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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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Minority AIDS Project (Los Angeles, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Racial/Ethnic Minorities, Urban

Goal: The Minority AIDS Project's mission is to reduce suffering and deaths due to HIV infection in the African-American and Latino communities by making HIV/AIDS education and related health services available and accessible.

Impact: The Minority AIDS Project provides services and outreach efforts to predominantly African-American and Latino individuals living with HIV/AIDS in the underserved communities of Central and South Central Los Angeles.

Rural medical-legal partnership and advocacy: a three-year follow-up study. (southern Illinois)

Filed under Evidence-Based Practice, Economy, Rural

Goal: Medical-legal partnerships perform advocacy services for vulnerable and under-served populations. These populations are typically burdened disproportionately by legal and medical problems. This study aimed to examine the effectiveness and sustainability of a rural medical-legal partnership (MLP).

Impact: The rural medical-legal partnership continued to show social and financial impacts, such as health care recovery dollars (319% return on investment between 2007 and 2009), Social Security benefits, family law services, and end-of-life guidance.

Senior Wellness Program (St. Augustine, FL)

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

Goal: The goal of this program is to improve the quality of life of residents of Northeast Florida by providing programs and services which raise the health, education and economic standards of citizens living at the lowest social and economic levels.

Shape Up SF (San Francisco, CA)

Filed under Good Idea, Health / Physical Activity, Racial/Ethnic Minorities, Urban

Goal: Shape Up SF aims to reduce health disparities by creating healthy eating and active living environments and improving physical activity and nutrition.

Impact: Shape Up SF implemented Safe Routes to School, Bayview HEAL Zone, PE4SF, Rethink Your Drink, Southeast Food Access (SEFA) Working Group, SEFA Food Guardians, and Walking Challenge, and increased physical activity and access to healthy foods in San Francisco.

Supplemental Nutrition Assistance Program (SNAP) Participation and Health Care Expenditures Among Low-Income Adults

Filed under Evidence-Based Practice, Health / Older Adults

Goal: To determine whether the Supplemental Nutrition Assistance Program (SNAP), which addresses food insecurity, can reduce health care expenditures.

Tribal Motor Vehicle Injury Prevention Programs (Arizona and Wisconsin)

Filed under Evidence-Based Practice, Community / Public Safety, Racial/Ethnic Minorities

Goal: The goal of tribal motor vehicle injury prevention programs is to reduce disparities in rates of motor vehicle-related injuries and deaths.

Impact: Projects to increase motor vehicle safety on tribal reservations increased seat belt use among drivers, increased use of child safety seats, and decreased motor vehicle crashes.

Unused Medications Program (Kansas)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Rural

Goal: The Unused Medications Repository, administered by Community Health Center of Southeast
Kansas, provides donated medications free of charge to eligible clinics in Kansas.

Impact: Over $20 million worth of prescription medications have been donated to low-income and uninsured Kansans.

Young at Heart Project (California)

Filed under Good Idea, Art & Recreation / Music, Older Adults

Goal: The Young at Heart Project aims to provide the therapeutic benefits of music and entertainment for senior citizens in convalescent and residential care facilities throughout Central and Northern California.

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.

Access to Care (Cook County)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: Access to Care aims to meet primary health care needs of low-income uninsured individuals.

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