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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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Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial (Philadelphia)

Filed under Good Idea, Health / Health Care Access & Quality, Urban

Goal: The goal of the clinical trial was to evaluate the association between rideshare-based medical transportation and missed primary care appointments among Medicaid patients.

Impact: Although the uptake of ridesharing was low and did not decrease missed primary care appointments for this particular clinical trial, future studies trying to reduce missed appointments can explore alternative delivery models or target populations with stronger transportation needs.

Asthma Care Training (ACT) for Kids (Bronx, NY)

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

Goal: Effective asthma control can improve quality of life, reduce medical costs, and reduce the number of asthma-related emergency department visits, hospitalizations, school and work days missed, days of restricted activity, and deaths each year.

Asthma Home Visiting Program (San Francisco, CA)

Filed under Effective Practice, Health / Respiratory Diseases, Children, Adults, Racial/Ethnic Minorities, Urban

Goal: The Asthma Home Visiting Program aims to reduce asthma triggers present in the home.

Impact: Home visiting can help reduce asthma triggers in the home, decreasing symptoms, missed days of work or school, and emergency room visits and hospitalizations.

Asthma Safe Kids (Philadelphia area, PA)

Filed under Effective Practice, Health / Children's Health, Children

Goal: The goal of this program is to reduce the triggers of asthma by educating and increasing awareness to at risk populations.

At the Crossroads (ATC) (San Francisco, CA)

Filed under Good Idea, Health / Adolescent Health, Teens, Adults, Urban

Goal: The mission of At The Crossroads is to reach out to homeless youth and young adults at their point of need, and provide them with services and programs that will empower them and improve their lives.

Atlanta Streets Alive (Atlanta, GA)

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

Goal: Atlanta Streets Alive seeks to shift the current car-centric dynamic and replace it with a proactive community that comes together on a regular basis to participate in active transportation, physical activity, cultural and artistic endeavors, and to enjoy our neighborhoods and communities from a different perspective-from the street.

Avian Flu Outbreak and Vaccination Drill (Yolo County, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The purpose of the exercise was to train health and emergency medical personnel in planning for and responding to large scale disease outbreaks. The most proven method to assure an effective response to a real event is to practice a well-coordinated multi-agency field exercise.

AZTech Intelligent Transportation System (Maricopa County, AZ)

Filed under Effective Practice, Community / Transportation

Goal: The AZTech Executive Committee set the following objectives:

1. Integrate the existing Intelligent Transportation Infrastructure (ITI) into a regional system.
2. Establish a regional integrated traveler information system for the multi-modal travelers.
3. Demonstrate the benefits of integrated community-based transportation systems to achieve system efficiencies.
4. Provide a showcase of how technology can improve the overall quality of life, conserve energy and reduce pollution.
5. Set a worldwide standard of excellence for deployment of ITS in a major economy.

Baby & Me - Tobacco Free (Chautauqua County, NY)

Filed under Effective Practice, Health / Alcohol & Drug Use, Women

Goal: The goal of this program is to reduce the rate of pregnant women who smoke in Chautauqua County.

Baby-Friendly Hospital Initiative (Boston, MA)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families, Urban

Goal: The goal of the project was to increase breastfeeding initiation rates through the implementation of Baby-Friendly policies.

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.
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