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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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Project ECHO (Extension for Community Healthcare Outcomes) (New Mexico)

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

Goal: The mission of Project ECHO is to develop the capacity to safely and
effectively treat chronic, common, and complex diseases in rural and
underserved areas, and to monitor outcomes of this treatment.

Safe Streets / Strong Communities (New Orleans, LA)

Filed under Good Idea, Community / Crime & Crime Prevention, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: Safe Streets/Strong Communities is a community-based organization that campaigns for a new criminal justice system in New Orleans, one that creates safe streets and strong communities for everyone, regardless of race or economic status.

Safer Homes Project (Pacoima)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Children, Teens, Adults

Goal: The mission of the Safer Homes Program is to help residents to create healthy comes for their families in order to prevent environmentally related health problems such as lead poisoning, asthma, mold, and moisture.

Special Infant Formula Distribution Program (Lancaster County, PA)

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

Goal: The goal of this program is to provide affordable and easily accessible physician prescribed special formula to babies with special dietary needs due to health problems.

Starting Right Initiative

Filed under Good Idea, Health / Physical Activity, Children, Families

Goal: The Starting Right Initiative works to prevent, treat and reverse childhood obesity and malnutrition in low-income communities.

Impact: The Starting Right Initiative aims to encourage healthy eating habits in children and their families and works to reduce childhood obesity and malnutrition at seven project locations nationwide.

The Living Room (DuPage County, IL)

Filed under Effective Practice, Health / Mental Health & Mental Disorders

Goal: The end goal of The Living Room is to reduce recidivism to the hospital and pair those in need with the right resources to help them be able to handle their mental health crises and move away from using The Living Room. Additionally, a main goal of The Living Room is matching those in need with a particular peer specialist to create a lasting connection.

Impact: Connects individuals experiencing mental health illness or crises to peer specialists which help reduce recidivism to the emergency room or hospital, help manage future crises, and provide a connection to continued non-clinical support and resources.

The Memphis Environmental Court (Shelby County, TN)

Filed under Effective Practice, Community / Governance, Families

Goal: The Memphis Enviromental Court was designed to serve as the chief vehicle for enforcing a wide range of laws relating to the health and quality of life of its residents, and to give new meaning to the term "expedient justice" by its ability to respond in a quick and consistent manner. In 1991 the Tennessee State Legislature created the Shelby County Environmental Court, and expanded the new court's powers to include the "injunctive authority" to mandate that defendants comply with the environmental codes.

The Michigan Antibiotic Resistance Reduction (MARR) Coalition (Michigan)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The Michigan Antibiotic Resistance Reduction Coalition (MARR) seeks to improve the use of antimicrobial agents and reduce antimicrobial resistance rates in health care facilities and communities throughout the state of Michigan through the collaborative efforts of academic, community, government, labor and industry partners. MARR seeks to accomplish this mission by serving as a catalyst and facilitator for programs of judicious antimicrobial use, and providing such programs; maintaining a repository of current and credible information about antimicrobial resistance; and participating in clinical interventions and research that will ensure improved antimicrobial use and reduce antimicrobial resistance.

The San Francisco Sobering Center (San Francisco, CA)

Filed under Effective Practice, Health / Alcohol & Drug Use, Adults

Goal: The goal of the San Francisco Sobering Center is to reduce the burden of alcohol-dependent people on hospital emergency departments by providing a space for intoxicated individuals to sober and receive health care services.

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.