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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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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 First (New Hampshire and Massachusetts )

Filed under Effective Practice, Economy / Housing & Homes, Families

Goal: The goal of Housing First is to move families into stable and affordable housing.

inSPOT (USA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Teens, Adults

Goal: The goal of inSPOT is to improve STD partner notification by providing online resources including electronic postcards.

Living in the Face of Trauma (LIFT)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Women, Men

Goal: Eliminate or reduce sexual transmission risk behavior and to improve coping with the combined stressors of HIV infection and child sexual abuse.

Impact: LIFT intervention participants reported significantly fewer counts of unprotected vaginal and anal intercourse with all partners (p < .001) and with HIV-negative or unknown serostatus partners (p < .001), compared to support group participants.

Livingston County Tobacco Control Program (Livingston County, NY)

Filed under Effective Practice, Health / Alcohol & Drug Use

Goal: The goals of this program are to reduce exposure to secondhand smoke, decrease the social acceptability of tobacco use, and promote cessation of tobacco use.

Medical-Legal Partnerships: Investing in Social Services as a Core Strategy for Healthcare (New York City)

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

Goal: New York City LegalHealth is a fruitful partnership that operates in 11 clinics of the city's public hospitals. One example is by supporting individuals in tenant-landlord disputes.

Impact: With an average of $225 per case, LegalHealth was able to effectively demand fixes in asthma patients' living conditions. This impact directly resulted in a 90% drop in emergency room visits and hospital admissions for this asthma patient group.

Memphis Central Station (Memphis, TN)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The goal of this project was to support community revitalization, retain the integrity of an historic district, and provide transportation links to private land development projects.

Michigan State Diversion Project (Michigan)

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

Goal: The goal of this program is to provide effective and affordable treatment for juvenile offenders.

Migrant Education Even Start (MEES) (California)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: The program's mission is to help prepare children of migrant workers in California to be successful in school.

Mornings in Motion (Tennessee)

Filed under Good Idea, Health / Physical Activity, Children

Goal: The goal of Mornings in Motion is to incorporate high quality and structured physical activity into the school day.

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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