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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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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 Nutrition Therapy Program (Mexico)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women, Racial/Ethnic Minorities

Goal: The goal of the Medical Nutrition Therapy program is to decrease perinatal complications in pregnant women with type 2 Diabetes in Mexico City.

Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Clinic-Based Depression Care Management

CDC

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders

Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management in primary care clinics for older adults with major depression or chronic low levels of depression (dysthymia) on the basis of sufficient evidence of effectiveness in improving short-term depression outcomes.

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.

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.

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.

New Communities Program (Chicago, IL)

Filed under Good Idea, Community / Social Environment, Children, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the New Communities Program is to strengthen communities from within through planning, organizing, and human development.

North Dakota Diabetes Care Provider Report (North Dakota)

Filed under Effective Practice, Health / Diabetes, Adults

Goal: The goal of the North Dakota Diabetes Care Provider Report is to improve quality of diabetes care and management in the state.

Nurturing Father's Program (NFP)

Filed under Effective Practice, Community / Social Environment, Men, Families, Racial/Ethnic Minorities

Goal: The goal of the Nurturing Fathers Program is to teach men parenting and nurturing skills.

Impact: Thousands of fathers have benefited from the Nurturing Fathers Program. The program has been successfully implemented by non-profit organizations as well as federal, state, and municipal government entities.

NYC FITNESSGRAM (New York)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Families, Urban

Goal: The goal of the program is to assist students in establishing physical activity as part of their daily lives.

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.