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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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Nurses Improving Care for Health System Elders (NICHE)

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

Goal: The goal of NICHE is to achieve systematic nursing change that will benefit hospitalized older patients. The vision of NICHE is for all patients 65 and over to be given sensitive and exemplary care. The mission of NICHE is to import principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults.

Physician-Oriented Intervention on Follow-Up in Colorectal Cancer Screening (Pennsylvania & New Jersey)

Filed under Effective Practice, Health / Cancer, Adults

Goal: The goal of this program is to increase recommendation and performance rates of complete diagnostic evaluation for colorectal cancer in primary care practices.

Portland's Local Action Plan to Reduce Carbon Dioxide Emissions (Portland, OR)

Filed under Effective Practice, Environmental Health / Air, Urban

Goal: The 2001 action plan, which is more aggressive than the Kyoto Protocol, calls for a 10 percent reduction below 1990 carbon dioxide emissions by 2010.

Provider Intervention to Improve Colorectal Cancer Screening (Suffolk County, NY)

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

Goal: The goal of this provider intervention is to increase provider recommendation and patient adherence to colorectal cancer screening in publicly-funded health centers.

Provider Intervention to Improve Colorectal Cancer Screening Rates Among African American Patients (Washington D.C.)

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

Goal: The goal of this intervention is to improve colorectal cancer screening rates for African Americans.

Purple Songs Can Fly (Houston)

Filed under Good Idea, Art & Recreation / Music, Children

Goal: The program aims to provide an outlet for inpatient pediatric cancer patients to express their emotions through composing and performing music.

Seat Belt Use Feedback Signs on Campus (Ontario, Canada)

Filed under Effective Practice, Community / Public Safety, Teens

Goal: The goal of the seat belt feedback signs is to increase seat belt use among front seat occupants on a college campus.

Social work-based transitional care intervention for super utilizers of medical care

Filed under Evidence-Based Practice, Health / Intervention Data, Urban

Goal: The goal of this study is to evaluate the effectiveness of a social work intervention aimed to address the medical and social needs of inpatient super-utilizers.

Impact: This intervention was modeled after the "Bridge Model" by intensifying patient engagement with an average of 40 patient contacts over 6 months following an index admission. This intervention has the potential to reduce health services utilization and cost among inpatient super utilizers.

Standing Rock Indian Reservation Cancer Screening Program (Morton County, ND)

Filed under Effective Practice, Health / Women's Health, Adults, Racial/Ethnic Minorities

Goal: The goal of this screening program is to increase cancer education and screening among men and women of the Standing Rock Indian Reservation.

Storytelling to Promote Colorectal Cancer Screening (Arizona)

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

Goal: The goal of this program is to use storytelling to increase colorectal cancer screening and improve nutrition and physical activity among underserved Latina women.

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