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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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Addressing the Social Determinants of Health through the Alameda County, California, Place Matters Policy Initiative (Alameda County, CA)

Filed under Good Idea, Health, Urban

Goal: The goal of the Place Matters initiative is to improve the health of participating communities by “addressing social conditions that lead to poor health” through “identifying the complex root causes of health disparities and defining strategies to address them.”

Impact: AC Place Matters has identified 10 best practices that could help other programs address social determinants of health: find and foster strong leadership, dedicate staff resources to the work, engage staff from across the local health department, contribute to building grassroots power, address root causes, partner with community organizations and leaders, partner with government institutions across sectors, work reactively and proactively, build capacity, and use tools that ensure a focus on health equity.

Alabama Breast and Cervical Cancer Coalition (ABCCC) (Alabama)

Filed under Effective Practice, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: To mobilize African American communities, public and community-based organizations and optimize resources to eliminate the disparity in breast and cervical cancer morbidity and mortality between African American and Caucasian women.

Alameda County Food Scrap Recycling (Alameda County, CA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Urban

Goal: The goal of this program is to reduce food waste in order to achieve the ultimate Alameda County goal of a 75% landfill diversion rate by the year 2010.

Alcohol and Other Drug Death Review (Humboldt County, CA)

Filed under Good Idea, Health / Alcohol & Drug Use

Goal: The goal of this program is to involve community partners in reviewing individual deaths, generating recommendations for improved community collaboration, and initiating new practices.

Assessment and Referral (Kansas City, MO)

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: The goal of Assessment and Referral is to help individuals struggling with a substance use disorder evaluate their needs and strengths and begin to make healthy choices that improve the overall quality of their lives.

Impact: First Call provided over 1,700 assessments in 2013, and more than half of clients showed improvements in their Addiction Severity Index (ASI) scores or a decrease in substance use.

Avian Flu Outbreak and Vaccination Drill (Yolo County, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The purpose of the exercise was to train health and emergency medical personnel in planning for and responding to large scale disease outbreaks. The most proven method to assure an effective response to a real event is to practice a well-coordinated multi-agency field exercise.

Brevard County Volunteer Dental Clinic (Brevard County, FL)

Filed under Effective Practice, Health / Oral Health

Goal: The goal of this program is to provide timely intervention and oral health service delivery to the stated population in order to reduce impact on local emergency departments and elevate the oral health care of Brevard's low-income citizens.

Broader Urban Involvement and Leadership Development Program (BUILD) (Chicago, IL)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Urban

Goal: BUILD's mission is to engage at-risk youth in the schools and on the streets, so they can realize their educational and career potential and contribute to the stability, safely and well being of your communities.

Buncombe County Project Access (Buncombe County, NC)

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

Goal: The goal of Project Access is to improve access to specialty health care in Buncombe County.

Chatham County Jail Health Information Exchange

Filed under Good Idea, Health / Mental Health & Mental Disorders

Goal: To have an EMR system that allows medical professionals to correctly diagnose and address the medical needs of incarcerated patients in the emergency room or in the prison system.

Impact: The program has allowed for greater accessibility and sharing of medical data.

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.