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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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STARS (Start Taking Alcohol Risks Seriously) for Families (Florida)

Filed under Effective Practice, Health / Alcohol & Drug Use, Children, Teens

Goal: The goal of this program is for youths to postpone alcohol use until adulthood.

The National Center on Financing for Children with Special Health Care Needs

Filed under Good Idea, Health / Health Care Access & Quality, Children

Goal: The purpose of this four year project is to work in support of the Maternal and Child Health Bureau to meet its Children with Special Health Care Needs (CSHCN) National Agenda performance outcome that “all families of CSHCN will have adequate private and/or public insurance to pay for the services they need.” The work of the cooperative agreement will be multi-faceted and will (1) overcome the gaps in knowledge about CSHCN’s health care use and charges, (2) assess the extent to which CSHCN are receiving the health care services they need and the degree to which reimbursement is adequate to meet those needs, (3) identify trends in and developing recommendations for financing strategies, and (4) disseminate this information to families, health care providers, public and private health plans, and policy makers.

Tobacco-Free Nebraska (Nebraska)

Filed under Good Idea, Health / Alcohol & Drug Use, Teens, Racial/Ethnic Minorities

Goal: The goal of this program is to reduce tobacco use in Nebraska.

Water First (Lexington, KY)

Filed under Good Idea, Health / Children's Health, Families

Goal: Water First aims to reduce the sugary beverage intake and increase water intake in tweens through an educational website for tweens and their parents, and promotion in the community.

YMCA Diabetes Support Group (Jacksonville, FL)

Filed under Good Idea, Health / Diabetes, Adults, Urban

Goal: The Diabetes Support Group provides ongoing education and support to those living with, at risk for, or affected by diabetes in the community.

Healthy Kids Sonoma County (Sonoma)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Families

Goal: Healthy Kids plans to enroll all uninsured children who are not eligible for Medi-Cal and who are residents of Sonoma County in the health care and insurance program.

King County Asthma Program (King County, WA)

Filed under Effective Practice, Health / Health Care Access & Quality, Children

Goal: The goal of the King County Asthma Forum is to improve asthma outcomes among low-income children.

Riverside County Greater Avenues for Independence Program (GAIN) Program (Riverside County, CA)

Filed under Effective Practice, Community / Social Environment

Goal: The mission of the program is to work vigorously to free participants from the burden of welfare dependency, and achieve a better, happier lifestyle through self-sufficiency. It will serve the taxpayers of Riverside County by reducing welfare dependency, thus making tax dollars available for other expenditures and needs.

Impact: The program produced a large net savings to the government through increased tax revenues and reduced welfare and food stamps payments (as an estimate, $2.84 saved for every $1.00 invested over five years).

Alameda County Food Scrap Recycling (Alameda County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this program is to reduce food waste in order to achieve the ultimate Alameda County goal of a 75% landfill diversion rate by the year 2010.

Buncombe County Project Access (Buncombe County, NC)

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The goal of Project Access is to improve access to specialty health care in Buncombe County.

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