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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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New Communities Program (Chicago, IL)

Filed under Good Idea, Community / Social Environment, Children, Teens, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the New Communities Program is to strengthen communities from within through planning, organizing, and human development.

Nurses Improving Care for Health System Elders (NICHE)

Filed under Good Idea, Health / Older Adults, Older Adults

Goal: The goal of NICHE is to achieve systematic nursing change that will benefit hospitalized older patients. The vision of NICHE is for all patients 65 and over to be given sensitive and exemplary care. The mission of NICHE is to import principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults.

Open Doors to Health (Boston, MA)

Filed under Good Idea, Health / Cancer, Adults, Older Adults, Families, Urban

Goal: Open Doors to Health promotes colon cancer screening and improves access to screening centers by helping people overcome common barriers to these services.

Orange County Juvenile Substance Abuse Treatment Court (Orange County, FL)

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

Goal: Florida started the drug court movement by creating the first treatment-based drug court in the nation in 1989. The drug court concept was developed in Dade County (Miami, Florida) stemming from a federal mandate to reduce the inmate population or suffer the loss of federal funding. The Supreme Court of Florida recognized the severity of the situation and directed Judge Herbert Klein to research the problem. Judge Klein determined that a large majority of criminal inmates had been incarcerated because of drug charges and were revolving back through the criminal justice system because of underlying problems of drug addiction. It was decided that the delivery of treatment services needed to be coupled with the criminal justice system and the need for strong judicial leadership and partnerships to bring treatment services and the criminal justice system together.

Parent Navigator Program (Washington, D.C.)

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

Goal: The program aims to provide ongoing comprehensive care coordination to children with medically complex and chronic conditions within Children's National health care system.

Portland's Local Action Plan to Reduce Carbon Dioxide Emissions (Portland, OR)

Filed under Effective Practice, Environmental Health / Air, Urban

Goal: The 2001 action plan, which is more aggressive than the Kyoto Protocol, calls for a 10 percent reduction below 1990 carbon dioxide emissions by 2010.

Posse (USA)

Filed under Good Idea, Education / Educational Attainment

Goal: The goal of the Posse Foundation is to provide top institutions with a selection of exemplary students from diverse backgrounds that they can recruit, improve the college environment for students of all backgrounds, and help Posse Scholars graduate and find leadership positions in the workforce.

Project START (USA)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults

Goal: The goal of Project START is to reduce sexual risk behavior of young men re-entering the community after incarceration.

Prompting and Reminding at Encounters for Prevention (PREP) (Michigan)

Filed under Effective Practice, Health / Cancer, Adults, Rural

Goal: The goal of the PREP computerized reminder system is to increase colorectal cancer screening.

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.