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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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Flex Your Power Case Study: Orange County Water District (Orange County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: OCWD's goals in 2001 were to reduce energy load, save money and preserve/extend equipment life. Its projects targeted power use in buildings' electrical/lighting systems; chemical and energy management issues concerning the plant treatment process and HVAC systems; and energy use by employees and ultimately customers.

Housing for Health Permanent Supportive Housing Program (Los Angeles County)

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Urban

Goal: Housing for Health program goals are to improve patients’ health, reduce costs to the public health system, and demonstrate DHS’s commitment to addressing homelessness within Los Angeles County.

Impact: The average public service utilization cost per participant for the year prior to housing totaled $38,146; in the year after receiving housing, it totaled $15,358. When taking into account PSH costs, RAND observed a 20-percent net cost savings, suggesting a potential cost benefit of the program.

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.

L.A. County's Emergency Survival Program (Los Angeles)

Filed under Good Idea, Community / Governance, Urban

Goal: The goal is to help prepare communities for earthquakes, fires, floods, terrorism, and other natural and man-made disasters.

Livingston County Tobacco Control Program (Livingston County, NY)

Filed under Effective Practice, Health / Alcohol & Drug Use

Goal: The goals of this program are to reduce exposure to secondhand smoke, decrease the social acceptability of tobacco use, and promote cessation of tobacco use.

Marin County Safe Routes to Schools (Marin)

Filed under Effective Practice, Community / Transportation, Children, Teens, Urban

Goal: The goal of the Safe Routes to School program is to improve safety and encourage more children to safely walk and bicycle to school. In addition, the programs work toward reducing traffic congestion and improving health and the environment.

Need for Control: Downshift (Sonoma )

Filed under Good Idea, Health / Prevention & Safety, Teens

Goal: To prevent death and injury from car crashes among teens by reducing driving speed and driver distractions.

Nevada Youth Alliance: Outreach Worker Program (Clark, Nevada)

Filed under Effective Practice, Health / Prevention & Safety, Teens, Urban

Goal: The purpose of the program is to keep youth out of crime and to provide them with opportunities for a more fulfilling life.

Non-Emergency Medical Transportation: Findings from a Return on Investment Study

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

Goal: The goal of this study is to examine NEMT’s return on investment and expand research on its financial benefit.

Impact: The findings suggest that NEMT more than pays for itself as part of a care management strategy for people with chronic diseases, resulting in a total positive return on investment of over $40 million per month ($480 million annually) per 30,000 Medicaid beneficiaries.

Parent to Parent Program (Marin, Napa, Solano and Sonoma, CA)

Filed under Good Idea, Health / Disabilities, Children, Families

Goal: The program's mission is to empower families of children with special needs to understand and access the systems that serve them.

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.