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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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Provider Intervention to Improve Colorectal Cancer Screening (Suffolk County, NY)

Filed under Effective Practice, Health / Cancer, Adults, Racial/Ethnic Minorities

Goal: The goal of this provider intervention is to increase provider recommendation and patient adherence to colorectal cancer screening in publicly-funded health centers.

Riverside County Greater Avenues for Independence Program (GAIN) Program (Riverside County, CA)

Filed under Effective Practice, Community / Social Environment

Goal: The mission of the program is to work vigorously to free participants from the burden of welfare dependency, and achieve a better, happier lifestyle through self-sufficiency. It will serve the taxpayers of Riverside County by reducing welfare dependency, thus making tax dollars available for other expenditures and needs.

Impact: The program produced a large net savings to the government through increased tax revenues and reduced welfare and food stamps payments (as an estimate, $2.84 saved for every $1.00 invested over five years).

Salem County School-to-Careers Initiative (Salem County, NJ)

Filed under Effective Practice, Education / Educational Attainment, Children, Rural

Goal: The goal of this program is to help at-risk youth and young adults to finish high school, take college-level classes, and have structured work experiences that will lead to successful transitions to adulthood.

Standing Rock Indian Reservation Cancer Screening Program (Morton County, ND)

Filed under Effective Practice, Health / Women's Health, Adults, Racial/Ethnic Minorities

Goal: The goal of this screening program is to increase cancer education and screening among men and women of the Standing Rock Indian Reservation.

Steps to a Healthier Yuma County (Yuma County, Arizona)

Filed under Effective Practice, Health / Physical Activity, Children, Rural

Goal: The goal of Steps to a Healthier Yuma County is to prevent obesity and diabetes in young children.

The Anne Arundel County REACH Program (Anne Arundel County, MD)

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

Goal: The goal of this program is to provide health care access to uninsured, low income residents of Anne Arundel County.

The Effect of Guided Care Teams on the Use of Health Services

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults

Goal: The goal of this study was to determine the effect of interdisciplinary primary care teams on health care utilization by patients with multiple chronic conditions.

Impact: This study concluded that guided care models can significantly impact home health care episodes.

The Medical University of South Carolina Psychiatry Residency Diversity Program

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Adults, Racial/Ethnic Minorities

Goal: The MUSC Psychiatry Residency program has the following goals related to diversification of the health care professional pool:
- increased racial and ethnic diversity reflecting the general South Carolina population
- promotion of racial/ethnic and gender diversity in leadership positions within the School of Medicine
- promotion of cultural competency and understanding
- more opportunities within the College of Medicine at all levels for individuals from all backgrounds

Impact: The proportion of URM applicants to MUSC psychiatry residencies increased from 8% in 2008 to 17% in 2015. The percentage of URM psychiatry residents enrolled in MUSC has tripled over the last seven years, from 9% in 2008 to 28% in 2015.

Vaccination Programs: Health Care System-Based Interventions Implemented in Combination

CDC

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Impact: The Community Preventive Services Task Force (CPSTF) recommends using a combination of health care system-based interventions to increase vaccination rates in targeted populations.

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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