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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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Reducing Emergency Department Visits and Hospitalizations Through Community Health Workers Integrated Into Primary Care: A Cost-Benefit Analysis

Filed under Evidence-Based Practice, Health / Other Conditions

Goal: The goal of this study is to determine how many Community Health Workers (CHW) would be needed to reduce emergency department (ED) visits and associated hospitalizations among their assigned patients to be cost-neutral from a payer's perspective.

Impact: This study adds significant knowledge to the existing literature on CHW programs, and particularly provides critical information to payers that can be used for making decisions on appropriate payment models

The Anne Arundel County REACH Program (Anne Arundel County, MD)

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

Goal: The goal of this program is to provide health care access to uninsured, low income residents of Anne Arundel County.

The Effect of Guided Care Teams on the Use of Health Services

Filed under Evidence-Based Practice, Health / Health Care Access & Quality, Adults, Older Adults

Goal: The goal of this study was to determine the effect of interdisciplinary primary care teams on health care utilization by patients with multiple chronic conditions.

Impact: This study concluded that guided care models can significantly impact home health care episodes.

Trying Alternative Cafeteria Options in Schools (TACOS) (Minneapolis and St. Paul, Minnesota)

Filed under Evidence-Based Practice, Health / Physical Activity, Teens, Urban

Goal: The goal of the TACOS program was to use an environmental intervention to increase the availability and consumption of lower-fat foods in a la carte areas of secondary school cafeterias.

Impact: The TACOS program successfully increased both the availability and sale of lower-fat foods in a la carte areas of secondary school cafeterias.

Vaccination Programs: Health Care System-Based Interventions Implemented in Combination

CDC

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases

Impact: The Community Preventive Services Task Force (CPSTF) recommends using a combination of health care system-based interventions to increase vaccination rates in targeted populations.

Access to Care (Cook County)

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

Goal: Access to Care aims to meet primary health care needs of low-income uninsured individuals.

Alabama Breast and Cervical Cancer Coalition (ABCCC) (Alabama)

Filed under Effective Practice, Health / Cancer, Women, Racial/Ethnic Minorities

Goal: To mobilize African American communities, public and community-based organizations and optimize resources to eliminate the disparity in breast and cervical cancer morbidity and mortality between African American and Caucasian women.

Brevard County Volunteer Dental Clinic (Brevard County, FL)

Filed under Effective Practice, Health / Oral Health

Goal: The goal of this program is to provide timely intervention and oral health service delivery to the stated population in order to reduce impact on local emergency departments and elevate the oral health care of Brevard's low-income citizens.

California Childcare Healthline (San Francisco Bay Area)

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

Goal: The goals of this program are to promote and maintain the broadest understanding of health and wellness in early childhood settings and to create linkages and promote collaboration between health and safety professionals and child care professionals.

Cancer Screening Office Systems (Cancer SOS) (Hillsborough County, FL)

Filed under Effective Practice, Health / Cancer, Adults, Racial/Ethnic Minorities

Goal: The goal of the Cancer SOS provider education program is to increase cancer screening in primary care settings serving disadvantaged populations.

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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