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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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Promotores de Salud (community health workers) (Georgia)

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

Goal: The goal of Promotores de Salud is to improve the delivery of healthcare to under-served Latinos by using trained community members (Promotores) to bridge the gap between Latinos and healthcare providers.

Putnam County Early Entry into Prenatal Care-WIC (Putnam County, FL)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women

Goal: The goal of this program is to increase prenatal entry into WIC. The ultimate purpose is to lower the rate of low birth weight as well as the rate of infant mortality.

Required Influenza Vaccination for Children in Licensed Child Care or Preschool Programs

Filed under Evidence-Based Practice, Community / Governance, Children

Goal: The goal of requiring that all Connecticut children receive at least 1 dose of influenza vaccine each year to attend a licensed child care program and preschool setting is to reduce influenza transmission and decrease influenza-associated hospitalizations statewide.

Impact: Requiring vaccination for admission into a licensed child care program or preschool program has helped to increase vaccination rates among children in Connecticut and reduced serious morbidity from influenza statewide.

Salud Para Su Corazón (Health for Your Heart) (Washington D.C.)

Filed under Effective Practice, Health / Heart Disease & Stroke, Racial/Ethnic Minorities

Goal: The goal of Salud Para Su Corazón is to raise awareness and knowledge of heart disease risk factors and prevention among Latino populations.

Tailored Caregiver Assessment and Referral (TCARE)

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

Goal: TCARE supports Area Agencies on Aging (AAAs) by strengthening agencies' abilities to support family caregivers through its Evidence-Based software and protocol.

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.

The Effect of Guided Care Teams on the Use of Health Services

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults

Goal: The goal of this study was to determine the effect of interdisciplinary primary care teams on health care utilization by patients with multiple chronic conditions.

Impact: This study concluded that guided care models can significantly impact home health care episodes.

Trying Alternative Cafeteria Options in Schools (TACOS) (Minneapolis and St. Paul, Minnesota)

Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Urban

Goal: The goal of the TACOS program was to use an environmental intervention to increase the availability and consumption of lower-fat foods in a la carte areas of secondary school cafeterias.

Impact: The TACOS program successfully increased both the availability and sale of lower-fat foods in a la carte areas of secondary school cafeterias.

Asthma Care Training (ACT) for Kids (Bronx, NY)

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

Goal: Effective asthma control can improve quality of life, reduce medical costs, and reduce the number of asthma-related emergency department visits, hospitalizations, school and work days missed, days of restricted activity, and deaths each year.

Baltimore Healthy Carryout Project (Baltimore, MD)

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

Goal: The goal of the Baltimore Healthy Carryout project was to increase healthy food options at carryout facilities and restaurants in Baltimore's low-income neighborhoods.

Impact: The BHC project reached 36.8% more customers during the intervention period than at baseline when comparing intervention carryouts to comparison carryouts. Customers reported purchasing specific foods due to the presence of a photo on the menu board (65.3%) or menu labeling (42.6%).

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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