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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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Diabetes Management for the Homeless: Sojourner Clinic (Kansas City, MO)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Sojourner Health Clinic is to pick up where the current medical system leaves off by providing free acute and ongoing healthcare to patients who do not have access--or are reluctant to access—traditional routes to a doctor or medicine.

Impact: During 2012, the Sojourner Health Clinic managed to increase the number of diabetic patients with A1C levels below 9 percent from 15% to 83%, reducing the average blood glucose level of patients and giving them a better sense of control over their diabetes.

Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: a randomized trial (Chicago, Illinois)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities

Goal: To assess the effectiveness of a case management and housing program in reducing the use of urgent medical services among homeless adults with chronic medical illnesses.

Impact: For every 100 homeless adults offered the intervention, the expected benefits over the next year would be 49 fewer hospitalizations, 270 fewer hospital days, and 116 fewer ED visits.

Elder Farmers' Market Nutrition Program - Florida (Florida)

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

Goal: The goal of the Elder Farmers' Market Nutrition Program is to help low-income elders improve their nutrition through access to fresh produce that they may not otherwise be able to afford.

Farmworker Case Management Across Borders (Putnam County, FL)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Families, Racial/Ethnic Minorities

Goal: The goal of the Farmwork Case Management Across Borders program is to improve migrant and seasonal farm worker health.

Father/Male Involvement Preschool Teacher Education Program (Urbana, IL)

Filed under Effective Practice, Community / Social Environment, Children, Families

Goal: The goal of this program was to increase father/male involvement in state-funded preschool programs for at-risk students.

Market Bucks (Minneapolis, MN)

Filed under Effective Practice, Health / Physical Activity

Goal: The goal of the Market Bucks program is to encourage shopping at farmers' markets and healthier eating.

Impact: Market Bucks have successfully increased the amount of EBT purchases made at farmers markets and increased fruit and vegetable consumption among participants.

Maryland Prevention Case Management (Maryland)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of Maryland's Prevention Case Management program is to decrease HIV transmission following release from prison.

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.

Methodist Germantown Diabetes-Self Management Education & Support (DSMES) Service (Shelby County, TN)

Filed under Good Idea, Health / Diabetes, Children, Teens, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The organization goal for the DSMES Service is to help each person living with diabetes attain knowledge and/or skills that may enable and empower them to perform effective self-care, promote wellness and prevent sickness and complications

Michigan Farmers’ Market Nutrition Program (Genesee County, Michigan)

Filed under Evidence-Based Practice, Health / Physical Activity, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of the program is to increase fruit and vegetable consumption behavior in participants of the Women, Infants, and Children program in Genessee County, Michigan.

Impact: Participants of the program increased their fruit and vegetable consumption and the program had a positive effect on participants attitudes toward consuming fruits and vegetables.

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.