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

Addressing the Social Determinants of Health through the Alameda County, California, Place Matters Policy Initiative (Alameda County, CA)

Filed under Good Idea, Health, Urban

Goal: The goal of the Place Matters initiative is to improve the health of participating communities by “addressing social conditions that lead to poor health” through “identifying the complex root causes of health disparities and defining strategies to address them.”

Impact: AC Place Matters has identified 10 best practices that could help other programs address social determinants of health: find and foster strong leadership, dedicate staff resources to the work, engage staff from across the local health department, contribute to building grassroots power, address root causes, partner with community organizations and leaders, partner with government institutions across sectors, work reactively and proactively, build capacity, and use tools that ensure a focus on health equity.

Fight Asthma Milwaukee Allies (Milwaukee County, WI)

Filed under Effective Practice, Health / Children's Health, Children

Goal: The goal of FAM Allies is reduce asthma related hospital stays among children by linking patients, their families, caregivers, and healthcare professionals with resources and education.

Health in All Policies

Filed under Good Idea, Community / Governance

Goal: The goal of Health in All Policies is to ensure that health effects are routinely taken into consideration when developing policy.

Impact: Health in All Policies initiatives have helped create healthier communities through implementing policies with health consequences in mind. For many counties, this includes creating cross-agency teams and workgroups to address problems in their community.

King County Asthma Program (King County, WA)

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

Goal: The goal of the King County Asthma Forum is to improve asthma outcomes among low-income children.

Riverside County Greater Avenues for Independence Program (GAIN) Program (Riverside County, CA)

Filed under Effective Practice, Community / Social Environment

Goal: The mission of the program is to work vigorously to free participants from the burden of welfare dependency, and achieve a better, happier lifestyle through self-sufficiency. It will serve the taxpayers of Riverside County by reducing welfare dependency, thus making tax dollars available for other expenditures and needs.

Impact: The program produced a large net savings to the government through increased tax revenues and reduced welfare and food stamps payments (as an estimate, $2.84 saved for every $1.00 invested over five years).

Stepping Up to Algebra (Santa Clara)

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

Goal: The program is designed to teach students the skills and knowledge required to complete Algebra I by the end of the eighth grade.

The Seattle-King County Healthy Homes Project (Seattle-King County, Washington)

Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families

Goal: The goals of the Seattle-King Healthy Homes project are: to increase knowledge of home environmental health threats and asthma self-management among households with a child who suffers from asthma; help households reduce environmental threats in the household; improve health status and reduce asthma-related medical care utilization.

Alcohol and Other Drug Death Review (Humboldt County, CA)

Filed under Good Idea, Health / Alcohol & Drug Use

Goal: The goal of this program is to involve community partners in reviewing individual deaths, generating recommendations for improved community collaboration, and initiating new practices.

Countywide Concussion Program (Miami Concussion Model) (Miami-Dade County, FL)

Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens

Goal: The goals of the MCM are to provide a comprehensive and centralized concussion care program to 1) increase concussion awareness and identification through education and training; 2) facilitate the return to play decision with effective medical treatment, which includes baseline neurocognitive testing; and 3) implement a standardized concussion care protocol and concussion injury surveillance system to assist in the prevention of concussions, improve player safety, and limit school liability.

Impact: From the pilot evaluation of the model it was determined that the MCM model or a similarly designed one is effective in increasing the number of concussions identified, reported, and also treated at a clinic.

Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Racial/Ethnic Minorities

Goal: To evaluate the association of a “Housing First” intervention for chronically homeless individuals with severe alcohol problems with health care use and costs.

Impact: Total cost offsets for Housing First participants relative to controls averaged $2449 per person per month after accounting for housing program costs.

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.