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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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Medical-Legal Partnerships: Investing in Social Services as a Core Strategy for Healthcare (New York City)

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

Goal: New York City LegalHealth is a fruitful partnership that operates in 11 clinics of the city's public hospitals. One example is by supporting individuals in tenant-landlord disputes.

Impact: With an average of $225 per case, LegalHealth was able to effectively demand fixes in asthma patients' living conditions. This impact directly resulted in a 90% drop in emergency room visits and hospital admissions for this asthma patient group.

Memphis Central Station (Memphis, TN)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The goal of this project was to support community revitalization, retain the integrity of an historic district, and provide transportation links to private land development projects.

Miami-Dade County Environmentally Endangered Lands Program (Miami-Dade County, FL)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The goal of this program is to help protect, restore, and conserve the air, water, land and ecosystem resources of Miami-Dade County.

My Turn (Brockton, MA)

Filed under Effective Practice, Economy / Employment, Children

Goal: MY TURN's mission is to help youth develop goals, skills and confidence needed to transition successfully into post-secondary education or training and the world of work.

Native American Women's Wellness Program (Washington)

Filed under Effective Practice, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: The goal of this program is to encourage screening and early detection of cancer among American Indian women.

Network Therapy (New York, NY)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use

Goal: The goal of this program is to effectively treat substance abuse by using the patient's social support network to support abstinence.

Impact: Among Network Therapy clients, 64.5% of all samples submitted were negative for opioids, compared with 45.3% of all samples submitted by medication maintenance clients. Furthermore, 88% of urine samples were negative for cocaine for Network Therapy participants, compared with 66% of urine samples collected from treatment-as-usual clients.

New Directions for Youth (Los Angeles, CA)

Filed under Good Idea, Community / Public Safety, Teens, Families, Urban

Goal: The mission of New Directions for Youth is to provide comprehensive programs that help at-risk youth become productive, self-sufficient and healthy young adults, and create supportive family environments.

Niagara County Childhood Lead Poisoning Prevention Program (Niagara County, NY)

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

Goal: The goal of this program is to reduce the impact of lead poisoning and to prevent new cases of lead poisoning among Niagara County children.

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.

Nurturing Parenting Program (USA)

Filed under Effective Practice, Community / Social Environment, Children, Families

Goal: The long-term goals of this program are to decrease the rate of recidivism in families receiving social services, lower the rate of multiparent teenage pregnancies, reduce the rate of juvenile delinquency and alcohol abuse, and stop the intergenerational cycle of child abuse by teaching positive parenting behaviors.

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