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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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Effect of a housing and case management program on emergency department visits and hospitalizations among chronically ill homeless adults: a randomized trial (Chicago, Illinois)

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

Goal: To assess the effectiveness of a case management and housing program in reducing the use of urgent medical services among homeless adults with chronic medical illnesses.

Impact: For every 100 homeless adults offered the intervention, the expected benefits over the next year would be 49 fewer hospitalizations, 270 fewer hospital days, and 116 fewer ED visits.

EFFEKT

Filed under Effective Practice, Health / Alcohol & Drug Use, Teens, Families

Goal: EFFEKT seeks to reduce teenage alcohol use by changing the attitudes of their parents. Information is disseminated to the parents at school meetings at the beginning of each semester and through regular communications.

Impact: EFFEKT seeks to reduce teen drinking by changing parental behaviors through structured presentations at their child’s school. Working with parents proved to be an effective way to reduce underage drinking as well as teen delinquency.

Elizabeth River Project (Virginia)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants, Children, Teens, Adults

Goal: To restore the Elizabeth River to the highest practical level of environmental quality through government, business and community partnerships.

Ellis Street Apartments (San Francisco, CA)

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

Goal: To provide an independent living situation with support services for at-risk youths aged 18 to 24.

EMERGE (Minneapolis, MN)

Filed under Good Idea, Economy / Employment, Teens, Adults, Families, Urban

Goal: Invest in people through social enterprise.

Employment Training Center (San Francisco, CA)

Filed under Good Idea, Education / Educational Attainment, Teens, Racial/Ethnic Minorities, Urban

Goal: The goal of the Employment Training Center is to provide at-risk, low-income youth and young adults with training in the green construction field in order to help them gain vital life and employment skills and achieve self-sufficiency.

ENERGY STAR (USA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Families

Goal: The goal of this program is to reduce energy usage in order to save on energy costs, increase energy reliability, prevent greenhouse gas emissions, and improve national energy security. It is also an essential strategy for reducing natural gas prices and ensuring a balanced energy future in a growing economy.

Engage DuPage (DuPage County, IL)

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

Goal: The goals of Engage DuPage include improving the health status of self-pay Emergency Department patients, increasing the revenue appropriately owed to hospitals for services rendered, improving the financial assistance processes involving self-pay Emergency Department patients, and reducing the number of avoidable Emergency Department visits among self-pay patients.

Impact: By the end of 2014, 57% of all benefit applications that were submitted were approved. In addition, 29% of all interested patients were connected to a primary care provider through a Community Access Specialist.

Enhanced Patient-Based Referral for Sexually Transmitted Infection Notification (New York (Brooklyn))

Filed under Effective Practice, Health / Immunizations & Infectious Diseases, Racial/Ethnic Minorities, Urban

Goal: The goal of this intervention is to promote patient referral among patients with a recent STI diagnosis.

Impact: Program participants were more likely to report sexual partner notification at 1 month and were more likely to report no unprotected sexual intercourse at 6 months.

EnhanceWellness (Missouri)

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

Goal: The goal of EnhanceWellness is to improve the health and functioning of 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.