francisco Bay.
Specific goals included:
-Continue to support SCVWD's mission of water supply and management in spite of external power interruptions,
- Provide 24-hour battery backup for SCADA instrumentation and communications,
-Provide indefinite power backup via backup generators for critical source pumping, water treatment and emergency operations, and
- Reduce HVAC and lighting use to prudent levels.

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

SF Health Code Article 38: Enhanced Ventilation for Urban Sensitive Use Development (San Francisco, CA)

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

Goal: The purpose of SF Health Code Article 38 is to protect residents from the effects of living in a poor air quality zone by requiring enhanced ventilation in new and renovated residential buildings.

Impact: The City of San Francisco implemented a law requiring enhanced ventilation in new and renovated residential buildings to protect residents from harmful particulate matter.

Clean School Bus USA (USA)

Filed under Good Idea, Community / Transportation, Children

Goal: The goal of Clean School Bus USA is to reduce both children's exposure to diesel exhaust and the amount of air pollution created by diesel school buses.

Respiratory Health Association (Chicago, IL)

Filed under Good Idea, Health / Respiratory Diseases

Goal: Respiratory Health Association's mission is to promote healthy lungs and fight lung disease through research, advocacy and education.

Impact: Respiratory Health Association provides ongoing education, research funding, and advocacy for respiratory health. The program also partners with organizations that work with underserved populations to reduce tobacco use.

Coordinated Asthma Referral and Education (CARE) Program (San Bernardino, CA)

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

Goal: The goal of the CARE Program is to raise community awareness about asthma, coordinate services within target communities, and help families learn how to control and manage asthma.

Flex Your Power Case Study: Vallejo Sanitation and Flood Control District (Vallejo, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: Vallejo Sanitation's goals in 2001 were to seek the most cost effective treatment of wastewater and to find financial rebates/grants where possible to implement cost saving measures. In order to qualify for generator replacement rebates, the agency needed to design and complete the project in a short time.

Harris County Pollution Control Ozone Monitoring (Harris County, TX)

Filed under Effective Practice, Environmental Health / Air

Goal: The goal of this program is to increase the amount of reliable air quality data that is available to the public in Harris County.

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