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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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Maternal-Child Healthcare Coordination (Santa Ana, Orange County, California)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women, Urban

Goal: The mission of MOMS Orange County is to help mothers and their families have healthy babies by providing health coordination, education, and access to community services. MOMS Orange County’s vision is that all babies born in Orange County are healthy at birth.

Impact: Measures such as the percent of babies born at a low birth weight, percent of babies born premature, and the percent of babies admitted to the NICU were all markedly better for program participants when compared to many comparison benchmarks.

Mayor's Healthy Hometown Movement (Louisville, KY)

Filed under Good Idea, Health / Wellness & Lifestyle

Goal: MHHM was rolled out with the following overall goal: to create a community wide culture that encourages and supports healthy lifestyles by promoting increased physical activity (10,000 steps/day goal), optimal nutrition, healthy public policy and access to resources and facilities that bolster the stated goal. Specific goals include:

- Increasing the number of people in Louisville Metro who engage in 30 minutes of moderate physical activity at least 5 days a week by 15%.
- Decreasing the percentage of overweight or obese people in Louisville Metro by 10%.
- Increasing from 22% to 38% the number of people in Louisville Metro who eat five or more servings of fruits and vegetables per day.

Past and future Behavior Risk Factor Surveillance System (BRFSS) surveys will be used to measure baseline and follow-up indicators.

McIntosh Middle School's Coordinated School Health Program (Sarasota, FL)

Filed under Effective Practice, Health / Adolescent Health, Teens

Goal: The goal of the CSHP is to improve learning, performance, and health for students and teachers.

Measure Up

Filed under Good Idea, Health / Physical Activity, Adults

Goal: The Measure Up program helps participants lose weight and learn to live healthier lifestyles through better eating habits.

Impact: Participants of the Measure Up program receive personalized assistance from registered dietitians to improve eating and exercise habits.

Medicaid Travel of Pediatric Dental Teams (Alaska)

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

Goal: The goal of the program was to reduce barriers to dental care and increase the use of dental care among underserved children living in remote locations in Alaska.

Medical Nutrition Therapy Program (Mexico)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women, Racial/Ethnic Minorities

Goal: The goal of the Medical Nutrition Therapy program is to decrease perinatal complications in pregnant women with type 2 Diabetes in Mexico City.

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.

Memphis Fast Forward (Shelby County, TN)

Filed under Effective Practice, Economy / Economic Climate

Goal: Memphis Fast Forward is the shared vision and unprecedented action plan to create good jobs, a better-educated workforce, a safer community, a healthier citizenry and efficient government in Memphis and Shelby County.

Impact: Major violent and property crime were reduced by 22.8% and 25.5%. The pool of high-potential teacher candidates increased from 21 to 1,800 in one year. More than 15,000 jobs were created. New capital investment of $4.2 billion was generated. Local governments saved more than $75 million.

Men Unlearning Violence (San Francisco, CA)

Filed under Good Idea, Community / Domestic Violence & Abuse, Men, Urban

Goal: Men Unlearning Violence helps men transform their relationships with people and with themselves by learning to respond instead of react, and replacing control with intimacy.

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.