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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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Massachusetts Tobacco Control Program (Massachusetts)

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Adults, Racial/Ethnic Minorities

Goal: The goal of the Massachusetts Tobacco Cessation & Prevention Program is to improve public health in the Commonwealth by reducing death and disability from tobacco use.

MatchBridge (San Francisco, CA)

Filed under Good Idea, Economy / Employment, Teens, Adults, Urban

Goal: The goal of MatchBridge is to diversify the future's workforce and reduce poverty by helping youth develop the skills that they need to secure employment.

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.

Medical Legal Partnerships: Embedding Civil Legal Aid Services in Care for High-Utilizing Patients (Lancaster, PA)

Filed under Effective Practice, Community / Governance, Children, Teens, Adults, Families, Urban

Goal: The goal of the pilot was to assess the impact on health care use of addressing patients’ civil legal problems – the social, financial, or environmental problems that require assistance from lawyers to remedy. The lawyer was embedded in the health care team and present during case management discussions to identify specific civil legal problems and to help the team better understand how to address them. Additionally, this partnership provided civil legal aid services to patients when needed in a community health care system.

Impact: This pilot shows a medical-legal partnership for the super-utilizers of healthcare can lead to efficiencies within the health care system, reduce costs, and improve health outcomes among the most vulnerable patients.

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.

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

Million Hearts (USA)

Filed under Good Idea, Health / Heart Disease & Stroke, Adults

Goal: Million Hearts seeks to prevent one million heart attacks and strokes in the next five years (by 2017) by coordinating cardiovascular prevention implementations in its private-public partnerships.

Mineral Belt Trail (Leadville, CO)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Adults, Families, Rural

Goal: The goal of the Mineral Belt Trail is to provide safe access throughout Leadville, CO to schools, historic areas, and natural landscapes.

Minority Outreach Recreation Program (San Francisco Bay Area)

Filed under Effective Practice, Health / Disabilities, Children, Adults, Racial/Ethnic Minorities

Goal: The goal of BORP’s Minority Outreach Program is to make recreational activities more accessible to disabled minority or immigrant individuals.

Mispillion River Greenway (Milford, DE)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Adults, Families

Goal: The goal of the Mispillion River Greenway is to provide new transportation options for downtown travel and encourage reinvestment in the business district.

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.
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