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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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Hair, Heart & Health (Baltimore, MD and Washington, D.C.)

Filed under Good Idea, Health / Heart Disease & Stroke, Adults, Racial/Ethnic Minorities, Urban

Goal: The Hair, Heart & Health program embraces the notion that health education at the community level is an effective intervention strategy for preventable diseases like CHD, stroke and kidney disease.

Health Equity: School-Based Health Centers

Filed under Effective Practice, Education / School Environment, Children, Teens

Goal: The goal of school-based health centers is to reduce gaps in education and increase health equity in low-income communities.

Impact: When targeted to low-income communities, school-based health centers are likely to narrow gaps in education and improve health equity.

Health in All Policies

Filed under Good Idea, Community / Governance

Goal: The goal of Health in All Policies is to ensure that health effects are routinely taken into consideration when developing policy.

Impact: Health in All Policies initiatives have helped create healthier communities through implementing policies with health consequences in mind. For many counties, this includes creating cross-agency teams and workgroups to address problems in their community.

Health Plan of San Mateo Housing Supports Pilot (San Mateo County, CA)

Filed under Effective Practice, Health, Older Adults, Urban

Goal: The goal of the program was to target the housing support needs of its members with the objective of reducing institutionalization, improving quality of life, and reducing total costs of care.

Impact: The large majority of participants surveyed indicated that their quality of life was maintained or increased during the pilot and that they were satisfied with the program.

HealthTran (Jefferson City, Missouri)

Filed under Effective Practice, Health / Health Care Access & Quality, Older Adults, Rural

Goal: To provide transportation to patients in South Central Missouri who otherwise have non-existent, limited, or expensive transportation options to and from healthcare appointments.

Impact: HealthTran has helped to improve healthcare access and long-term health outcomes, as well as reduced preventable hospitalizations and unnecessary emergency department visits.

Healthy Families New York (New York)

Filed under Good Idea, Community / Social Environment, Children, Families

Goal: The goals of HFNY are to promote positive parent-child interaction; to ensure optimal pre-natal care; to promote healthy childhood growth and development; and to enhance family functioning.

Impact: Mothers participating in the HFNY study were significantly less likely to deliver low-birth-weight babies than mothers in the control group (3.3% vs 8.3%). HFNY parents also reported having engaged in significantly fewer acts of serious abuse and neglect.

Healthy Futures (Northwestern Lower Michigan)

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

Goal: The overall goal of Healthy Futures is to improve community health by ensuring access to health care and community resources for pregnant women and young children in the region.

Impact: In 2012, over 3,500 contacts, 970 home visits, and 30,000 educational mailings were delivered. Of those who initiated breastfeeding at birth, 67% of enrolled infants are still breastfeeding at eight weeks post-partum. Eighty-three percent of enrolled two-year-old children are fully immunized.

Hep Free Hawai'i (Hawai'i)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Racial/Ethnic Minorities

Goal: The goal of Hep Free Hawai'i is to offer hepatitis vaccinations, encourage Hawaiians to learn of their hepatitis status through testing, and connect individuals with hepatitis or liver disease to medical resources and support groups.

HIV Wisdom for Older Women (Kansas City, KS)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Women, Older Adults

Goal: HIV Wisdom for Older Women is dedicated to the prevention of HIV in older women and to life enrichment for those who are infected.

HOMEBUILDERS

Filed under Effective Practice, Community / Social Environment, Children, Families

Goal: The goal of this program is to prevent the unnecessary out-of-home placement of children through intensive, on-site intervention, and to teach families new problem-solving skills to prevent future crises.

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