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.

Submit a Promising Practice

Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)

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

Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.

Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.

Media Detective (North Carolina)

Filed under Evidence-Based Practice, Health / Children's Health, Children

Goal: To prevent or delay the onset of underage alcohol and tobacco use by encouraging healthy beliefs and attitudes about abstaining from substance use and by enhancing critical thinking skills to transform students into active media consumers.

Impact: Students who participated in the Media Detective program displayed a greater understanding of media deconstruction skills and persuasive intent. They also had greater self-efficacy to refuse substances compared to students who did not participate in the program.

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.

Medical Nutrition Therapy Program (Mexico)

Filed under Evidence-Based Practice, Health / Maternal, Fetal & Infant Health, Women, Racial/Ethnic Minorities

Goal: The goal of the Medical Nutrition Therapy program is to decrease perinatal complications in pregnant women with type 2 Diabetes in Mexico City.

Memphis Fast Forward (Shelby County, TN)

Filed under Effective Practice, Economy / Economic Climate

Goal: Memphis Fast Forward is the shared vision and unprecedented action plan to create good jobs, a better-educated workforce, a safer community, a healthier citizenry and efficient government in Memphis and Shelby County.

Impact: Major violent and property crime were reduced by 22.8% and 25.5%. The pool of high-potential teacher candidates increased from 21 to 1,800 in one year. More than 15,000 jobs were created. New capital investment of $4.2 billion was generated. Local governments saved more than $75 million.

Mind, Exercise, Nutrition...Do it! (MEND) Program (United Kingdom)

Filed under Evidence-Based Practice, Health / Physical Activity, Children

Goal: The goal of the MEND program is to reduce obesity levels in children by offering free healthy living programs that aim to encourage small lifestyle changes that improve health.

Impact: The MEND program was successful in reducing waist circumferences and BMI scores while increasing cardiovascular fitness, physical activity, and self esteem in children placed within the intervention group. The results of this study suggest that the MEND program is a promising intervention to combat rising child obesity rates.

Minnesota Family Investment Program (Minnesota)

Filed under Evidence-Based Practice, Economy / Government Assistance, Families

Goal: The goal of the Minnesota Family Investment Program (MFIP) is to help families transition to economic stability by providing financial incentives to work.

Impact: Although MFIP cost Minnesota more than the ADFC welfare program, MFIP overall increased employment and wage earnings of participants by supplementing low income with welfare supplements. Most encouragingly, there is evidence to suggest the effects of the program persist after the program ended for the most disadvantaged.

Minority AIDS Project (Los Angeles, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Racial/Ethnic Minorities, Urban

Goal: The Minority AIDS Project's mission is to reduce suffering and deaths due to HIV infection in the African-American and Latino communities by making HIV/AIDS education and related health services available and accessible.

Impact: The Minority AIDS Project provides services and outreach efforts to predominantly African-American and Latino individuals living with HIV/AIDS in the underserved communities of Central and South Central Los Angeles.

Minority Outreach Recreation Program (San Francisco Bay Area)

Filed under Effective Practice, Health / Disabilities, Children, Adults, Racial/Ethnic Minorities

Goal: The goal of BORP’s Minority Outreach Program is to make recreational activities more accessible to disabled minority or immigrant individuals.

Missouri Information for Community Assessment (MICA) (Missouri)

Filed under Good Idea, Health / Cancer

Goal: The goal of this project is to educate citizens, health professionals, researchers, and policy makers about cancer in Missouri. Complete, timely, and high-quality data are essential for conducting research and responding to public concerns about cancer incidence in their communities.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.