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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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Saving Smiles (Lafayette County, Missouri)

Filed under Good Idea, Health / Oral Health, Children, Families, Rural

Goal: The goal of Saving Smiles is to improve the oral health and in turn overall health of children in Lafayette County, especially for the poor and underserved.

Impact: Most students from the 11 participating schools in Lafayette County received a screening, fluoride varnish, and oral health education, and most of the children referred for dental care were seen by a dentist.

Tribal Motor Vehicle Injury Prevention Programs (Arizona and Wisconsin)

Filed under Evidence-Based Practice, Community / Public Safety, Racial/Ethnic Minorities

Goal: The goal of tribal motor vehicle injury prevention programs is to reduce disparities in rates of motor vehicle-related injuries and deaths.

Impact: Projects to increase motor vehicle safety on tribal reservations increased seat belt use among drivers, increased use of child safety seats, and decreased motor vehicle crashes.

Care-A-Van Mobile Medical Clinic (Kern County, CA)

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

Goal: The goal of Care-A-Van is to provide access to medical care for uninsured and impoverished working families.

Communicable Disease Prevention/Public Health Preparedness: HealthSentry (Kansas City, MO)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of HealthSentry is to meet the challenge of linking public health organizations to reliable clinical data without burdensome manual data collection and reporting.more timely and accurate reporting.

Community Voice: Taking it to the People (Lynchburg, VA)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Racial/Ethnic Minorities

Goal: The goal of the program is to decrease African American infant mortality through raising awareness of racial health disparities, encouraging safe and healthy lifestyle practices, and providing correct perinatal health education.

Enhanced Ranch Program (Santa Clara)

Filed under Effective Practice, Community / Crime & Crime Prevention, Teens, Families

Goal: ERP’s main objective is to provide therapeutic services to youth in the juvenile justice system and their families while maintaining a commitment to public safety.

Farmworker Case Management Across Borders (Putnam County, FL)

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

Goal: The goal of the Farmwork Case Management Across Borders program is to improve migrant and seasonal farm worker health.

Healthy Kids Express Screening and Immunization Program (St. Louis, Missouri Metro Region)

Filed under Effective Practice, Health / Children's Health, Children, Teens, Families, Urban

Goal: The mission of HKES&I is to increase access to needed healthcare for children. This is accomplished through the goal of identifying children who need further follow-up, particularly for hearing and vision problems, and to connect them to those services.

Impact: Healthy Kids Express Screening and Immunization program is successful in providing evidence based care to low-income populations and for connecting those identified with screening needs to needed follow-up care.

Healthy U (Kansas City, MO)

Filed under Effective Practice, Health / Physical Activity, Children, Teens, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of Healthy U is to work with several community groups to provide healthy snacks as well as education on nutrition and fitness to students and their families at University Academy.

Impact: The percentage of screened students who were overweight fell from 45.9% in the 2011-2012 school year to 36.9% in the 2011-2012 school year. Over 75% of participants in both Teen Eats and Family Dinners demonstrated a positive behavior change.

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.

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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