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

The Green House Project (USA)

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

Goal: The mission of the Green House Project is to partner with organizations, advocates, and communities to lead the transformation of institutional long-term care by creating viable homes where elders and others enjoy excellent quality of life and quality of care.

Impact: Studies showed that Green House homes are likely to reduce hospitalization rates among residents, and Medicare and Medicaid costs per resident, when compared to residents in traditional nursing homes. Also, nurses are more likely to spend more hours in Green House homes.

The Guided Care Model

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

Goal: The Guided Care Model aims to better health outcomes and reduce spending for aging adults with multiple chronic conditions.

Impact: The Guided Care Model has been shown to improve quality of care and reduce the use of home health care.

The HEBS Walking Campaign (Scotland)

Filed under Effective Practice, Health / Physical Activity, Adults

Goal: The goal of this mass media campaign was to promote walking as a form of exercise.

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.

The North Carolina Healthy Weight Initiative (North Carolina)

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

Goal: Launched in the fall of 2002, the plan, Moving Our Children Toward a Healthy Weight: Finding the Will and the Way, calls for a multilevel approach to reducing the number of overweight and obese children. It focuses not only on behavioral and interpersonal change, but also on the organizational, community, and societal changes necessary to support healthy eating habits and increased physical activity for children, teens, and their families.

Together Learning Choices (TLC) (Los Angeles, New York, San Francisco, and Miami)

Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Adults, Urban

Goal: The goal of Together Learning Choices was to help HIV-infected youth increase their use of health care, decrease drug and alcohol use and risky sexual behaviors, and improve their quality of life.

Impact: Together Learning Choices (TLC) showed that prevention programs can effectively reduce risk acts among HIV-infected youths.

Transitional Respite Care for the Homeless Program (Spokane, WA)

Filed under Good Idea, Economy / Housing & Homes, Adults, Women, Men

Goal: The respite program's goal is to stop the revolving door of emergency department treatment by providing a supervised facility with a level of care from an on-site nurse similar to what a patient might receive from an attentive family member.

Impact: The program has been able to provide better care for a vulnerable population and reduce overall cost of care by lowering the number of ambulance calls, emergency department visits, and inpatient stays.

Transportation Solutions for Caregivers (TSC) (USA)

Filed under Good Idea, Community / Transportation, Older Adults

Goal: The purpose of Transportation Solutions for Caregivers: A Solutions Package for Volunteer Transportation Programs, is to provide some guidance and basic information to existing volunteer programs as well as those planning to start new ones. Through such programs, Easter Seals aspires to help communities meet the transportation needs and preference of older adults and their caregivers who reside therein and maintain a mobile older population.

Travel Blending® (Australia)

Filed under Evidence-Based Practice, Community / Transportation, Adults, Families, Urban

Goal: The goal of Travel Blending® Program is to reduce personal vehicle use.

Impact: The Travel Blending program reduced car trips, car kilometers, and hours spend in the car.

Tree Canada / Arbres Canada (Canada)

Filed under Good Idea, Environmental Health / Built Environment, Children

Goal: The goal of the Greening Canada’s Schools Grounds Program is to replace schoolyard asphalt with vegetation in order to enhance its play, educational, ecological and aesthetic value for school children.

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.