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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Complete Streets

Filed under Good Idea, Environmental Health / Built Environment

Goal: Complete Streets aims to increase physical activity and contribute to creating safer communities for all users of the road.

Impact: Complete Streets has contributed to safer communities and streets for all users of the road by working with community residents, policy-makers, and the development community.

Cost Benefit Analysis of Providing Non-Emergency Medical Transportation

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

Goal: The goals of this promising practice were to identify the transportation-disadvantaged population that lacks nonemergency medical care because of low access to transportation; determine the medical conditions that this population experiences and describe other characteristics of these individuals, including geography; estimate the cost of providing the transportation necessary for this population to obtain medical transportation according to various transportation service needs and trip modes; estimate the healthcare costs and benefits that would result if these individuals obtained transportation to non-emergency medical care for key healthcare conditions prevalent for this population; and compare the relative costs (from transportation and routine healthcare) and benefits (such as improved quality of life and better managed care, leading to less emergency care) to determine the cost-effectiveness of providing transportation for selected conditions.

Impact: These results show that adding relatively small transportation costs do not make a disease-specific, otherwise cost-effective environment non-cost-effective. Providing increased access to non-emergency medical care does improve quality of life and saves money per patient.

Cross-Sector Collaboration for Vulnerable Populations Reduces Utilization and Strengthens Community Partnerships

Filed under Effective Practice, Economy / Housing & Homes, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities

Goal: The objective of this article is to describe Project Restoration's approach to cross-sector collaboration with a shared population of high utilizing community members, describe the process and outcomes of the collaboration, provide strategies to mitigate challenges that arise during collaboration and offer insights to inform similar initiatives in communities nationwide.

Impact: Hospitals across the region are assessing ways to establish a centralized infrastructure to collaboratively address the complexities of individual cases, as well as a regional council to explore process improvements to enhance the lives of vulnerable populations.

Elder Farmers' Market Nutrition Program - Florida (Florida)

Filed under Effective Practice, Health / Older Adults, Older Adults

Goal: The goal of the Elder Farmers' Market Nutrition Program is to help low-income elders improve their nutrition through access to fresh produce that they may not otherwise be able to afford.

Engaging Men and Boys of Color to Improve Mental Wellbeing (Washington)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Men, Racial/Ethnic Minorities

Goal: Making Connections for Mental Health and Wellbeing Among Men and Boys is a national initiative to transform community conditions that influence mental wellbeing. The Prevention Institute works with 13 communities across the U.S. to shift policies, practices, and norms to create greater opportunities for health and resilience, with particular focus on veterans and men and boys of color.

Fit Community (North Carolina)

Filed under Effective Practice, Health / Physical Activity, Children, Teens, Families

Goal: The goal of the Fit Community initiative is to recognize communities that are making better quality of life a real priority by granting them awards to help in the implementation of community interventions targeting physical activity and healthy eating.

Flex Your Power Case Study: Vallejo Sanitation and Flood Control District (Vallejo, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: Vallejo Sanitation's goals in 2001 were to seek the most cost effective treatment of wastewater and to find financial rebates/grants where possible to implement cost saving measures. In order to qualify for generator replacement rebates, the agency needed to design and complete the project in a short time.

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.

Free Community Colorectal Screening (Salina, KS)

Filed under Good Idea, Health / Cancer, Adults, Rural

Goal: To get as many age appropriate people screened as possible in the community and to raise awareness about the life-saving practice of colorectal screening.

Impact: Many cancers have been found and many have been prevented. The population has expressed gratitude for this program and the partners (such as the pharmacies and the hospital lab) are proud to be part of it.

Incorporating HIV Services into Tuberculosis Contact Investigations (New York)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Urban

Goal: The goal of this program is to provide HIV testing and services to individuals involved in tuberculosis contact investigations.

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.