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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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Health and Safety Intervention with First-Time Mothers

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Children, Women

Goal: The goal of CBFRS is to advance the health and development of first-time mothers and infants through a home visit program.

Impact: The findings indicate positive health and safety outcomes for first-time mothers and infants in the program: higher household safety levels, higher use of birth control methods, lower smoking behavior, higher knowledge of the effects of smoking on child development, and higher use of county clinics.

Health Plan of San Mateo Housing Supports Pilot (San Mateo County, CA)

Filed under Effective Practice, Health, Older Adults, Urban

Goal: The goal of the program was to target the housing support needs of its members with the objective of reducing institutionalization, improving quality of life, and reducing total costs of care.

Impact: The large majority of participants surveyed indicated that their quality of life was maintained or increased during the pilot and that they were satisfied with the program.

Heart Disease and Stroke Prevention: Interactive Digital Interventions for Blood Pressure Self-Management

CDC

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke

Impact: The Community Preventive Services Task Force (CPSTF) recommends the use of interactive digital interventions to improve blood pressure control in patients with high blood pressure.

Increasing Age-Appropriate Immunization Rates for Children in Butler County and Surrounding Area (Butler County, KS)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Children, Rural

Goal: The goal of this program was to increase immunization rates in the Butler County area.

Impact: Immunization rates increased from 53.2% to 72.4% and parents reported a better understanding of the importance of timely vaccinations.

L.A. County's Emergency Survival Program (Los Angeles)

Filed under Good Idea, Community / Governance, Urban

Goal: The goal is to help prepare communities for earthquakes, fires, floods, terrorism, and other natural and man-made disasters.

Maryland's Tomorrow (Baltimore, MD)

Filed under Effective Practice, Education / Student Performance K-12, Teens

Goal: Two of the goals for the Maryland's Tomorrow program are for all seniors to pass Maryland's state tests and graduate, and for all participating students to improve their grade point averages.

Miami-Dade County Environmentally Endangered Lands Program (Miami-Dade County, FL)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The goal of this program is to help protect, restore, and conserve the air, water, land and ecosystem resources of Miami-Dade County.

Niagara County Childhood Lead Poisoning Prevention Program (Niagara County, NY)

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

Goal: The goal of this program is to reduce the impact of lead poisoning and to prevent new cases of lead poisoning among Niagara County children.

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

Stop Waste (Alameda County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The Waste Management Authority and the Source Reduction and Recycling Board form an integrated Agency dedicated to achieving the most environmentally sound solid waste management and resource conservation program for the people of Alameda County. Within this context, the Agency is committed to achieving a 75% and beyond diversion goal and promoting sustainable consumption and disposal patterns.

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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