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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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Hospital Diversion Initiative (Kansas City, MO)

Filed under Effective Practice, Health / Health Care Access & Quality, Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of the Hospital Diversion Initiative is to connect individuals who chronically utilize the inpatient and emergency rooms with outpatient care.

Impact: After three months in the program, participants showed a 66% reduction in ER visits, 68% reduction in inpatient hospital stays, a 72% decrease in homelessness, an 18% reduction in unemployment, and a 66% decrease in past 30 day arrests. More than 350 individuals have been served so far.

Housing and the Role of Hospitals (Chicago, IL)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Urban

Goal: The goal was to create a housing program as one way to respond to chronic homelessness and associated health concerns.

Housing as Health Care - New York’s Boundary-Crossing Experiment (New York)

Filed under Good Idea, Economy / Housing & Homes

Goal: The goal of this experiment is to estimate the effects of New York’s plan for supportive housing for high-need, high-cost Medicaid recipients.

Impact: Placing people who are homeless in supportive affordable housing paired with supportive services such as on-site case management and referrals to community-based services can lead to improved health, reduced hospital use, and decreased health care costs.

Housing Opportunities for Persons with AIDS (USA)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Adults, Families

Goal: The goal of the HOPWA program is to help families pay housing expenses so that they are not displaced due to costs and discrimination associated with HIV/AIDS.

Illumination Foundation (Orange County, CA)

Filed under Effective Practice, Economy / Housing & Homes, Children, Teens, Adults, Urban

Goal: The goal of the Illumination Foundation is to bridge the gaps in existing services for the most underserved to break or prevent the cycle of homelessness in Orange County.

IMMUNITY Campaign (San Francisco, CA)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Adults, Women, Men, Urban

Goal: The goal of the IMMUNITY campaign is to increase awareness around the importance of adults receiving vaccinations for commonly preventable diseases.

Immunization Case Management Intervention (Los Angeles, CA)

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

Goal: The goal of this immunization case management intervention is to improve immunization rates among infants of low-income, urban, African American families.

Impact: Immunization case management increased the knowledge of immunization schedules, rate of well-child visits, and up-to-date immunization rate for children of participating families.

In Our Own Back Yard (Sonoma, CA)

Filed under Good Idea, Environmental Health / Built Environment, Children

Goal: The goal of the In Our Own Back Yard program is to cultivate connection to, comfort in, and informed appreciation of the outdoors among participants.

Independent Transportation Network (Portland, ME)

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

Goal: The mission of this program is to provide a community-based, and community supported, economically viable and consumer-oriented, quality transportation service for seniors.

Indianapolis Restorative Justice Project (Indianapolis, IN)

Filed under Effective Practice, Community / Crime & Crime Prevention, Children, Teens, Urban

Goal: The goal of this program is to divert young first-time offenders from court into a restorative justice process in which the offender and victim negotiate a satisfactory solution.

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.