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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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Rural medical-legal partnership and advocacy: a three-year follow-up study. (southern Illinois)

Filed under Evidence-Based Practice, Economy, Rural

Goal: Medical-legal partnerships perform advocacy services for vulnerable and under-served populations. These populations are typically burdened disproportionately by legal and medical problems. This study aimed to examine the effectiveness and sustainability of a rural medical-legal partnership (MLP).

Impact: The rural medical-legal partnership continued to show social and financial impacts, such as health care recovery dollars (319% return on investment between 2007 and 2009), Social Security benefits, family law services, and end-of-life guidance.

Safe Dates (North Carolina)

Filed under Evidence-Based Practice, Community / Domestic Violence & Abuse, Children, Teens

Goal: The goals of the program are to increase students’ awareness of what constitutes healthy versus abusive dating relationships; to increase students’ awareness of dating abuse as well as its causes and consequences; to equip students with the skills and resources to help themselves or friends in abusive dating relationships; and to equip students with the skills to develop healthy dating relationships, including positive communication, anger management, and conflict resolution.

Impact: Safe Dates educates and equips youth to identify, address, and mitigate abusive and violent dating relationships.

Safe in the City (Denver, Long Beach, and San Francisco)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this intervention is to prevent new STD infections.

Impact: The Safe in the City program shows that clinic waiting room videos displaying prevention knowledge and techniques can actually help to reduce the number of new infections of certain STDs.

Safe STEPS (Safe and Successful Transition of Elderly Patients Study) Intervention Program (PA, MD, NC)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: The goal of the program is to ensure effective discharge of patients from the hospital back to their homes, and to reduce 30-day hospital readmission.

Salud Para Su Corazón (Health for Your Heart) (Washington D.C.)

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

Goal: The goal of Salud Para Su Corazón is to raise awareness and knowledge of heart disease risk factors and prevention among Latino populations.

School-Based Asthma Therapy (Rochester, NY)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families, Urban

Goal: The objective of this study was to examine the health benefits and cost-effectiveness of the School-Based Asthma Therapy (SBAT) program compared with usual care.

Impact: School-Based Asthma Therapy resulted in 158 symptom-free days per month per 100 children and a cost-effectiveness of $10 per symptom-free day.

Smile Alabama! (Alabama)

Filed under Effective Practice, Health / Oral Health, Children

Goal: The goal of the Smile Alabama! initiative is to improve oral health services for Medicaid-eligible children.

Something to Smile About Dental Program (Garrett County, MD)

Filed under Effective Practice, Health / Oral Health, Children, Women

Goal: The purpose of the "Something to Smile About" dental program is to improve dental outcomes for children in Garrett County, Maryland.

SparkPoint Centers (San Francisco Bay Area, CA)

Filed under Good Idea, Economy / Investment & Personal Finance, Families, Urban

Goal: The goal of SparkPoint is to help low-income families create step-by-step plans to help them get out of poverty and achieve long-term financial stability.

Special Diabetes Program for Indians (USA)

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

Goal: The goal of the Special Diabetes Program for Indians is to provide diabetes education and services to Native Americans and Alaska Natives.

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