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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: Paradise Irrigation District (Butte County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of this program was to reduce energy and water consumption, improve efficiency, and save money.

Florida Healthy Kids (Florida)

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

Goal: The Florida Healthy Kids Corporation arranges health care coverage for Florida's uninsured children. They develop and implement solutions, making quality a priority at every step in the process. They strive to instill a sense of security among the families of those they serve.

Fulmer SPICES: An Overall Assessment Tool for Older Adults (New York, NY)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goal of this tool is to improve patient care for older adults by helping nurses to evaluate common conditions.

Geriatric Initiative (Charleston, West Virginia)

Filed under Good Idea, Health / Older Adults, Older Adults, Urban

Goal: The goal of the Geriatrics Initiative is to make healthcare more accessible and of higher quality for the elderly population served by Charleston Area Medical Center.

Geriatric Resources for Assessment and Care of Elders (GRACE) Model

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

Goal: The goal of the GRACE model is to increase quality of care for low-income seniors.

Impact: The GRACE model has been shown to improve quality of care and health outcomes in low-income seniors.

Girls Inc. Preventing Adolescent Pregnancy

Filed under Evidence-Based Practice, Health / Family Planning, Teens

Goal: The goal of this program is to decrease pregnancy in adolescent and teenage girls.

Impact: Those who participated in one or more program components were significantly less likely to experience pregnancy than nonparticipants (5.9% vs 12.3%). Those who participated in two or more program components were significantly less likely to engage in sexual intercourse without birth control than those who participated in only a single program component (8.9% vs 20.6%).

Go Sun Smart

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

Goal: The mission of Go Sun Smart is to reduce the risk of skin cancer among ski area employees and, specifically, to reduce the number of sun burns employees incur.

Harris County Pollution Control Ozone Monitoring (Harris County, TX)

Filed under Effective Practice, Environmental Health / Air

Goal: The goal of this program is to increase the amount of reliable air quality data that is available to the public in Harris County.

Health Literacy in a Free Clinic Setting (Eastern Jackson County, Missouri)

Filed under Good Idea, Health / Health Care Access & Quality, Adults, Urban

Goal: The goal of this program is to educate during every visit, to assist patients in developing a longitudinal personal record of medical history and care plans, and to provide a tangible way to engage patients in their own care. The overarching goal was better compliance, recognition of medication side effects, and improved adherence to specific and agreed upon lifestyle changes.

Impact: Sixty percent of patients participate in care plan tracking with a health notebook, and 80% percent of patients complete a prep form to help organize visits.

Healthy Communities Walking Program (Michigan)

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

Goal: The goal of the Healthy Communities Walking Program is to reduce the occurrence of preventable chronic diseases, especially those associated with being overweight, by assisting participants in setting up exercise regimes and encouraging healthy eating.

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.