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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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Children's National Parish Nursing Program (Washington, D.C.)

Local

Filed under Local, Good Idea, Health / Children's Health, Children, Teens, Families, Urban

Goal: The goal is to increase awareness in faith-based communities regarding preventative care for children and services available at Children's National Medical Center for patients and families.

Impact: The Parish Nursing Program will train eight nurses to become Faith Community Nurses in Summer 2013.

Parent Navigator Program (Washington, D.C.)

Local

Filed under Local, Good Idea, Health / Children's Health, Children, Families, Urban

Goal: The program aims to provide ongoing comprehensive care coordination to children with medically complex and chronic conditions within Children's National health care system.

School Services Data Sharing Project (Washington, D.C.)

Local

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

Goal: The goal of the data sharing project is to allow for continuity of care of admitted children from hospital to school and to decrease readmissions of the children to the hospital.

Affordable Housing in Arlington, Virginia (Arlington, VA)

Filed under Good Idea, Economy / Housing & Homes

Goal: The mission of AHC is twofold: to preserve the supply of affordable housing in the mid-Atlantic region, especially Northern Virginia and Baltimore, Maryland; and to ensure that properties developed or owned by AHC enhance the quality of life in the neighborhoods where they are located.

The Eastern Virginia Care Transitions Partnership (Urbanna, VA)

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: Reduce hospital/nursing home readmissions and improve care for older adults.

Impact: Reduced 30-day readmission rate from 18.2 to 8.9 percent over the course of 2 years, resulting in estimated savings of more than $17 million through 1,804 avoided readmissions.

West Virginia's Coordinated School Health Program (West Virginia)

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

Goal: The goal of this program is to improve the health and fitness of students in West Virginia.

Deer-Targeted Interventions on Lyme Disease Incidence (Northeastern United States)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Rural

Goal: The goal of the interventions is to reduce the number of blacklegged ticks to ultimately reduce the incidence of Lyme disease.

Impact: The four-poster device was effective in decreasing erythema migrans (EM) rash incidence in an endemic area. The deer hunt did not have a significant effect on the incidence of EM rash, although the incidence did decrease.

Al's Pals

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

Goal: The goal of the Al's Pals program is to teach children how to practice positive ways to express feelings, relate to others, communicate, brainstorm ideas, solve problems, and differentiate between safe and unsafe substances and situations.

Impact: Studies have shown that the program resulted in higher degrees of positive change in the intervention groups, increases in prosocial behaviors and positive coping behaviors, and decreases in antisocial and negative coping behaviors.

Buckle Up, Stay Safe (Virginia)

Filed under Evidence-Based Practice, Community / Public Safety, Adults, Older Adults

Goal: The goal of this program is to increase safety belt use among senior drivers.

CareMore: Nonemergency Medical Transport

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

Goal: To provide transportation and improve patient satisfaction for nonemergency medical services.

Impact: CareMore's NEMT was so successful in the first 3 months, the programs were expanded in California, Nevada, Arizona, and Virginia.

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.