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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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plaNYC (New York)

Filed under Good Idea, Environmental Health / Energy & Sustainability, Urban

Goal: The goal of plaNCY is to ensure a higher quality of life for New Yorkers, and reduce the city's greenhouse gas emissions by 30%.

Adolescents Living Safely (New York City, NY)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Teens, Urban

Goal: The goal of Adolescents Living Safely is to prevent HIV infection and AIDS among runaway adolescents.

Impact: Adolescents Living Safely changes youth sexual behavior to reduce transmission of HIV among runaways.

Asthma Basics for Children (ABC) (New York, NY)

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

Goal: The goal of the program was to provide a multi-layered asthma management program for parents, children, and staff of early childhood centers.

Impact: The ABC program demonstrates that a multi-layered approach can improve asthma outcomes among preschoolers with a combination of parent and provider education having the greatest impact.

Car Seat Program (Washington County, NY)

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

Goal: The goal of this program is to increase the proper usage of child safety seats in Washington County, NY.

Connect (New York, NY)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults, Urban

Goal: The goal of Connect is to increase relationship communication and safer sex practices among couples.

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 York City's Phase Out of Artificial Trans Fat (New York)

Filed under Good Idea, Health / Physical Activity, Urban

Goal: On December 5, 2006, the NYC Board of Health approved an amendment to the Health Code to phase out artificial trans fat in all NYC restaurants and other food service establishments. It is now in full effect.

New York State Smokers' Quitline (New York)

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

Goal: The New York State Smokers' Quitline is a free and confidential service that provides effective stop smoking services to New Yorkers who want to stop smoking.

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.

Pathways to Housing, Inc. (NYC, DC, Philadelphia)

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Urban

Goal: The goal of Pathways to Housing, Inc. is to provide independent housing, treatment services for physical and mental health, and employment to mentally ill individuals who are chronically homeless.

Impact: Pathways to Housing has received numerous awards for its projects in New York City, Philadelphia, and D.C. In addition to achieving large effects in terms of housing outcomes, compared with standard care in the community, Housing First also improves community functioning and quality of life.

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