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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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Cervical Cancer Control for Vietnamese American Women (Seattle)

Filed under Evidence-Based Practice, Health / Cancer, Women, Racial/Ethnic Minorities, Urban

Goal: The goal of this intervention was to increase cervical cancer screening among Vietnamese American women.

Impact: The Cervical Cancer Control intervention is impactful in increasing the likelihood that women who have a history of at least one pap test receive another pap test in the future.

Communities That Care Coalition (Franklin County, MA)

Filed under Effective Practice, Health / Adolescent Health, Teens

Goal: The Communities That Care Coalition's mission is to bring Franklin County schools, parents, youth and the community together to promote protective factors, reduce risk factors, prevent substance use and other risky behaviors, and improve young people's ability to reach their full potential and thrive.

Consistency Management & Cooperative Discipline (Houston, TX)

Filed under Evidence-Based Practice, Education / School Environment, Children, Teens, Urban

Goal: The goal of this program is to improve classroom management in order to provide a better learning environment that fosters academic success.

Consumer Connections and Career Connections Employment Resource Institute (New Jersey)

Filed under Effective Practice, Economy / Employment

Goal: The purpose of the Career Connections Employment Resource Institute is to expand employment opportunities for persons with mental illness.

Culturally Tailored Navigator Program for Colorectal Cancer Screening (Boston, MA)

Filed under Evidence-Based Practice, Health / Cancer, Racial/Ethnic Minorities, Urban

Goal: The goal of this program is to decrease barriers and increase rates for colorectal cancer screening among low-income, non-English speaking patients.

Green Power Partnership - Bellingham's global warming pollution reduction through use of green power (Bellingham)

Filed under Effective Practice, Environmental Health / Air

Goal: The goal is for cities or companies to reduce their carbon footprint. For example, research shows that buying 100 percent green power is the most significant step the City of Bellingham can take to protect the climate; it would eliminating more than 65 percent of the global warming pollution caused by municipal operations.

Inside Knowledge: Get the Facts About Gynecologic Cancer (USA)

Filed under Good Idea, Health / Cancer, Women

Goal: The goal of the Inside Knowledge campaign is to increase knowledge and awareness about the signs and symptoms of the five major gynecologic cancers.

Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban

Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.

Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.

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.

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.