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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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Marion County Indigent Care Program (Marion County, FL)

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

Goal: The goal of this program is to improve health care accessibility and availability for low income, uninsured and underinsured residents of Marion County.

Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

Alabama Breast and Cervical Cancer Coalition (ABCCC) (Alabama)

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

Goal: To mobilize African American communities, public and community-based organizations and optimize resources to eliminate the disparity in breast and cervical cancer morbidity and mortality between African American and Caucasian women.

Coordinated Asthma Referral and Education (CARE) Program (San Bernardino, CA)

Filed under Good Idea, Health / Children's Health, Children

Goal: The goal of the CARE Program is to raise community awareness about asthma, coordinate services within target communities, and help families learn how to control and manage asthma.

Early Care and Education Program (Los Angeles)

Filed under Good Idea, Education / Childcare & Early Childhood Education, Children, Families

Goal: The Early Care and Education Program's goal is to provide the highest quality childcare and early education services to children from disadvantaged families.

Flex Your Power Case Study: City and County of San Francisco (San Francisco)

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

Goal: The goal of these projects was to find ways to maximize energy conservation and efficiency through measures with a quick payback period.

Franklin County Infant Safe Sleep and SIDS Risk Reduction Initiative (Franklin County)

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

Goal: The initiative’s goal is to reduce infant sleep-related deaths by promoting safe sleep environments and SIDS risk reduction techniques among healthcare professionals, childcare providers, and all individuals responsible for caring for infants.

Healthy Kids Sonoma County (Sonoma)

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

Goal: Healthy Kids plans to enroll all uninsured children who are not eligible for Medi-Cal and who are residents of Sonoma County in the health care and insurance program.

Mental Health and Mental Illness: Interventions to Reduce Depression Among Older Adults Clinic-Based Depression Care Management

CDC

Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders

Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management in primary care clinics for older adults with major depression or chronic low levels of depression (dysthymia) on the basis of sufficient evidence of effectiveness in improving short-term depression outcomes.

Metropolitan Region I Cardiovascular Disease Risk Screening and Education (Region I, LA)

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

Goal: The objectives of the Cardiovascular Disease Risk Screening and Education program are as follows:

-To identify and provide early intervention for those with or at risk for untreated or uncontrolled hypertension
-To screen and identify those at risk for cardiovascular and renal disease
-To educate those found at risk for CVD
-To provide early chronic disease intervention
-To facilitate access for long term chronic disease care with partner sites

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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