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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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Septic Systems (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: Septic systems serve approximately 25 percent of the U.S. population and about 40 percent of new developments. The U.S. Census Bureau has indicated that at least 10 percent of septic systems have stopped working. Some communities report failure rates as high as 70 percent! The goal of this program is to improve the performance of decentralized septic systems.

Serving Our Seniors (Erie, OH)

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

Goal: The goal of Serving Our Seniors is to help senior citizens live independently in their homes.

Setting up a Kids Voting Program to Increase Civic Participation (USA)

Filed under Effective Practice, Community / Civic Engagement, Children

Goal: The goal of Kids Voting USA is to foster civic awareness at an early age to deal with the problems of voter apathy and nonparticipation.

SEXINFO: A Sexual Health Text Messaging Service for San Francisco Youth (San Francisco, CA)

Filed under Effective Practice, Health / Adolescent Health, Teens, Racial/Ethnic Minorities

Goal: The mission of SEXINFO is to provide sexual health information to those at high risk for acquiring STIs in San Francisco, CA.

SF Health Code Article 38: Enhanced Ventilation for Urban Sensitive Use Development (San Francisco, CA)

Filed under Good Idea, Community / Governance, Children, Teens, Adults, Older Adults, Families, Urban

Goal: The purpose of SF Health Code Article 38 is to protect residents from the effects of living in a poor air quality zone by requiring enhanced ventilation in new and renovated residential buildings.

Impact: The City of San Francisco implemented a law requiring enhanced ventilation in new and renovated residential buildings to protect residents from harmful particulate matter.

Shape Up & Go! (Ohio, Florida, and Nevada)

Filed under Good Idea, Health / Physical Activity, Adults

Goal: The goal of Shape Up & Go! is to encourage physical activity and improvements in nutrition.

Shape Up Somerville (Somerville, MA)

Filed under Effective Practice, Health / Physical Activity, Children, Families, Urban

Goal: The goal of Shape Up Somerville is to prevent obesity through a community-based environmental change intervention.

Impact: Through multi-level social interventions (community, school, family) intake of sugar-sweetened beverages and screen time can decrease among children.

Simply Delivered Meals for ME (Maine)

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

Goal: The goal of this specialized meal delivery program called Simply Delivered for ME (SDM) was to improve care and reduce 30-day hospital readmission rates for those eligible for the program.

Smart Meal Program (Sonoma)

Filed under Good Idea, Health / Physical Activity

Goal: To promote optimal nutritional and physical health for Sonoma County residents, especially children, by increasing the capacity of residents to make informed and healthy food choices.

Smart Start (North Carolina)

Filed under Good Idea, Education / Childcare & Early Childhood Education, Children

Goal: The goal of this program is to help all North Carolina children enter school ready to succeed.

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