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

Mayor's Healthy Hometown Movement (Louisville, KY)

Filed under Good Idea, Health / Wellness & Lifestyle

Goal: MHHM was rolled out with the following overall goal: to create a community wide culture that encourages and supports healthy lifestyles by promoting increased physical activity (10,000 steps/day goal), optimal nutrition, healthy public policy and access to resources and facilities that bolster the stated goal. Specific goals include:

- Increasing the number of people in Louisville Metro who engage in 30 minutes of moderate physical activity at least 5 days a week by 15%.
- Decreasing the percentage of overweight or obese people in Louisville Metro by 10%.
- Increasing from 22% to 38% the number of people in Louisville Metro who eat five or more servings of fruits and vegetables per day.

Past and future Behavior Risk Factor Surveillance System (BRFSS) surveys will be used to measure baseline and follow-up indicators.

McNeil Island Corrections Center Family and Fatherhood Program (Tacoma, WA)

Filed under Effective Practice, Community / Social Environment

Goal: The goal of this program is to promote positive family relationships, help incarcerated fathers learn skills to be active and involved fathers, encourage incarcerated fathers to
provide financial support for their children, facilitate programs for offender families through community partnerships, and provide constructive opportunities for children to participate in special activities with their incarcerated father.

Media-Smart Youth: Eat, Think and Be Active! (San Francisco)

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

Goal: Media-Smart Youth aims to stimulate youth to think about physical activity and nutrition by developing an awareness of the link between media and health.

Medical Legal Partnerships: Embedding Civil Legal Aid Services in Care for High-Utilizing Patients (Lancaster, PA)

Filed under Effective Practice, Community / Governance, Children, Teens, Adults, Families, Urban

Goal: The goal of the pilot was to assess the impact on health care use of addressing patients’ civil legal problems – the social, financial, or environmental problems that require assistance from lawyers to remedy. The lawyer was embedded in the health care team and present during case management discussions to identify specific civil legal problems and to help the team better understand how to address them. Additionally, this partnership provided civil legal aid services to patients when needed in a community health care system.

Impact: This pilot shows a medical-legal partnership for the super-utilizers of healthcare can lead to efficiencies within the health care system, reduce costs, and improve health outcomes among the most vulnerable patients.

Michigan Model for Health (Michigan)

Filed under Evidence-Based Practice, Health / Children's Health, Children, Teens

Goal: The goals of this program are to establish a single application for school-based youth prevention programs; provide a common language and approach for parent, community, and student health programs; and reinforce prevention messages from a variety of sources.

Impact: Students who received the Michigan Model curriculum had significantly better health outcomes in several areas: social and emotional health, interpersonal skills, aggressive behavior, safety attitudes and skills, physical activity skills, nutrition behavior, drug refusal skills, recent alcohol and tobacco use, and intentions to use alcohol and smoke cigarettes.

Mobile Community CareLink (CCL) (Kansas City, MO)

Filed under Good Idea, Health / Alcohol & Drug Use, Teens, Adults, Women, Men, Older Adults, Families, Urban

Goal: The goal of Mobile CCL is to foster a higher level of client engagement and motivation in the treatment/recovery process.

Impact: As a web-based client portal to care management, Mobile CCL is enabling the integration of behavioral health treatment with primary care.

Move More Diabetes (Waterville, ME)

Filed under Good Idea, Health / Diabetes, Adults, Rural

Goal: The goal of MMD is to increase physical activity among people with type 2 diabetes and improve their disease self-management skills.

Multifaceted Mass Media Campaign on the Warning Signs of Stroke (Canada)

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

Goal: The goal of this media campaign was to increase public knowledge of the warning signs of stroke.

Impact: The ability to name the warning signs of stroke increased in communities exposed to television ads.

North Dakota Diabetes Care Provider Report (North Dakota)

Filed under Effective Practice, Health / Diabetes, Adults

Goal: The goal of the North Dakota Diabetes Care Provider Report is to improve quality of diabetes care and management in the state.

Northern Michigan Diabetes Initiative: Provider Education Program (Michigan)

Filed under Evidence-Based Practice, Health / Diabetes, Rural

Goal: The overall goal is to reduce the prevalence of diabetes and improve the care of people with diabetes by improving provider education.

Impact: The results indicate that a half-day site visit with an experienced diabetologist can lead to sustained, improved glycemic and lipid control in previously-uncontrolled diabetic patients. The online iDose tool provides an easy way for healthcare providers to calculate insulin dosage.

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.