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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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Improving Pediatric Asthma Care in the District of Columbia (IMPACT DC) (District of Columbia)

Filed under Effective Practice, Health / Children's Health, Children

Goal: The goal of IMPACT DC is to improve access to asthma education and care coordination through the emergency department.

In SHAPE (Keene, NH)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Adults

Goal: The goal of In SHAPE is to utilize personal health mentors in order to improve physical health and quality of life, reduce the risk of preventable diseases, and enhance the life expectancy of individuals with severe mental illnesses.

Incorporating HIV Services into Tuberculosis Contact Investigations (New York)

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

Goal: The goal of this program is to provide HIV testing and services to individuals involved in tuberculosis contact investigations.

Increased Medicaid Reimbursements to Enhance Breast/Cervical Cancer Screening Project (Leon County, FL)

Filed under Effective Practice, Health / Women's Health, Women

Goal: The goal of this program is to increase breast and cervical cancer screening among medically underserved women.

Increasing Screening Colonoscopy in an Urban Public Hospital (New York, NY)

Filed under Effective Practice, Health / Cancer, Adults, Urban

Goal: The goal of this program is to increase access to colorectal cancer screening by improving the efficiency in health care clinics.

Independence Youth Court (Independence, MO)

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

Goal: The primary goal of the Independence Youth Court is to reduce incidents of juvenile crime, divert offending youth from the Juvenile Justice System and to provide an alternative to the Jackson County Family court process and further contact with the police.

Independent Transportation Network (Portland, ME)

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

Goal: The mission of this program is to provide a community-based, and community supported, economically viable and consumer-oriented, quality transportation service for seniors.

Indianapolis Restorative Justice Project (Indianapolis, IN)

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

Goal: The goal of this program is to divert young first-time offenders from court into a restorative justice process in which the offender and victim negotiate a satisfactory solution.

Influenza Vaccination Program (Henderson County, NC)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: In 2002, the health department changed the clinic site and operation to accomplish the following three goals: 1) to conduct a mass vaccination involving other community agencies, businesses and health providers; 2) to distribute influenza vaccination in the community for greater equity and accountability; and 3) to introduce the citizens to the concept and process of a mass vaccination drill.

Integration of Family Planning Services at Denver Metro Health Clinic (Denver, CO)

Filed under Effective Practice, Health / Family Planning, Women

Goal: The goal of this program is to provide reproductive health care services to women and men in the Denver STD clinic.

Impact: Enrollment in family planning services increased significantly. Among women returning within 12 months, pregnancies were lower among enrolled versus non-enrolled women. Total additional cost was $29.95/visit, and 40.1 minutes of additional staff time.

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.