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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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Cross-Sector Collaboration for Vulnerable Populations Reduces Utilization and Strengthens Community Partnerships

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

Goal: The objective of this article is to describe Project Restoration's approach to cross-sector collaboration with a shared population of high utilizing community members, describe the process and outcomes of the collaboration, provide strategies to mitigate challenges that arise during collaboration and offer insights to inform similar initiatives in communities nationwide.

Impact: Hospitals across the region are assessing ways to establish a centralized infrastructure to collaboratively address the complexities of individual cases, as well as a regional council to explore process improvements to enhance the lives of vulnerable populations.

Dental Caries (Cavities): Community Water Fluoridation

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends community water fluoridation to reduce tooth decay (i.e., dental caries or cavities).

Direct Mailing of Fecal Occult Blood Tests to Increase Colorectal Cancer Screening (Wright County, MN)

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

Goal: The goal of this program was to increase colorectal cancer screening using direct mailings of fecal occult blood test (FOBT) kits for noninvasive colon cancer screening.

Impact: Direct mailing of FOBT kits resulted in an increase in self-reported colon cancer screening adherence.

Early Childhood Cavities Prevention Program

Filed under Effective Practice, Health / Oral Health, Children, Women

Goal: The Early Childhood Cavities Prevention Program (ECCPP) is a community-based intervention program to promote preventive oral care for both mothers and their infants in Klamath County, Oregon.

Impact: The Early Childhood Cavities Prevention Program (ECCPP) educates pregnant women about dental hygiene to prevent dental infection in their children. Ninety-three percent of all participating infants were 100% cavity-free on their second birthday.

FAmily-CEntered (FACE) Advance Care Planning (Washington, D.C.)

Filed under Effective Practice, Health / Children's Health, Teens, Adults, Families

Goal: The goal of FACE-ACP is to give adolescents and adults living with a serious medical condition a voice by facilitating conversations between patients and their caregivers so they can achieve their goals and match medical treatment to their goals.

Farmworker Case Management Across Borders (Putnam County, FL)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Families, Racial/Ethnic Minorities

Goal: The goal of the Farmwork Case Management Across Borders program is to improve migrant and seasonal farm worker health.

Franklin County Infant Safe Sleep and SIDS Risk Reduction Initiative (Franklin County)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health

Goal: The initiative’s goal is to reduce infant sleep-related deaths by promoting safe sleep environments and SIDS risk reduction techniques among healthcare professionals, childcare providers, and all individuals responsible for caring for infants.

Health Care for the Homeless (Manchester, NH)

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

Goal: The goal of the Health Care for the Homeless program is to provide health care for individuals and families who are currently struggling with homelessness.

Healthy Kids Express Screening and Immunization Program (St. Louis, Missouri Metro Region)

Filed under Effective Practice, Health / Children's Health, Children, Teens, Families, Urban

Goal: The mission of HKES&I is to increase access to needed healthcare for children. This is accomplished through the goal of identifying children who need further follow-up, particularly for hearing and vision problems, and to connect them to those services.

Impact: Healthy Kids Express Screening and Immunization program is successful in providing evidence based care to low-income populations and for connecting those identified with screening needs to needed follow-up care.

Increased Medicaid Reimbursements to Enhance Breast/Cervical Cancer Screening Project (Leon County, FL)

Filed under Effective Practice, Health / Women's Health, Women

Goal: The goal of this program is to increase breast and cervical cancer screening among medically underserved women.

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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