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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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Edible Trees

Filed under Good Idea, Environmental Health / Built Environment, Adults

Goal: The Edible Trees Program seeks to increase local access to fruiting trees and provide equitable access to healthy foods.

Impact: The Edible Trees Program provides communities access to fruit and nut trees. The program has funded 19 projects resulting in 1,320 trees & shrubs planted.

Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: a randomized trial (Chicago, Illinois)

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

Goal: To assess the effectiveness of a case management and housing program in reducing the use of urgent medical services among homeless adults with chronic medical illnesses.

Impact: For every 100 homeless adults offered the intervention, the expected benefits over the next year would be 49 fewer hospitalizations, 270 fewer hospital days, and 116 fewer ED visits.

Elizabeth River Project (Virginia)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Children, Teens, Adults

Goal: To restore the Elizabeth River to the highest practical level of environmental quality through government, business and community partnerships.

EMERGE (Minneapolis, MN)

Filed under Good Idea, Economy / Employment, Teens, Adults, Families, Urban

Goal: Invest in people through social enterprise.

Engage DuPage (DuPage County, IL)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Adults, Families, Urban

Goal: The goals of Engage DuPage include improving the health status of self-pay Emergency Department patients, increasing the revenue appropriately owed to hospitals for services rendered, improving the financial assistance processes involving self-pay Emergency Department patients, and reducing the number of avoidable Emergency Department visits among self-pay patients.

Impact: By the end of 2014, 57% of all benefit applications that were submitted were approved. In addition, 29% of all interested patients were connected to a primary care provider through a Community Access Specialist.

Even Start (USA)

Filed under Effective Practice, Education / Literacy, Children, Adults, Families

Goal: The Even Start Literacy Program is an education program for economically challenged families that is designed to improve the academic achievement of young children and their parents, especially in the areas of reading and language.

Every Baby to 1

Filed under Good Idea, Health / Children's Health, Adults, Women, Men, Older Adults, Families

Goal: Every Baby to 1 works to ensure every infant survives and thrives during their first year of life. Every Baby to 1 engages the faith community to develop education efforts and initiatives that address infant mortality. As a part of this, Every Baby to 1 promotes the "3 S" approach of Safe Sleep, Safe Space, and Social Support to reduce the risk of Sudden Unexpected Infant Death (SUID).

Fall Prevention (Dickinson County, Kansas)

Filed under Good Idea, Health / Older Adults, Adults, Women, Men, Older Adults, Rural

Goal: To reduce the risk of falls among residents over 65 years of age through education in fall awareness and prevention.

Impact: After the program, participants spoke with healthcare providers regarding dizziness and medication side effects, scheduled overdue eye exams, and implemented home safety ideas to reduce the risk of falling.

Family Nutrition Health Education Program (Greenwood, South Carolina)

Filed under Good Idea, Economy / Food Insecurity, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Rural

Goal: The objectives of the FNHE program are to reduce incidents of chronic disease and improve nutrient intake and general quality of life by:

• Access to food that meets nutritional needs
• Preparing and serving meals that are nutritious
• Managing food-related resources, including WIC and SNAP
• Access to benefits available through other community agencies and services
• Increased knowledge about physical activity

FAmily-CEntered (FACE) Advance Care Planning (Washington, D.C.)

Filed under Effective Practice, Health / Children's Health, Teens, Adults, Families

Goal: The goal of FACE-ACP is to give adolescents and adults living with a serious medical condition a voice by facilitating conversations between patients and their caregivers so they can achieve their goals and match medical treatment to their goals.

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.
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