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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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Hospital Diversion Initiative (Kansas City, MO)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the Hospital Diversion Initiative is to connect individuals who chronically utilize the inpatient and emergency rooms with outpatient care.

Impact: After three months in the program, participants showed a 66% reduction in ER visits, 68% reduction in inpatient hospital stays, a 72% decrease in homelessness, an 18% reduction in unemployment, and a 66% decrease in past 30 day arrests. More than 350 individuals have been served so far.

Humanim (Howard County, MD)

Filed under Good Idea, Health / Disabilities, Children, Teens, Adults, Older Adults, Urban

Goal: Humanim's mission is to identify those in greatest need and provide uncompromising human services.

Increasing the Use of Child Restraints in Motor Vehicles (Dallas, TX)

Filed under Evidence-Based Practice, Community / Public Safety, Children, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to increase child restraint use by Hispanic community members.

Intervention to Reduce Coronary Heart Disease Risk Factors in Infants (Finland)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Families

Goal: To decrease saturated fat consumption and thus reduce coronary heart disease risk factors in young children.

Impact: STRIP's intervention of diet counseling that began at a child's infancy favorably impacted the child's diet through childhood up to ages 8 or 10, but the goal of 2:1 unsaturated-saturated fatty acid ratio in a child's diet was not met for either intervention or control group.

Job Corps

Filed under Evidence-Based Practice, Education / Educational Attainment, Children

Goal: As a national, primarily residential training program, Job Corps' mission is to attract eligible young adults, teach them the skills they need to become employable and independent, and place them in meaningful jobs or further education.

Impact: Evaluations showed that Job Corps substantially increased the education and training that program participants received. Nearly 90% of the program group engaged in some education or training (both in and out of Job Corps), compared with about 64% of the control group.

Johns Hopkins Community Health Partnership (Baltimore, MD)

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

Goal: The John Hopkins Community Health Partnership's (J-CHiP) goal is to improve care coordination with Medicare and Medicaid beneficiaries.

Impact: The John Hopkins Community Health Partnership participants saw lower spending and improved health outcomes in regards to hospital admissions, re-admissions, and emergency department visits.

Kansas Assistance Network, LLC

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities

Goal: To improve the lives of Wyandotte and Johnson County families by aiding with health insurance and assistance program applications while providing health literacy education to increase appropriate use of services to narrow the gaps between service providers.

Kids Get Care (King County, WA)

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

Goal: The goal of Kids Get Care was to ensure that children, regardless of insurance status, received integrated preventive physical, oral, and developmental health services.

Kids N Fitness: A Family-Centered Lifestyle Intervention for Overweight Youth (Los Angeles, CA)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Teens

Goal: Given the increased prevalence among youth of obesity and Type II Diabetes Mellitus (DM) in the last 25 years, the goal of Kids N Fitness is to reduce risk factors associated with metabolic syndrome in overweight youth through a family-oriented lifestyle intervention.

Impact: These positive health outcomes indicate that a family-centered lifestyle intervention can improve metabolic health among youth.

Let Each One Teach One (Denver, CO)

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

Goal: The program aims to enhance the protective factors of academic performance, attachment and commitment to school, consistent enforcement of rules regarding behavior, and attachment to prosocial role models.

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