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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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Safe STEPS (Safe and Successful Transition of Elderly Patients Study) Intervention Program (PA, MD, NC)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: The goal of the program is to ensure effective discharge of patients from the hospital back to their homes, and to reduce 30-day hospital readmission.

School-Based Asthma Therapy (Rochester, NY)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

Schools and Families Educating Children (SAFEChildren)

Filed under Evidence-Based Practice, Community / Social Environment, Children, Families, Urban

Goal: The goal of the program is to help families gain or increase parenting and family management skills that would facilitate successful child academic and social adjustment and, therefore, to promote social and academic competence and to lower risk for later antisocial behavior. In addition, the intervention concentrates on promoting initial academic success.

Impact: Children who received the intervention improved in overall reading ability at a more rapid rate than those who did not receive the intervention. In addition, SAFEChildren participants showed an improvement in concentration.

Smile Alabama! (Alabama)

Filed under Effective Practice, Health / Oral Health, Children

Goal: The goal of the Smile Alabama! initiative is to improve oral health services for Medicaid-eligible children.

South End Neighborhood Housing Initiative (Boston, MA)

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

Goal: The goal of this program is to create affordable rental and home ownership opportunities for families and to protect current residents from displacement.

SparkPoint Centers (San Francisco Bay Area, CA)

Filed under Good Idea, Economy / Investment & Personal Finance, Families, Urban

Goal: The goal of SparkPoint is to help low-income families create step-by-step plans to help them get out of poverty and achieve long-term financial stability.

Step It Up: Taking Steps to Healthy Success (Kansas City)

Filed under Effective Practice, Health / Children's Health, Children

Goal: Kansas’s Step It Up: Taking Steps to Healthy Success (Step It Up) Project aims to work towards making improvements to policies and practices in child care programs with regard to breastfeeding, child nutrition, physical activity, outdoor learning, and reductions in screen time. Step It Up is an extension of the National Early Care and Education Learning Collaboratives Project (ECELC) and uses a similar learning collaborative model.

Impact: Step It Up: Taking Steps to Healthy Success has made great improvements in promoting healthy eating and physical activity. The topics of Child Nutrition and Infant & Child Physical Activity had the highest number of increases in best practices. Breastfeeding & Infant Feeding had the highest percentage of best practices being met at pre-assessment (55%).

Stepping Up to Algebra (Santa Clara)

Filed under Effective Practice, Education / Student Performance K-12, Children, Teens, Urban

Goal: The program is designed to teach students the skills and knowledge required to complete Algebra I by the end of the eighth grade.

Summer Bridge (Marin)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: The program's goal is to help four- and five-year old children become better prepared for kindergarten.

Tailoring Family Planning Services to the Special Needs of Adolescents (Central Pennsylvania)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Teens, Women, Rural

Goal: The goal of the study was to address the special psychosocial needs of adolescents and increase contraception use, equip adolescents with the education needed to make responsible decisions related to family planning matters, and decrease unintended pregnancies.

Impact: After a one-year follow-up, teens were less likely to be pregnant. Intermediate findings at six months showed that teens in the experimental group were more likely to continue using a birth control method and less likely to experience difficulty in dealing with contraceptive-related problems.

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