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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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Countywide Concussion Program (Miami Concussion Model) (Miami-Dade County, FL)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens

Goal: The goals of the MCM are to provide a comprehensive and centralized concussion care program to 1) increase concussion awareness and identification through education and training; 2) facilitate the return to play decision with effective medical treatment, which includes baseline neurocognitive testing; and 3) implement a standardized concussion care protocol and concussion injury surveillance system to assist in the prevention of concussions, improve player safety, and limit school liability.

Impact: From the pilot evaluation of the model it was determined that the MCM model or a similarly designed one is effective in increasing the number of concussions identified, reported, and also treated at a clinic.

L.A. County's Emergency Survival Program (Los Angeles)

Filed under Good Idea, Community / Governance, Urban

Goal: The goal is to help prepare communities for earthquakes, fires, floods, terrorism, and other natural and man-made disasters.

Marion County Indigent Care Program (Marion County, FL)

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

Goal: The goal of this program is to improve health care accessibility and availability for low income, uninsured and underinsured residents of Marion County.

Miami-Dade County Environmentally Endangered Lands Program (Miami-Dade County, FL)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The goal of this program is to help protect, restore, and conserve the air, water, land and ecosystem resources of Miami-Dade County.

Saving Smiles (Lafayette County, Missouri)

Filed under Good Idea, Health / Oral Health, Children, Families, Rural

Goal: The goal of Saving Smiles is to improve the oral health and in turn overall health of children in Lafayette County, especially for the poor and underserved.

Impact: Most students from the 11 participating schools in Lafayette County received a screening, fluoride varnish, and oral health education, and most of the children referred for dental care were seen by a dentist.

Brevard County Volunteer Dental Clinic (Brevard County, FL)

Filed under Effective Practice, Health / Oral Health

Goal: The goal of this program is to provide timely intervention and oral health service delivery to the stated population in order to reduce impact on local emergency departments and elevate the oral health care of Brevard's low-income citizens.

Early and Periodic Screening, Diagnosis and Treatment Exception to Policy (Iowa)

Filed under Good Idea, Health / Oral Health, Children

Goal: The goal of the Early and Periodic Screening, Diagnosis and Treatment Exception to Policy program is to increase the amount of Medicaid-enrolled children who receive oral screenings and fluoride varnish applications.

Flex Your Power Case Study: North Tahoe Public Utilities District (PUD) (Placer County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of this project was to provide a safe fresh-water supply in an efficient manner.

Flex Your Power Case Study: Otay Water District (San Diego County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of these projects was to promote water and energy conservation.

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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