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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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The Internet-based Successful Aging (iSAGE) project

Filed under Good Idea, Health / Health Care Access & Quality

Goal: As medicine becomes more complex and specialized by the minute, the communication gulf between doctors and their patients is becoming progressively insurmountable. The Stanford Internet-based Successful aging (iSAGE) project is a project aimed at improving quality of life and quality of care for all older Americans from diverse backgrounds. iSAGE offers an entirely web-based, video rich immersion training in the principles of successful aging for the general public as well as health workers. It is unique in that it allows learners to specialize in the health and health care of thirteen different ethno-cultural groups commonly seen in the US.

The Lady Bird Johnson Wildflower Center (Austin, TX)

Filed under Good Idea, Environmental Health / Built Environment

Goal: The mission of the Lady Bird Johnson Wildflower Center is to increase the sustainable use and conservation of native wildflowers, plants, and landscapes.

The Loading Dock (Baltimore, MD)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: TLD's mission is to increase the supply and use of affordable building materials for housing and community improvement by redirecting landfill-bound, reusable materials into productive use.

The Memphis Environmental Court (Shelby County, TN)

Filed under Effective Practice, Community / Governance, Families

Goal: The Memphis Enviromental Court was designed to serve as the chief vehicle for enforcing a wide range of laws relating to the health and quality of life of its residents, and to give new meaning to the term "expedient justice" by its ability to respond in a quick and consistent manner. In 1991 the Tennessee State Legislature created the Shelby County Environmental Court, and expanded the new court's powers to include the "injunctive authority" to mandate that defendants comply with the environmental codes.

The Montana Model (Yellowstone County, MT)

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

Goal: The aim of the Montana Model is to provide health care to the 11 percent of the county citizens living below the federal poverty level and the many more living in near poverty, while simultaneously providing a medical clinic with diversity and complexity for family practice residents to obtain enriched training with the public health perspective.

The San Francisco Wraparound Project (San Francisco, CA)

Filed under Good Idea, Community / Crime & Crime Prevention, Children, Teens, Urban

Goal: The mission of The San Francisco Wraparound Project is to prevent violent injury and break the cycle of violence by addressing root causes and risk factors.

Threshold 21

Filed under Good Idea, Economy / Economic Climate

Goal: MI seeks to build a critical mass of people and organizations with systems thinking skills, by promoting systems literacy and dynamic modeling tools in the public policy realm, civil society, private sector, and academic institutions in the developing and industrialized world.

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.