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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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Health in Housing: Exploring the Intersection between Housing and Health Care (Oregon)

Filed under Effective Practice, Health

Goal: To assess the impact of affordable housing on health care outcomes in a low-income population who have experienced housing instability.

Impact: Costs to health care systems were lower after people moved into affordable housing. Primary care visits went up after move-in; emergency department visits went down. Residents reported that access to care and quality of care improved after moving into housing.

Huesos Fuertes, Familia Saludable (Strong Bones, Healthy Family): California Bone Health Campaign (California)

Filed under Evidence-Based Practice, Health / Physical Activity, Children, Women, Families, Racial/Ethnic Minorities

Goal: The goal of the CBHC is to increase the consumption of 1% (low-fat) milk in order to prevent osteoporosis among low-income Latino mothers.

IMMUNITY Campaign (San Francisco, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Adults, Women, Men, Urban

Goal: The goal of the IMMUNITY campaign is to increase awareness around the importance of adults receiving vaccinations for commonly preventable diseases.

Increasing Colorectal Cancer Screening in Rural African American Women (Georgia)

Filed under Effective Practice, Health / Cancer, Adults, Women, Older Adults, Rural

Goal: The goal of this program is to decrease fatalism and increase participation in colorectal cancer screening among African American women.

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.

Kaiser Kids Sun Care Program (Colorado)

Filed under Evidence-Based Practice, Health / Cancer, Children, Families

Goal: To increase sun protection behaviors in early childhood.

Kaiser Permanente Dental Care Program Smokeless Tobacco Cessation Intervention (USA)

Filed under Evidence-Based Practice, Health / Alcohol & Drug Use, Men

Goal: The goal of this dental office based intervention is to reduce smokeless tobacco use and other tobacco use.

Impact: The dental office-based intervention succeeded in increasing the rates of smokeless tobacco cessation among participants.

Kaiser Permanente Heart Healthy: Cardiovascular tools and protocols (California)

Filed under Effective Practice, Health / Heart Disease & Stroke, Adults, Older Adults

Goal: To reduce death from heart disease among their members in Northern California.

Maryland Prevention Case Management (Maryland)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of Maryland's Prevention Case Management program is to decrease HIV transmission following release from prison.

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.

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