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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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Staying Alive Drug Overdose Prevention and Response Program (Baltimore, MD)

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

Goal: The goals of the Staying Alive program are to teach drug users about how to recognize opiate overdose signs and symptoms, how to respond to any overdose cases by calling 911, and how to use rescue breathing and naloxone administration to reduce life-threatening drug overdose.

Impact: Staying Alive reduces mortality due to opiate and heroin drug overdose.

Students for Nutrition and Exercise (SNaX)

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

Goal: The goal of Students for Nutrition and Exercise is to encourage healthy eating and daily physical activity in middle school students.

Impact: The SNaX program shows that programs which train peer advocates to encourage healthy eating and daily physical activity in students can serve to benefit those trained as peer advocates after the intervention.

Study of Cardiovascular Risk Intervention by Pharmacists (SCRIP) (Canada)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults

Goal: The goal of SCRIP is to improve cholesterol risk management among patients at risk for coronary heart disease events.

Telephone Outreach to Increase Colon Cancer Screening (New York, NY)

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

Goal: The goal of this telephone outreach program was to increase colorectal cancer screening in a predominantly lower- to moderate-income African American population.

The Cambodian Community Health 2010 Project (Lowell, MA)

Filed under Effective Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities

Goal: The goal of this program is to improve the health of the Cambodian population in Lowell, Massachusetts.

The Developmentally Supportive Care: Newborn Individualized Developmental Care & Assessment Program (Boston, MA)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Children, Families

Goal: The goal of NIDCAP is to maximize physical, mental, and emotional growth, health, and other positive outcomes for infants in NICUs.

The Eastern Virginia Care Transitions Partnership (Urbanna, VA)

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: Reduce hospital/nursing home readmissions and improve care for older adults.

Impact: Reduced 30-day readmission rate from 18.2 to 8.9 percent over the course of 2 years, resulting in estimated savings of more than $17 million through 1,804 avoided readmissions.

The Green Cart Initiative (New York City, NY)

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

Goal: The goal of the Green Cart Initiative is to improve healthy food options for residents of New York.

The Maine Cardiovascular Health (CVH) Program (Maine)

Filed under Good Idea, Health / Heart Disease & Stroke

Goal: The goal of this program is to improve secondary prevention of cardiovascular disease in Maine.

The Missouri Diabetes Prevention and Control Program (Missouri)

Filed under Effective Practice, Health / Diabetes

Goal: The goal of this program is to improve diabetes care in Missouri.

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