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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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The City of Chula Vista's CO2 Reduction Plan (Chula Vista, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: The CO2 Reduction Plan was officially adopted by the Chula Vista City Council in November 2002 and aims to reduce CO2 emissions to 80% of 1990 levels by the year 2010. Specific action measures include:

- Municipal clean fuel vehicle purchases
- Green power use and public education program
- Telecommuting and telecenters
- Enhanced pedestrian connections and increased housing and employment density near transit
- Bicycle lanes, paths, and routes
- Energy efficient landscaping
- Solar pool heating
- Traffic signal and system upgrades

The Cooks Academy at Old Cockrill (Nashville, TN)

Filed under Good Idea, Health / Physical Activity, Teens, Women, Urban

Goal: The program offers an integrated food experience to students and expectant mothers attending an alternative high school.

The Eastern Virginia Care Transitions Partnership (Urbanna, VA)

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

Goal: Reduce hospital/nursing home readmissions and improve care for older adults.

Impact: Reduced 30-day readmission rate from 18.2 to 8.9 percent over the course of 2 years, resulting in estimated savings of more than $17 million through 1,804 avoided readmissions.

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 Green Suppliers Network (USA)

Filed under Effective Practice, Environmental Health / Air

Goal: The goal of this program is to help suppliers continuously learn ways to save money, optimize resource use, and eliminate waste through on-site technical reviews.

The Greene Community Health Foundation (Greene County, OH)

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

Goal: The mission of the Greene Community Health Foundation is to 1. help assist underserved GCCHD clients with funding for medical needs, 2. find avenues of funding for clients, 3. develop partnerships with providers for reduced charges for clients, 4. develop community partnerships to strengthen programs and projects at GCCHD, and 5. develop state and national partnerships to strengthen the programs and projects at GCCHD.

The Healthy Diabetes Plate (Idaho)

Filed under Evidence-Based Practice, Health / Diabetes, Adults, Families, Urban

Goal: The goal of the Healthy Diabetes Plate was to increase understandability and accessibility of diabetes nutrition education for people living with diabetes.

Impact: The Healthy Diabetes Plate curriculum solves two problems encountered in diabetes education — understandability and accessibility. Participants were able to correctly plan breakfast, lunch, and dinner meals and improved their intake of fruit and vegetables.

The Healthy Hawaii Initiative (Hawaii)

Filed under Effective Practice, Health / Physical Activity, Children

Goal: The goal of this program is to improve health and increase physical activity in Hawaii.

The Incredible Years: Palm Beach County (Palm Beach County, FL)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: The program aims to promote social, emotional, and academic competence and to prevent children from developing conduct problems.

Impact: The Incredible Years series has been shown to increase positive parenting practices and family communication while reducing children's conduct problems.

The Key Clubhouse of South Florida (Miami-Dade County, FL)

Filed under Good Idea, Health / Mental Health & Mental Disorders, Adults, Urban

Goal: The mission of The Key Clubhouse is to afford people who have been disrupted by mental illness the opportunity to recover meaningful and productive lives through reintegration in the workplace and the community.

Impact: Individuals who participate in a Clubhouse program have been found to have higher rates of employment, reduced hospitalization, reduced incarceration, and improved well-being as compared with other mental health programs.

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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