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.
Filed under Effective Practice, Health / Heart Disease & Stroke, Adults, Older Adults
Goal: To reduce death from heart disease among their members in Northern California.
Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care (Arkansas)
Filed under Evidence-Based Practice, Economy / Government Assistance, Older Adults
Goal: The goal of this program is to reduce costs by using specially trained community health workers to help connect people with unmet long-term needs and/or those at risk of entering nursing homes to Medicaid home and community-based services.
Impact: Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.
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.
Filed under Good Idea, Health / Cancer, Women
Goal: The goal of this program is to improve the quality of life for women diagnosed with cancer.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases
Impact: The Community Preventive Services Task Force (CPSTF) recommends school and organized child care center-located vaccination programs based on strong evidence of effectiveness in increasing vaccination rates, and in decreasing rates of vaccine-preventable disease and associated morbidity and mortality.
The updated CPSTF recommendation is based on findings from 27 studies in which vaccination programs in schools or child care centers:
-Provided vaccinations on site
-Were administered by a range of providers including school health personnel, health department staff, and other vaccination providers
-Were delivered in a variety of different school and organized child care settings
-Delivered one or more of a range of vaccines recommended for children and adolescents, and
-Included additional components such as education, reduced client out-of-pocket costs, and enhanced access to vaccination services
School- and organized child care center-located vaccination programs may be most useful in improving immunization rates among children and adolescents for new vaccines, and vaccines with new, expanded recommendations (such as the annual immunization for seasonal influenza) where background rates are likely to be very low and improvements in coverage are needed.
Filed under Effective Practice, Health / Health Care Access & Quality
Goal: The goal of the study was to evaluate the association between Medicaid‐provided nonemergency medical transportation and diabetes care visits.
Impact: The findings of this study underscore the importance of ensuring transportation to Medicaid populations with diabetes, particularly in the rural areas where the prevalence of diabetes and complications are higher and the availability of medical resources lower than in the urban areas.
Filed under Evidence-Based Practice, Health / Older Adults, Older Adults
Goal: BRI Care Consultation is an intervention for adults with a chronic physical or mental health condition or disability and a primary caregiver (family member or friend) who assists the adult with daily activities, tasks, and healthrelated discussions.
CDC COMMUNITY GUIDE: Adolescent Health: Person-to-Person Interventions to Improve Caregivers' Parenting Skills (USA)
Filed under Evidence-Based Practice, Health / Adolescent Health, Teens, Families
Goal: To modify adolescents' risk and protective behaviors by improving their caregivers' parenting skills based on sufficient evidence of effectiveness in reducing adolescent risk behaviors.
Impact: Although the estimated effects varied substantially and were not statistically significant, risk behaviors decreased and youth participants reported increased refusal skills and self efficacy for avoiding risky behaviors in the future.
CDC COMMUNITY GUIDE: Breast Cancer Prevention & Control, Provider-Oriented Screening Interventions: Provider Reminder & Recall Systems (USA)
Filed under Evidence-Based Practice, Health / Cancer, Adults
Goal: The goal of incorporating multicomponent interventions for cancer screenings is to increase breast cancer screenings in communities.
Impact: Multicomponent interventions that include strategies that reduce and address structural barriers increase cancer screening rates by the largest margins.
CDC COMMUNITY GUIDE: Cancer Prevention & Control, Client-Oriented Screening Interventions: Reducing Out-of-Pocket Costs: Cervical Cancer (USA)
Filed under Evidence-Based Practice, Health / Cancer, Adults, Women
Goal: The goal of the interventions is to reduce client out-of-pocket costs to minimize or remove economic barriers that make it difficult for clients to access cancer screening services.
Impact: Consistently favorable results for interventions that reduce costs for breast cancer screening and several other preventive services suggest that such interventions are likely to be effective for increasing cervical cancer screening as well.