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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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Flex Your Power Case Study: City and County of San Francisco (San Francisco)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: The goal of these projects was to find ways to maximize energy conservation and efficiency through measures with a quick payback period.

Georgia's Teenage and Adult Driver Responsibility Act (Georgia)

Filed under Evidence-Based Practice, Community / Public Safety, Teens

Goal: The goal of TADRA is to reduce fatal crashes among teenage drivers.

Impact: After the implementation of TADRA, speed-related fatal crashes were cut by 42%, and alcohol-related fatal crashes decreased nearly 60%.

GIS Walking Maps (Boston, MA)

Filed under Good Idea, Health / Physical Activity, Adults, Older Adults, Families, Urban

Goal: Walking maps are designed to encourage low-income individuals to increase their physical activity by providing information on safe walking routes and destinations within their neighborhood.

Going Places, Making Choices

Filed under Good Idea, Community / Transportation, Teens

Goal: The curriculum is designed to build upon a young person's capacity for critical thinking, problem-solving, decision-making and other life skills essential for a systematic approach to addressing issues of community sustainability. More specifically, they chose transport as a lens through which a community's environment, culture, and value systems are examined.

Health and Wellness Outreach Initiative (Chicago, IL)

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

Goal: White Crane's health outreach model strives to reduce the incidence of risk factors for preventable disease, to motivate and educate seniors to take control of their health, and to make primary health care services accessible to vulnerable elders.

Health Care and Public Service Use and Costs Before and After Provision of Housing for Chronically Homeless Persons With Severe Alcohol Problems

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Racial/Ethnic Minorities

Goal: To evaluate the association of a “Housing First” intervention for chronically homeless individuals with severe alcohol problems with health care use and costs.

Impact: Total cost offsets for Housing First participants relative to controls averaged $2449 per person per month after accounting for housing program costs.

Health Plan of San Mateo Housing Supports Pilot (San Mateo County, CA)

Filed under Effective Practice, Health, Older Adults, Urban

Goal: The goal of the program was to target the housing support needs of its members with the objective of reducing institutionalization, improving quality of life, and reducing total costs of care.

Impact: The large majority of participants surveyed indicated that their quality of life was maintained or increased during the pilot and that they were satisfied with the program.

Healthy Baby Manitoba (Canada - Manitoba)

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

Goal: The goal of the Healthy Baby program is to provide financial assistance and community support to low-income pregnant women in order to support the health of Manitoba’s future children.

Heart Disease and Stroke Prevention: Self-Measured Blood Pressure Monitoring Interventions for Improved Blood Pressure Control When Combined with Additional Support

NewCDC

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke

Impact: The Community Preventive Services Task Force (CPSTF) recommends self-measured blood pressure monitoring interventions combined with additional support to improve blood pressure outcomes in patients with high blood pressure. Additional support may include patient counseling, education, or web-based support. Economic evidence indicates that self-measured blood pressure monitoring interventions are cost-effective when they are used with additional support or within team-based care.

Heart Disease and Stroke Prevention: Tailored Pharmacy-based Interventions to Improve Medication Adherence

CDC

Filed under Evidence-Based Practice, Health / Heart Disease & Stroke

Impact: The Community Preventive Services Task Force (CPSTF) recommends tailored pharmacy-based adherence interventions for cardiovascular disease prevention. Evidence shows interventions delivered by pharmacists in community and health system pharmacies increased the proportion of patients who reported taking medications as prescribed. The CPSTF also finds these interventions are cost-effective for cardiovascular disease prevention.

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.