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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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Medication Management Improvement System (MMIS) (Burbank, CA)

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

Goal: The goal of this program is to reduce medication-related problems among senior home health patients.

North Dakota State Long Term Care Ombudsman Program (North Dakota)

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

Goal: The purpose of the ombudsmen is to recognize potential problems and represent elderly and institutionalized clients throughout the state.

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.

Oral Health Equity Project (Boston, MA)

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

Goal: The mission of the Oral Health Equity Project (OHEP) is to increase access to preventative services and dental care for economically disadvantaged elders living in Boston's public housing. The specific goal of the three-year project is to provide oral health screening to 1000 low-income elders.

Osteofit (Canada)

Filed under Effective Practice, Health / Older Adults, Adults

Goal: To reduce and prevent falls in people with osteoporosis and osteopenia through exercise and education.

Parenting a Second Time Around (PASTA) (USA)

Filed under Good Idea, Community / Social Environment, Older Adults

Goal: The goal of Parenting the Second Time Around (PASTA) is to train facilitators to lead workshops on childcare for grandparent/caregiver relatives.

Partners on the PATH (Grand Rapids, MI)

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

Goal: The project seeks to model how the aging network in partnership with a managed care plan can improve the health outcomes for older adults.

Preventive Nutrition Cardiovascular Disease Program (Dade County, FL)

Filed under Good Idea, Health / Physical Activity, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goals of this project are:
- to increase knowledge of nutrition among Hispanic elders who are at risk for cardiovascular disease and obesity;
- to foster behavior change through group sessions and interactive activities; and
- to test whether the American Heart Association guidelines and materials can be utilized in a dietitian led model targeted to Hispanic elders.

Program of All-Inclusive Care for the Elderly (PACE)

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

Goal: PACE provides comprehensive medical and social services to certain frail, elderly people (participants) still living in the community. Most of the participants who are in PACE are dually eligible for both Medicare and Medicaid.

Impact: Key research findings demonstrate PACE effectiveness in delivering gold-standard care for older adults and its approach can be a model for others looking to improve the health care system.

Project Open Hand (San Francisco, Alameda)

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

Goal: The program’s mission is to meet community nutrition needs through programs for people living with HIV/AIDS, the homebound critically ill, and seniors.

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