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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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Transitional Respite Care for the Homeless Program (Spokane, WA)

Filed under Good Idea, Economy / Housing & Homes, Adults, Women, Men

Goal: The respite program's goal is to stop the revolving door of emergency department treatment by providing a supervised facility with a level of care from an on-site nurse similar to what a patient might receive from an attentive family member.

Impact: The program has been able to provide better care for a vulnerable population and reduce overall cost of care by lowering the number of ambulance calls, emergency department visits, and inpatient stays.

Tri-Agency Resource Gang Enforcement Team (Orange County, CA)

Filed under Effective Practice, Community / Public Safety, Children, Urban

Goal: The goal of the TARGET program is to reduce gang crime by selectively incarcerating the most violent and repeat (recidivist) gang offenders (based on their criminal records).

Walking School Bus (Cleveland, OH)

Filed under Good Idea, Community / Transportation, Children

Goal: The goals of the Walking School Bus are to get children to be more physically active and to decrease crime on the way to and from schools.

Wayne County Intensive Probation Program (Wayne County, MI)

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

Goal: The goal of this program is to prevent further criminal activity and incarceration among juvenile delinquents.

Bay Area Regional Health Inequities Initiative (BARHII) (San Francisco Bay Area)

Filed under Good Idea, Health

Goal: The mission of BARHII is to transform public health practice for the purpose of eliminating health inequities using a broad spectrum of approaches that improve community health. Consistent with that mission, BARHII has set the following objectives:

- Train staff on broad spectrum of strategies to improve nutrition and physical activity, and reduce health inequities.
- Develop regional collaborations of public health departments, organizations, coalitions and communities to participate in a comprehensive approach to improve nutrition and physical activity.
- Develop a media advocacy campaign to raise awareness among policy makers and the general public about key issues of nutrition and physical activity, and their link to chronic disease and health inequities.
- Use the regional platform to achieve changes in institutional practices and public policies, and increase support for public health.

Northern Manhattan Start Right Coalition (New York City, NY)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Children, Families, Racial/Ethnic Minorities

Goal: The goal of the Northern Manhattan Start Right Coalition is to increase the timely vaccination coverage rate for the 4:3:1:3:3 series for children ages 19 to 35 months.

Impact: The Start Right Coalition increased timely vaccination coverage from 63.0% in 2002 to 96.8% in 2007.

Vamos a Nadar (Let's Go Swimming) (Sonoma)

Filed under Good Idea, Health / Prevention & Safety, Children, Families, Racial/Ethnic Minorities

Goal: To promote water safety in the Latino community.

Bay Area SCORES (Bay Area, CA)

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

Goal: The goal of the Bay Area SCORES program is to reduce obesity, increase physical fitness, and manage cardiovascular health-related risks while improving academic performance in children between the ages of 6 and 12 through soccer, creative expression, service learning, “hip hop for health,” and creative writing.

Increasing Age-Appropriate Immunization Rates for Children in Butler County and Surrounding Area (Butler County, KS)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Children, Rural

Goal: The goal of this program was to increase immunization rates in the Butler County area.

Impact: Immunization rates increased from 53.2% to 72.4% and parents reported a better understanding of the importance of timely vaccinations.

Northern Michigan Diabetes Initiative: Provider Education Program (Michigan)

Filed under Evidence-Based Practice, Health / Diabetes, Rural

Goal: The overall goal is to reduce the prevalence of diabetes and improve the care of people with diabetes by improving provider education.

Impact: The results indicate that a half-day site visit with an experienced diabetologist can lead to sustained, improved glycemic and lipid control in previously-uncontrolled diabetic patients. The online iDose tool provides an easy way for healthcare providers to calculate insulin dosage.

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