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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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Family and Children's Services: Co-locating to Provide Trauma Services (Nashville, TN)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Families

Goal: The goal oft his program is to provide direct services to children who have suffered or witnessed violence in their homes or neighborhoods.

Guatemala Acupuncture and Medical Aid Project (GUAMAP) (Tucscon, AZ)

Filed under Good Idea, Health / Alternative Medicine, Rural

Goal: The goal of GUAMAP is to train rural community health workers to provide remote settlements in northern Guatemala with access to sustainable, low-cost, low-technology, effective health care through the use of acupuncture.

Individuals and Communities Acting Now to (I CAN) Prevent Diabetes (Minnesota)

Filed under Effective Practice, Health / Diabetes, Adults

Goal: To provide the tools to prevent or delay adult type 2 diabetes.

Kaiser Permanente Heart Healthy: Cardiovascular tools and protocols (California)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults, Older Adults

Goal: To reduce death from heart disease among their members in Northern California.

Learn, Taste, and Share (Ypsilanti, MI)

Filed under Effective Practice, Health / Diabetes, Women, Racial/Ethnic Minorities, Rural

Goal: The primary goal of this program was to increase attendance at education sessions. The program ultimately aimed to improve dietary habits of adult African American females.

Less Talk and More Action -- Protecting Seniors Against West Nile Virus (Yavapai, AZ)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Older Adults

Goal: This program aims to protect seniors against West Nile virus exposure.

Let’s Move! (USA)

Filed under Good Idea, Health / Physical Activity, Children, Families

Goal: Let’s Move! is dedicated to solving the problem of obesity within a generation so that kids born today will grow up healthier and able to pursue their dreams.

Medical Legal Partnerships: Embedding Civil Legal Aid Services in Care for High-Utilizing Patients (Lancaster, PA)

Filed under Effective Practice, Community / Governance, Children, Teens, Adults, Families, Urban

Goal: The goal of the pilot was to assess the impact on health care use of addressing patients’ civil legal problems – the social, financial, or environmental problems that require assistance from lawyers to remedy. The lawyer was embedded in the health care team and present during case management discussions to identify specific civil legal problems and to help the team better understand how to address them. Additionally, this partnership provided civil legal aid services to patients when needed in a community health care system.

Impact: This pilot shows a medical-legal partnership for the super-utilizers of healthcare can lead to efficiencies within the health care system, reduce costs, and improve health outcomes among the most vulnerable patients.

New York Refugee and Immigrant Job Centers (New York, NY)

Filed under Effective Practice, Economy / Employment, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to provide assistance to clients whose primary language is not English.

Nurses for Newborns (Missouri and Tennessee)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Families

Goal: Nurses for Newborns aims to provide a safety net for families at-risk and in-need of extra assistance, with programs serving teen moms, mothers with disabilities, infants that are sick, and other families in-need to prevent infant mortality, child abuse, and neglect.

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