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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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Access to Baby and Child Dentistry (ABCD) (Washington)

Filed under Effective Practice, Health / Oral Health, Children

Goal: The goal of ABCD is to improve access to early pediatric preventative dental care for Medicaid-covered children.

Access to Transportation and Health Care Visits for Medicaid Enrollees With Diabetes

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

Goal: The goal of the study was to evaluate the association between Medicaid‐provided nonemergency medical transportation and diabetes care visits.

Impact: The findings of this study underscore the importance of ensuring transportation to Medicaid populations with diabetes, particularly in the rural areas where the prevalence of diabetes and complications are higher and the availability of medical resources lower than in the urban areas.

AccessHealth Spartanburg (Spartanburg County, SC)

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

Goal: AccessHealth Spartanburg's mission is to improve access to healthcare for the uninsured of Spartanburg County, SC.

Impact: AHS reduced inappropriate emergency room use and inpatient caseloads while increasing access to healthcare services for its clients in Spartanburg County. Furthermore, the organization reported a $17 to $1 ROI.

ACT!vate Omaha (Omaha, NE)

Filed under Good Idea, Health / Physical Activity

Goal: The mission of ACT!vate Omaha is to create awareness, advocacy and excitement about activity and the importance of designing our community for active lifestyles.

Activity Bursts in the Classroom (ABC) Fitness Program (Independence, MO)

Filed under Evidence-Based Practice, Health / Physical Activity, Children

Goal: The project aims to promote a healthy lifestyle and reverse the trend of obesity among students and their families.

Impact: The ABC Fitness Program demonstrates the feasibility of bursts of structured physical activity for elementary school students with the beneficial effects on fitness and other health measures.

Acupuncturists Without Borders (Sandia Park, NM)

Filed under Good Idea, Health / Alternative Medicine

Goal: The mission of Acupuncturists Without Borders is to help alleviate suffering of people worldwide through community acupuncture treatment and training.

Addressing Health Equity in Evaluation Efforts (Boston, MA)

Filed under Good Idea, Community / Governance, Racial/Ethnic Minorities, Urban

Goal: The Boston Public Health Commission worked to ensure their efforts were effective in reaching the populations experiencing obesity and tobacco-related health inequities.

Impact: Boston Public Health Commissions' strategic evaluation design allowed the department to make mid-course adjustments and enhanced their ability to contribute to the evidence-base regarding the influence of their initiative on advancing health equity.

Adopt-A-Highway (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of Adopt-A-Highway programs is to improve the appearance of roadsides and to reduce the annual cost of picking up litter on the highway system.

Advancing Diabetes Self Management: La Clinica de La Raza (Oakland, CA)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Advancing Diabetes Self Management at La Clinica de La Raza was to improve health outcomes of those suffering from type 2 diabetes.

Aftercare Clinical Services (Kansas City, MO)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Children, Women, Urban

Goal: The mission of Sheffield Place is "to empower homeless mothers and their children to heal from their trauma and help them become self-sufficient." The goal of the Aftercare program is to provide continuing supportive services once the families have transitioned from the residential program to permanent housing in the community. In this way, the families receive the support they need to maintain or increase income, maintain or improve mental health functioning, and maintain permanent housing.

Impact: This program provides vital supportive services for formerly-homeless families in recovery. Sheffield Place grew from serving just 20 families in 2010 to serving 132 families in 2017 (102 in residential and 30 in aftercare).

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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