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.
The Berkeley Charleston Dorchester Regional Bicycle and Pedestrian Action Plan (Berkeley-Charleston-Dorchester, SC)
Filed under Good Idea, Community / Transportation
Goal: The Berkeley Charleston Dorchester Regional Bicycle and Pedestrian Action Plan is based on three principles:
(1) Children should be able to safely walk and bike to school if they and their parents so choose.
(2) Roadways should equally accommodate pedestrians, bicyclists, and motorists.
(3) Bicycling and walking should become a routine part of daily activity in the BCD region.
Filed under Good Idea, Health / Cancer, Women
Goal: The goal of this program is to reduce barriers to exercise and increase the likelihood that people will engage in physical activity.
Meal Delivery Programs Reduce the Use of Costly Health Care in Dually Eligible Medicare And Medicaid Beneficiaries (Massachusetts)
Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults, Urban
Goal: In this study, it was sought to examine whether home delivery of medically tailored meals or non-tailored food reduces the use of selected health care services and medical spending among Commonwealth Care Alliance members. Because there is knowingly an association between food insecurity and emergency room visits, it was hypothesized that the medically tailored meals would cause a reduction in ER visits and other costly healthcare services and expenditures.
Impact: Researchers estimate monthly net savings of $220 per participant for medically tailored meals and $10 per participant for the non-tailored food program. This study suggests that vulnerable patients, in this case, the dually eligible Medicaid and Medicare, can benefit from meal delivery programs.
Filed under Effective Practice, Health / Health Care Access & Quality, Children
Goal: The goal of the King County Asthma Forum is to improve asthma outcomes among low-income children.
Filed under Effective Practice, Community / Social Environment
Goal: The mission of the program is to work vigorously to free participants from the burden of welfare dependency, and achieve a better, happier lifestyle through self-sufficiency. It will serve the taxpayers of Riverside County by reducing welfare dependency, thus making tax dollars available for other expenditures and needs.
Impact: The program produced a large net savings to the government through increased tax revenues and reduced welfare and food stamps payments (as an estimate, $2.84 saved for every $1.00 invested over five years).
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.
Filed under Evidence-Based Practice, Health / Older Adults, Adults, Older Adults, Urban
Goal: CAPABLE is a 5-month structured home visit program delivered by an occupational therapist (OT), a registered nurse (RN), and a handyman to improve daily function in older adults and to lower the monthly average Medicaid expenditure and likelihood of costly healthcare services.
Impact: This study demonstrates that home visit programs can improve the daily quality of life in aging adults. Additionally, they can lead to a reduction in Medicaid expenditures via lower inpatient costs and lower long-term care costs.
Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens
Goal: The goals of the MCM are to provide a comprehensive and centralized concussion care program to 1) increase concussion awareness and identification through education and training; 2) facilitate the return to play decision with effective medical treatment, which includes baseline neurocognitive testing; and 3) implement a standardized concussion care protocol and concussion injury surveillance system to assist in the prevention of concussions, improve player safety, and limit school liability.
Impact: From the pilot evaluation of the model it was determined that the MCM model or a similarly designed one is effective in increasing the number of concussions identified, reported, and also treated at a clinic.
Filed under Effective Practice, Environmental Health / Built Environment
Goal: The goal of this program is to help protect, restore, and conserve the air, water, land and ecosystem resources of Miami-Dade County.
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.