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.

Submit a Promising Practice

California Childcare Healthline (San Francisco Bay Area)

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

Goal: The goals of this program are to promote and maintain the broadest understanding of health and wellness in early childhood settings and to create linkages and promote collaboration between health and safety professionals and child care professionals.

California Votes Initiative (California)

Filed under Good Idea, Community / Civic Engagement, Adults, Racial/Ethnic Minorities

Goal: The Initiative's goal was to increase voter participation rates among infrequent voters, particularly in low-income and ethnic communities.

Cost Benefit Analysis of Providing Non-Emergency Medical Transportation

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

Goal: The goals of this promising practice were to identify the transportation-disadvantaged population that lacks nonemergency medical care because of low access to transportation; determine the medical conditions that this population experiences and describe other characteristics of these individuals, including geography; estimate the cost of providing the transportation necessary for this population to obtain medical transportation according to various transportation service needs and trip modes; estimate the healthcare costs and benefits that would result if these individuals obtained transportation to non-emergency medical care for key healthcare conditions prevalent for this population; and compare the relative costs (from transportation and routine healthcare) and benefits (such as improved quality of life and better managed care, leading to less emergency care) to determine the cost-effectiveness of providing transportation for selected conditions.

Impact: These results show that adding relatively small transportation costs do not make a disease-specific, otherwise cost-effective environment non-cost-effective. Providing increased access to non-emergency medical care does improve quality of life and saves money per patient.

Flex Your Power Case Study: City and County of San Francisco (San Francisco)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: The goal of these projects was to find ways to maximize energy conservation and efficiency through measures with a quick payback period.

Flex Your Power Case Study: Santa Clara Valley Water District (San Jose, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: Besides attempting to prevent rolling blackouts, the City of San Jose wanted to participate in the water conservation program to reduce the amount of treated wastewater that is released into San Francisco Bay.
Specific goals included:
-Continue to support SCVWD's mission of water supply and management in spite of external power interruptions,
- Provide 24-hour battery backup for SCADA instrumentation and communications,
-Provide indefinite power backup via backup generators for critical source pumping, water treatment and emergency operations, and
- Reduce HVAC and lighting use to prudent levels.

L.A. County's Emergency Survival Program (Los Angeles)

Filed under Good Idea, Community / Governance, Urban

Goal: The goal is to help prepare communities for earthquakes, fires, floods, terrorism, and other natural and man-made disasters.

Marin County Safe Routes to Schools (Marin)

Filed under Effective Practice, Community / Transportation, Children, Teens, Urban

Goal: The goal of the Safe Routes to School program is to improve safety and encourage more children to safely walk and bicycle to school. In addition, the programs work toward reducing traffic congestion and improving health and the environment.

Outdoor Air Quality Flag Program (San Joaquin Valley Air Pollution Control District)

Filed under Effective Practice, Environmental Health / Air, Children

Goal: The program aims to accomplish two things in Central California: (1) permanently change local policy with respect to existing operating procedures in school districts and schools to help reduce exposure of students, teachers, staff and nearly communities to outdoor environmental asthma triggers ;and (2) provide education on air quality and potential health effects from exposure to air pollutants.

The Los Angeles Jobs-First Greater Avenues for Independence (GAIN) Program

Filed under Evidence-Based Practice, Economy / Government Assistance, Adults, Families

Goal: GAIN is part of a large-scale, welfare-to-work initiative program operating in every county in California. In L.A. County, the initiative is under the supervision of the Department of Public Social Services. It helps local businesses and employers find and hire quality workers who seek meaningful employment. Prospective workers are participants in the state welfare programs known as California Work Opportunities and Responsibility to Kids (CalWORKS) or General Relief Opportunities for Work (GROW).

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.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.