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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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Horizon Communities in Prison

Filed under Effective Practice, Community / Social Environment, Families

Goal: The purpose of the Horizon Communities in Prison program is to build links between the faith community and correctional institutions in order to affect an inner transformation of inmates and prepare them to live with others in mutual support, trust and respect.

Horizon House (Indianapolis, IN)

Filed under Effective Practice, Economy / Housing & Homes

Goal: Horizon House believes homeless guests possess strengths that are key to ending their homelessness, and states its mission is "to be a focal point for services and assistance to empower individuals and families to no longer be homeless."

Hospital Diversion Initiative (Kansas City, MO)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the Hospital Diversion Initiative is to connect individuals who chronically utilize the inpatient and emergency rooms with outpatient care.

Impact: After three months in the program, participants showed a 66% reduction in ER visits, 68% reduction in inpatient hospital stays, a 72% decrease in homelessness, an 18% reduction in unemployment, and a 66% decrease in past 30 day arrests. More than 350 individuals have been served so far.

Hot Bread Kitchen (New York City, NY)

Filed under Good Idea, Economy / Employment, Women, Men, Racial/Ethnic Minorities, Urban

Goal: Hot Bread Kitchen's mission is to increase economic security for foreign-born, low-income women and men by helping them gain access to the thriving specialty food industry.

Impact: Hot Bread Kitchen trains low-income, immigrant men and women for successful professional baking careers.

Housing and the Role of Hospitals (Chicago, IL)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Urban

Goal: The goal was to create a housing program as one way to respond to chronic homelessness and associated health concerns.

Housing as Health Care - New York’s Boundary-Crossing Experiment (New York)

Filed under Good Idea, Economy / Housing & Homes

Goal: The goal of this experiment is to estimate the effects of New York’s plan for supportive housing for high-need, high-cost Medicaid recipients.

Impact: Placing people who are homeless in supportive affordable housing paired with supportive services such as on-site case management and referrals to community-based services can lead to improved health, reduced hospital use, and decreased health care costs.

Housing First (New Hampshire and Massachusetts )

Filed under Effective Practice, Economy / Housing & Homes, Families

Goal: The goal of Housing First is to move families into stable and affordable housing.

Housing Opportunities for Persons with AIDS (USA)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults, Families

Goal: The goal of the HOPWA program is to help families pay housing expenses so that they are not displaced due to costs and discrimination associated with HIV/AIDS.

Housing Opportunities Program (San Mateo County, CA)

Filed under Effective Practice, Economy / Housing & Homes, Families

Goal: The goal of this program is to provide housing help and supportive services to low- income families transitioning to self-reliance.

Houston READ Commission (Houston, TX)

Filed under Good Idea, Education / Literacy

Goal: The Houston READ Commission's mission is to enrich the lives of adult Houstonians and their families by helping them achieve their full potential through literacy, and to contribute to a workforce that will ensure a strong economy and a promising future for the greater Houston area.

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