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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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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.

Cradle Kansas City

Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Teens, Adults, Women, Men, Older Adults, Families

Goal: Cradle Kansas City only has one goal, to close the health equity gap. By doing this, they will impact premature birth and infant and maternal mortality. They accomplish this through partnerships medical systems, resident-built strategies, and clear messaging that is aimed at systemic change.

Crosstown 116: Bringing Habitat II Home (San Francisco)

Filed under Good Idea, Economy / Economic Climate

Goal: The goal of Crosstown 116 was to foster participatory planning, sustainability, gender equity, increased awareness, and housing alternatives.

Cycles of Change (Alameda County, CA)

Filed under Effective Practice, Community / Transportation, Children, Teens, Adults, Urban

Goal: The goal of Cycles of Change is to enable community members to use bicycles as a primary form of transportation through bicycle education and distribution programs.

Dental Caries (Cavities): Community Water Fluoridation

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends community water fluoridation to reduce tooth decay (i.e., dental caries or cavities).

Diabetes Community Collaboration Program (Minnesota)

Filed under Effective Practice, Health / Diabetes

Goal: The goal of the DCCP is to improve diabetes care and education in Minnesota.

Diabetes Patient Education in a Mexican-American Community (Starr County, TX)

Filed under Effective Practice, Health / Diabetes, Racial/Ethnic Minorities

Goal: The goal of this promising practice was to provide Mexican-Americans with the knowledge, skills, and support to improve general health measures and manage their diabetes.

Direct Mailing of Fecal Occult Blood Tests to Increase Colorectal Cancer Screening (Wright County, MN)

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

Goal: The goal of this program was to increase colorectal cancer screening using direct mailings of fecal occult blood test (FOBT) kits for noninvasive colon cancer screening.

Impact: Direct mailing of FOBT kits resulted in an increase in self-reported colon cancer screening adherence.

Domestic Violence Intervention Program (DVIP) (Cedar, Iowa, Johnson, and Washington Counties, IA)

Filed under Good Idea, Community / Domestic Violence & Abuse, Children, Women, Men, Families

Goal: The mission of the Domestic Violence Intervention Program is to end domestic violence through support, advocacy, shelter and education.

Door-to-Door Van Service for Outpatient Services (Aliquippa, PA)

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

Goal: To increase attendance rates and decrease transportation-related barriers to outpatient PT clinic patients.

Impact: When patients were offered a van service, attendance rates increased at the physical therapy clinic.

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.