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.

Submit a Promising Practice

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.

Dental Caries (Cavities): School-Based Dental Sealant Delivery Programs

CDC

Filed under Evidence-Based Practice, Health / Oral Health

Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based programs to deliver dental sealants and prevent dental caries (tooth decay) among children.

Drivers Under the Influence Intensive Supervision Program (Multnomah County, OR)

Filed under Evidence-Based Practice, Community / Public Safety

Goal: The goal of the DISP program is to reduce drunk driving among alcohol traffic offenders.

DTaP Drop-off Quality Improvement Project (Wilson County, KS)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Children, Families, Rural

Goal: The goal of this program was to increase full DTaP series vaccination in Wilson County, Kansas.

Impact: Immunization completion rates increased from 70% to 82% after implementation.

Eat Well, Play Hard (Elyria, OH)

Filed under Good Idea, Health / Wellness & Lifestyle, Children

Goal: The goals of this program are to increase developmentally appropriate physical activity, to increase the consumption of fruit and vegetables by children, and to increase the consumption of low-fat milk products and calcium-rich foods. The long-range goal is to incorporate this theme into the life of Lorain County children through collaboration with schools, agencies and facilities that provide services and activities for children and their families.

Engaging Men and Boys of Color to Improve Mental Wellbeing (Washington)

Filed under Good Idea, Environmental Health / Built Environment, Children, Teens, Men, Racial/Ethnic Minorities

Goal: Making Connections for Mental Health and Wellbeing Among Men and Boys is a national initiative to transform community conditions that influence mental wellbeing. The Prevention Institute works with 13 communities across the U.S. to shift policies, practices, and norms to create greater opportunities for health and resilience, with particular focus on veterans and men and boys of color.

Enhanced Ranch Program (Santa Clara)

Filed under Effective Practice, Community / Crime & Crime Prevention, Teens, Families

Goal: ERP’s main objective is to provide therapeutic services to youth in the juvenile justice system and their families while maintaining a commitment to public safety.

Evaluating Undoing Racism and Health Equity Training with a State Health Department

Filed under Good Idea, Health

Goal: In this particular instance, the goal of the Undoing Racism Workshops was to enhance the capacity of the Michigan Department of Community Health's Bureau of Family, Maternal & Child Health to reduce racial disparities in infant mortality.

Impact: The Undoing Racism workshop helped to increase competency in the following topics:
-Racial prejudice and racism
-Racial privilege and power
-Institutional, cultural, and internalized racism
-Instiutional norms and practices
-Racial health disparities
-Social determinants of racial health disparities

Family Nutrition Health Education Program (Greenwood, South Carolina)

Filed under Good Idea, Economy / Food Insecurity, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Rural

Goal: The objectives of the FNHE program are to reduce incidents of chronic disease and improve nutrient intake and general quality of life by:

• Access to food that meets nutritional needs
• Preparing and serving meals that are nutritious
• Managing food-related resources, including WIC and SNAP
• Access to benefits available through other community agencies and services
• Increased knowledge about physical activity

Fit Community (North Carolina)

Filed under Effective Practice, Health / Physical Activity, Children, Teens, Families

Goal: The goal of the Fit Community initiative is to recognize communities that are making better quality of life a real priority by granting them awards to help in the implementation of community interventions targeting physical activity and healthy eating.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.