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.
Filed under Effective Practice, Health / Health Care Access & Quality
Goal: The goals of this promising practice were to identify the transportation-disadvantaged population that lacks nonemergency medical care because of low access to transportation; determine the medical conditions that this population experiences and describe other characteristics of these individuals, including geography; estimate the cost of providing the transportation necessary for this population to obtain medical transportation according to various transportation service needs and trip modes; estimate the healthcare costs and benefits that would result if these individuals obtained transportation to non-emergency medical care for key healthcare conditions prevalent for this population; and compare the relative costs (from transportation and routine healthcare) and benefits (such as improved quality of life and better managed care, leading to less emergency care) to determine the cost-effectiveness of providing transportation for selected conditions.
Impact: These results show that adding relatively small transportation costs do not make a disease-specific, otherwise cost-effective environment non-cost-effective. Providing increased access to non-emergency medical care does improve quality of life and saves money per patient.
Filed under Evidence-Based Practice, Health / Prevention & Safety, Teens
Goal: The goals of the MCM are to provide a comprehensive and centralized concussion care program to 1) increase concussion awareness and identification through education and training; 2) facilitate the return to play decision with effective medical treatment, which includes baseline neurocognitive testing; and 3) implement a standardized concussion care protocol and concussion injury surveillance system to assist in the prevention of concussions, improve player safety, and limit school liability.
Impact: From the pilot evaluation of the model it was determined that the MCM model or a similarly designed one is effective in increasing the number of concussions identified, reported, and also treated at a clinic.
Filed under Good Idea, Health / Maternal, Fetal & Infant Health, Teens, Adults, Women, Men, Older Adults, Families
Goal: Cradle Kansas City only has one goal, to close the health equity gap. By doing this, they will impact premature birth and infant and maternal mortality. They accomplish this through partnerships medical systems, resident-built strategies, and clear messaging that is aimed at systemic change.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders
Goal: The goal of the Critical Time Intervention is to prevent homelessness among people with severe mental illness.
Impact: Evaluations of this program have found sizable reductions (24-67%) in average number of nights spent homeless over the 18-month follow-up period and more than a 60% reduction in likelihood of being homeless in the final weeks of the 18-month follow-up. Cost offsets and savings have been shown.
Filed under Good Idea, Economy / Economic Climate
Goal: The goal of Crosstown 116 was to foster participatory planning, sustainability, gender equity, increased awareness, and housing alternatives.
Filed under Evidence-Based Practice, Health / Wellness & Lifestyle, Men, Racial/Ethnic Minorities
Goal: The overall goal of d-up! is to increase the number of black MSM who use a condom when they have sex.
Filed under Good Idea, Environmental Health / Built Environment, Children, Teens
Goal: The goal of the D.C. Schoolyard Greening program is to increase and improve schoolyard green spaces in order to promote ecological literacy and environmental stewardship among students, teachers, parents and the community.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Rural
Goal: The goal of the interventions is to reduce the number of blacklegged ticks to ultimately reduce the incidence of Lyme disease.
Impact: The four-poster device was effective in decreasing erythema migrans (EM) rash incidence in an endemic area. The deer hunt did not have a significant effect on the incidence of EM rash, although the incidence did decrease.
Filed under Good Idea, Health / Children's Health, Children, Teens, Families
Goal: The objectives of the program were to educate students, parents, and school staff about asthma management and to control exposure to factors that trigger asthma attacks.
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.