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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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Hospital Diversion Initiative (Kansas City, MO)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the Hospital Diversion Initiative is to connect individuals who chronically utilize the inpatient and emergency rooms with outpatient care.

Impact: After three months in the program, participants showed a 66% reduction in ER visits, 68% reduction in inpatient hospital stays, a 72% decrease in homelessness, an 18% reduction in unemployment, and a 66% decrease in past 30 day arrests. More than 350 individuals have been served so far.

Housing as Health Care - New York’s Boundary-Crossing Experiment (New York)

Filed under Good Idea, Economy / Housing & Homes

Goal: The goal of this experiment is to estimate the effects of New York’s plan for supportive housing for high-need, high-cost Medicaid recipients.

Impact: Placing people who are homeless in supportive affordable housing paired with supportive services such as on-site case management and referrals to community-based services can lead to improved health, reduced hospital use, and decreased health care costs.

Housing Opportunities for Persons with AIDS (USA)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults, Families

Goal: The goal of the HOPWA program is to help families pay housing expenses so that they are not displaced due to costs and discrimination associated with HIV/AIDS.

Housing Opportunities Program (San Mateo County, CA)

Filed under Effective Practice, Economy / Housing & Homes, Families

Goal: The goal of this program is to provide housing help and supportive services to low- income families transitioning to self-reliance.

How to Cope (Kansas City, MO)

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Adults, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of How to Cope is to help adults impacted by a loved one's substance abuse create a balanced and healthy life, even if their loved one continues to abuse substances.

Impact: Over 100 adults impacted by a loved one's addiction to alcohol or drugs participated in How to Cope in 2013, with 87% showing increased knowledge of the harmful effects and other drugs and 100% completing an action plan.

I Am Moving, I Am Learning (West Virginia)

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

Goal: The goals of the I Am Moving, I Am Learning program is to prevent childhood obesity by (1) increasing the quantity of time children spend in moderate to vigorous physical activity; (2) improving the quality of structured movement activities in the classroom; and (3) promoting healthy food choices among Head Start children.

I Have a Dream

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

Goal: The "I Have a Dream"® Program helps children from low-income areas reach their education and career goals by providing a long-term program of mentoring, tutoring, and enrichment with an assured opportunity for higher education.

Immunize LA Kids (Los Angeles, CA)

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

Goal: The goal of Immunize LA Kids is to improve immunization rates among children.

Improving African American Participation Rates in Health Intervention Research (Minnesota)

Filed under Effective Practice, Health / Physical Activity, Teens, Racial/Ethnic Minorities, Urban

Goal: To improve participation of African Americans in health promotion and intervention research.

Increased Medicaid Reimbursements to Enhance Breast/Cervical Cancer Screening Project (Leon County, FL)

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

Goal: The goal of this program is to increase breast and cervical cancer screening among medically underserved women.

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.