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

Community Nutrition and Urban Gardening (Riverdale, MD)

Filed under Good Idea, Education / School Environment, Children, Urban

Goal: The goal of the program is to build sustainable, local, urban gardens, in order to deliver more reliable and better nutrition to today’s youth and urban communities.

Community of Civano (Tuscon, AZ)

Filed under Effective Practice, Environmental Health / Built Environment

Goal: The overall mission of the Civano Community is:
- To create a sense of place that fosters community and connects people to one another and their natural environments
- To tread lighter on the land through innovative design, and
- To introduce sustainable construction materials and new technologies to advance the quality of life.

Specific performance targets include:
- Reduce energy consumption by 75%
- Reduce potable water consumption by 65%
- Reduce landfill-destined solid waste by 90%
- Reduce internal vehicle trip miles by 40%, and
- Create one community job for every 2 residences.

Community Outreach (Sonoma County, CA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The goal of the program is reduction of public health risk by informing and empowering citizens through the cooperation, communication, collaboration, and coordination of government agencies and the private sector.

Community Outreach Addictions Team

Filed under Good Idea, Health / Alcohol & Drug Use, Adults

Goal: To reduce the number of heroin overdose deaths in the community and to provide immediate peer support to those in crisis.

Impact: COAT peers counselors are able to provide immediate response and support to help individuals achieve long-term recovery.

Community Voice: Palm Beach (Palm Beach)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Racial/Ethnic Minorities, Urban

Goal: Community Voice is a grassroots program that utilizes community residents to provide factual perinatal information throughout the community in an effort to reduce African American infant mortality.

Community Voice: Taking it to the People (Lynchburg, VA)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Racial/Ethnic Minorities

Goal: The goal of the program is to decrease African American infant mortality through raising awareness of racial health disparities, encouraging safe and healthy lifestyle practices, and providing correct perinatal health education.

Community-based Exposure Study and Development of a Community-First Communication Model (San Francisco)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Rural

Goal: The goal of this study was to address the health effects of PFOA pollution, with a strong desire to implement a community-driven communication strategy to communicate the study results.

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.

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.