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

Goal: The goals of this promising practice were to identify the transportation-disadvantaged population that lacks nonemergency medical care because of low access to transportation; determine the medical conditions that this population experiences and describe other characteristics of these individuals, including geography; estimate the cost of providing the transportation necessary for this population to obtain medical transportation according to various transportation service needs and trip modes; estimate the healthcare costs and benefits that would result if these individuals obtained transportation to non-emergency medical care for key healthcare conditions prevalent for this population; and compare the relative costs (from transportation and routine healthcare) and benefits (such as improved quality of life and better managed care, leading to less emergency care) to determine the cost-effectiveness of providing transportation for selected conditions.

Impact: These results show that adding relatively small transportation costs do not make a disease-specific, otherwise cost-effective environment non-cost-effective. Providing increased access to non-emergency medical care does improve quality of life and saves money per patient.

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Teens, Adults, Women, Men, Older Adults, Families

Goal: Cradle Kansas City only has one goal, to close the health equity gap. By doing this, they will impact premature birth and infant and maternal mortality. They accomplish this through partnerships medical systems, resident-built strategies, and clear messaging that is aimed at systemic change.

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

Goal: The goal of the Critical Time Intervention is to prevent homelessness among people with severe mental illness.

Impact: Evaluations of this program have found sizable reductions (24-67%) in average number of nights spent homeless over the 18-month follow-up period and more than a 60% reduction in likelihood of being homeless in the final weeks of the 18-month follow-up. Cost offsets and savings have been shown.

Filed under Good Idea, Economy / Economic Climate

Goal: The goal of Crosstown 116 was to foster participatory planning, sustainability, gender equity, increased awareness, and housing alternatives.

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

Goal: The goal of the D.C. Schoolyard Greening program is to increase and improve schoolyard green spaces in order to promote ecological literacy and environmental stewardship among students, teachers, parents and the community.

Filed under Good Idea, Health / Children's Health, Children, Teens, Families

Goal: The objectives of the program were to educate students, parents, and school staff about asthma management and to control exposure to factors that trigger asthma attacks.

Filed under Effective Practice, Economy / Housing & Homes, Adults, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Sojourner Health Clinic is to pick up where the current medical system leaves off by providing free acute and ongoing healthcare to patients who do not have access--or are reluctant to access—traditional routes to a doctor or medicine.

Impact: During 2012, the Sojourner Health Clinic managed to increase the number of diabetic patients with A1C levels below 9 percent from 15% to 83%, reducing the average blood glucose level of patients and giving them a better sense of control over their diabetes.

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

Goal: The goal of Dialectical Behavior Therapy is to use a cognitive-behavioral treatment approach to treat patients with multiple disorders.

Impact: After 1 year of treatment, a smaller percentage of DBT participants reported suicide attempts compared with TBE patients. DBT also reduced Nonsuicidal Self-Injury (NSSI) behavior over the course of 1-year treatment.

Filed under Effective Practice, Economy / Employment, Children

Goal: The goal of the DO-IT Scholars Program is to increase the participation of individuals with disabilities in challenging academic programs and careers. Its mission is to promote the use of computing and networking technologies to increase independence, productivity, and participation in education and employment.

Filed under Effective Practice, Health / Health Care Access & Quality, Older Adults

Goal: To increase attendance rates and decrease transportation-related barriers to outpatient PT clinic patients.

Impact: When patients were offered a van service, attendance rates increased at the physical therapy clinic.