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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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Health in Housing: Exploring the Intersection between Housing and Health Care (Oregon)

Filed under Effective Practice, Health

Goal: To assess the impact of affordable housing on health care outcomes in a low-income population who have experienced housing instability.

Impact: Costs to health care systems were lower after people moved into affordable housing. Primary care visits went up after move-in; emergency department visits went down. Residents reported that access to care and quality of care improved after moving into housing.

Healthier Living with Arthritis Online Workshop (USA)

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

Goal: The program is focused on reduction of pain and improvement of function for arthritis patients unable or unwilling to attend small group ASMPs, which have proven effective in changing health-related behaviors and improving health status measures.

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 Generations Program (Washington, D.C.)

Filed under Good Idea, Health / Adolescent Health, Children, Teens, Families

Goal: The program aims to provide comprehensive, family-centered health care for adolescent parents and their children.

Healthy IDEAS (Houston, TX)

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

Goal: The goal of Healthy IDEAS is to detect and address depression through effective, evidence-based screening and health promotion education.

Impact: Studies show that after 6 months in the Healthy IDEAS program, significantly more of the participants knew how to get help for depression (93% versus 68%), reported that increasing activity helped them feel better (89% versus 72%), and reported reduced pain (45% versus 16%) than at the beginning.

Hip-Hop to Health Jr (Chicago)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Racial/Ethnic Minorities

Goal: The goal of Hip-Hop to Health Jr is to reduce gains in BMI in preschool minority children.

Holistic Health Recovery Program (New Haven, CT)

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

Goal: The goals of the Holistic Health Recovery Program are to promote health and improve quality of life of injection drug users.

Impact: Implementation of the program resulted in a decrease in addition severity, a decrease in risk behavior, and significant improvement in behavioral skills and quality of life.

Hospital Diversion Initiative (Kansas City, MO)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the Hospital Diversion Initiative is to connect individuals who chronically utilize the inpatient and emergency rooms with outpatient care.

Impact: After three months in the program, participants showed a 66% reduction in ER visits, 68% reduction in inpatient hospital stays, a 72% decrease in homelessness, an 18% reduction in unemployment, and a 66% decrease in past 30 day arrests. More than 350 individuals have been served so far.

Housing and the Role of Hospitals (Chicago, IL)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Urban

Goal: The goal was to create a housing program as one way to respond to chronic homelessness and associated health concerns.

Housing as Health Care - New York’s Boundary-Crossing Experiment (New York)

Filed under Good Idea, Economy / Housing & Homes

Goal: The goal of this experiment is to estimate the effects of New York’s plan for supportive housing for high-need, high-cost Medicaid recipients.

Impact: Placing people who are homeless in supportive affordable housing paired with supportive services such as on-site case management and referrals to community-based services can lead to improved health, reduced hospital use, and decreased health care costs.

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.
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