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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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Home-Delivered Meals Postdischarge From Heart Failure Hospitalization (GOURMET-HF) (Columbia University Medical Center, the Ann Arbor Veterans Affairs Health System, and the University of Michigan Health System)

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

Goal: The goals of GOURMET-HF are to assess the safety of the intervention, including effects on cardiac biomarkers and rehospitalization burden.

Impact: Home-delivered DASH/SRD after HF hospitalization appear safe in selected patients and had favorable effects on HF clinical status and 30-day readmissions. The GOURMET-HF pilot study suggests that postdischarge nutritional support has the potential to improve HF symptoms and reduce readmissions

Housing for Health Permanent Supportive Housing Program (Los Angeles County)

Filed under Evidence-Based Practice, Economy / Housing & Homes, Adults, Urban

Goal: Housing for Health program goals are to improve patients’ health, reduce costs to the public health system, and demonstrate DHS’s commitment to addressing homelessness within Los Angeles County.

Impact: The average public service utilization cost per participant for the year prior to housing totaled $38,146; in the year after receiving housing, it totaled $15,358. When taking into account PSH costs, RAND observed a 20-percent net cost savings, suggesting a potential cost benefit of the program.

Jail Linkage Project (Pinellas County, FL)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of the Jail Linkage Project is to connect the incarcerated population with health care screening and prevention services.

Kalihi Valley Nature Park and Active Living Center (Honolulu, HI)

Filed under Good Idea, Health / Wellness & Lifestyle

Goal: The goal of this program is to create a connection to nature, gardening and hiking for the Kalihi valley's urban residents.

Market Makeovers/Corner Store Conversions (South Los Angeles)

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

Goal: The goal of this program is to reduce childhood obesity and diabetes by increasing access to nutritious food for children and families.

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.

Need for Control: Downshift (Sonoma )

Filed under Good Idea, Health / Prevention & Safety, Teens

Goal: To prevent death and injury from car crashes among teens by reducing driving speed and driver distractions.

New York City's Phase Out of Artificial Trans Fat (New York)

Filed under Good Idea, Health / Physical Activity, Urban

Goal: On December 5, 2006, the NYC Board of Health approved an amendment to the Health Code to phase out artificial trans fat in all NYC restaurants and other food service establishments. It is now in full effect.

North Dakota State Long Term Care Ombudsman Program (North Dakota)

Filed under Effective Practice, Health / Older Adults, Older Adults, Rural

Goal: The purpose of the ombudsmen is to recognize potential problems and represent elderly and institutionalized clients throughout the state.

Nurses Improving Care for Health System Elders (NICHE)

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

Goal: The goal of NICHE is to achieve systematic nursing change that will benefit hospitalized older patients. The vision of NICHE is for all patients 65 and over to be given sensitive and exemplary care. The mission of NICHE is to import principles and tools to stimulate a change in the culture of healthcare facilities to achieve patient-centered care for older adults.

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.