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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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Preventive Health Program/ Hepatitis C Testing (Erie County, NY)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The intent of the practice is to decrease mortality and morbidity relative to Hepatitis A, B or C infection rate in Western New York.

Project ORE (San Francisco, CA)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Teens, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of Project ORE is to use a friendship-based sexual education intervention to prevent HIV/STI transmission in high-risk urban African American adolescent girls.

Project ReConnect (Sonoma, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of Project ReConnect is to enable HIV-positive people to explore career, educational, and volunteer activities and to de-stigmatize HIV through education and advocacy.

Project SWAT (Share the Work to Alleviate the Threat) (Erie County, NY)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goal of Project SWAT is to reduce the population of mosquitoes potentially carrying West Nile Virus by applying larvicide to common breeding habitats.

Protocol for the Isolation and Quarantine of Communicable Disease (Rockland County, NY)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The main objective of the Protocol is to provide a medicolegal framework for the protection of public health and safety in the face of emerging threats of infectious diseases and bioterrorism agents with due regard to a citizen's right to due process.

Public Health Surveillance and Communications Using Regional Emergency Medicine Internet (REMI) (Milwaukee, WI)

Filed under Effective Practice, Community / Social Environment

Goal: The goal of this program is to provide real-time information about fast-breaking environmental hazards, communicable outbreaks, or terrorist events.

Quality Improvement in the Area of Immunizations (Wichita, KS)

Filed under Good Idea, Health / Children's Health, Adults, Families, Urban

Goal: The goal of the project was to increase the number of students current with school-required immunizations through utilization of the state immunization registry and increasing the number of parental consent forms received for immunization in School-Located Vaccine Clinics.

Impact: Of 2,015 children not in compliance with school immunization policies, 1,094 (54%) were brought into compliance through state immunization registry records or immunization in School-Located Vaccine Clinics.

Quality Improvement Project to Improve the Immunization Rate in the Women, Infant, and Children Program (Reno County, KS)

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

Goal: The goal of this program is to increase the immunization rate of WIC children.

Impact: The WIC immunization rate for 2 year olds increased from 33% in the 3rd quarter of 2011 to 83% in the 4th quarter of 2012. The no-show rate for WIC appointments decreased from 68% to 27.6%.

Real Men are Safe (REMAS)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Men

Goal: To reduce the frequency of unprotected vaginal and anal sexual intercourse among sexually active men in drug treatment.

Refugee Health Assessment Program (Miami Dade County, FL)

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

Goal: The mission of the RHAP is to protect the health of the general population and to improve the health status of refugees so they may achieve self-sufficiency.

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