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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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Diabetes Management for the Homeless: Sojourner Clinic (Kansas City, MO)

Filed under Effective Practice, Economy / Housing & Homes, Adults, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The goal of Sojourner Health Clinic is to pick up where the current medical system leaves off by providing free acute and ongoing healthcare to patients who do not have access--or are reluctant to access—traditional routes to a doctor or medicine.

Impact: During 2012, the Sojourner Health Clinic managed to increase the number of diabetic patients with A1C levels below 9 percent from 15% to 83%, reducing the average blood glucose level of patients and giving them a better sense of control over their diabetes.

Diabetes Patient Education in a Mexican-American Community (Starr County, TX)

Filed under Effective Practice, Health / Diabetes, Racial/Ethnic Minorities

Goal: The goal of this promising practice was to provide Mexican-Americans with the knowledge, skills, and support to improve general health measures and manage their diabetes.

Dining with Dignity (Kansas City, MO (Historic Northeast))

Filed under Effective Practice, Economy / Poverty, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: As a leader in Kansas City's emergency food network, ECS is committed to providing access to healthy food for the community's food-insecure households. Its mission is to engage the Episcopal and broader communities in feeding the hungry and empowering the poor to move beyond the barriers of poverty with dignity - in short, feeding the hungry & changing lives. ECS is best known for the Kansas City Community Kitchen (KCCK) in the heart of the urban food desert. ECS also works to provide meaningful training experience through the Culinary Cornerstones Training Program, a 30-week immersive program preparing individuals for careers in the culinary world.

Impact: Since implementing the new service model, there has been a 10% average increase in the number of daily meals served at the Kansas City Community Kitchen. There has also been a large increase of volunteers, with an increasing number of recurring volunteers.

DO-IT (Disabilities Opportunities Internetworking Technology) Scholars Program (Seattle, WA)

Filed under Effective Practice, Economy / Employment, Children

Goal: The goal of the DO-IT Scholars Program is to increase the participation of individuals with disabilities in challenging academic programs and careers. Its mission is to promote the use of computing and networking technologies to increase independence, productivity, and participation in education and employment.

Domestic Violence Intervention Program (DVIP) (Cedar, Iowa, Johnson, and Washington Counties, IA)

Filed under Good Idea, Community / Domestic Violence & Abuse, Children, Women, Men, Families

Goal: The mission of the Domestic Violence Intervention Program is to end domestic violence through support, advocacy, shelter and education.

Doors to Discovery (USA)

Filed under Effective Practice, Education / Childcare & Early Childhood Education, Children, Families

Goal: The Doors to Discovery curriculum builds a foundation for literacy by focusing on children's vocabulary and expressive and receptive language skills.

Dotwell for a Healthy Neighborhood (Dorchester, MA)

Filed under Good Idea, Community / Social Environment, Urban

Goal: The mission of DotWell is to guarantee high-quality clinical and community services across both sites—addressing health disparities, meeting the complex needs of a changing Dorchester community, and building social capital in and across neighborhoods.

Drinking Water Nitrification Surveillance Program (Lee County, FL)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health

Goal: The goal of this program is to detect nitrification in drinking water in order to protect infants under six months old from methemoglobinemia and prevent other consequential bacteriological problems.

Driving and Dementia Toolkit (Ottawa, Canada)

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

Goal: The goal of this toolkit is increase health care provider knowledge and confidence in assessing the driving skills of patients with dementia.

DTaP Drop-off Quality Improvement Project (Wilson County, KS)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Children, Families, Rural

Goal: The goal of this program was to increase full DTaP series vaccination in Wilson County, Kansas.

Impact: Immunization completion rates increased from 70% to 82% after implementation.

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.