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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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Chatham County Jail Health Information Exchange

Local

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

Goal: To have an EMR system that allows medical professionals to correctly diagnose and address the medical needs of incarcerated patients in the emergency room or in the prison system.

Impact: The program has allowed for greater accessibility and sharing of medical data.

Home-Delivered Meals Postdischarge From Heart Failure Hospitalization (GOURMET-HF) (Columbia University Medical Center, the Ann Arbor Veterans Affairs Health System, and the University of Michigan Health System)

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke, Adults, Women, Men, Older Adults

Goal: The goals of GOURMET-HF are to assess the safety of the intervention, including effects on cardiac biomarkers and rehospitalization burden.

Impact: Home-delivered DASH/SRD after HF hospitalization appear safe in selected patients and had favorable effects on HF clinical status and 30-day readmissions. The GOURMET-HF pilot study suggests that postdischarge nutritional support has the potential to improve HF symptoms and reduce readmissions

826 National (Chapters in CA, NY, IL, WA, MI, MA, DC)

Filed under Effective Practice, Education / Literacy, Children, Teens, Urban

Goal: The mission of 826 National is to help children ages 6-18 develop their writing skills, and to help teachers get their students excited about writing. The mission is based on the understanding that great leaps in learning can happen with one-on-one attention, and that strong writing skills are fundamental to future success.

Lead Free Wheels (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The "Lead Free Wheels" program has three goals:

- direct reduction of 6,000-7,500 kg of lead use on vehicles in Michigan and the Midwest;
- demonstrate the viability of lead-free wheel weight installation at Michigan tire retailers, state and municipal fleets and other points vehicle service and:
- encourage domestic production of lead-free wheel weights and a phase out of lead use in wheel weights.

Mailed Psychoeducational Intervention for Colorectal Cancer Screening (England)

Filed under Evidence-Based Practice, Health / Cancer, Adults

Goal: The goal of this program is to improve colorectal cancer screening rates among older adults.

Impact: Participants in the intervention group had significantly higher colorectal cancer screening attendance, as well as having more positive attitudes about screening and placing a higher priority on screening.

Driving Decisions Workbook (Ann Arbor, MI)

Filed under Effective Practice, Community / Public Safety, Older Adults

Goal: The goal of the Driving Decisions Workbook is to increase self-awareness of driving skills in older adults.

Safe Passages, The Middle School Strategy (Alameda County)

Filed under Effective Practice, Health / Adolescent Health, Teens, Urban

Goal: The main goal of the Middle School strategy is to reduce the incidence of violence among youth measured by the reduction in suspensions for violence and to improve the perception of safety at school.

Milwaukee Tobacco-Free Sports Program (Milwaukee, WI)

Filed under Good Idea, Health / Alcohol & Drug Use, Children

Goal: Program objectives are to:

- Plan and conduct five sets of interactive tobacco prevention mini-sessions for youth and parents in multiple school-linked settings;
- Plan and implement one annual media advocacy event coordinated with the national Campaign for Tobacco-Free Kids
- Plan and conduct tobacco educational outreach and implementation guidance for coaches and athletic staff. Teen Presenters deliver tobacco prevention mini-sessions to younger children, grades 1-6.

Miami-Dade County Environmentally Endangered Lands Program (Miami-Dade County, FL)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The goal of this program is to help protect, restore, and conserve the air, water, land and ecosystem resources of Miami-Dade County.

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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