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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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Non-Emergency Medical Transportation: Findings from a Return on Investment Study

Filed under Effective Practice, Health / Health Care Access & Quality

Goal: The goal of this study is to examine NEMT’s return on investment and expand research on its financial benefit.

Impact: The findings suggest that NEMT more than pays for itself as part of a care management strategy for people with chronic diseases, resulting in a total positive return on investment of over $40 million per month ($480 million annually) per 30,000 Medicaid beneficiaries.

Ramp Metering Strategies in the Twin Cities (Minneapolis/St. Paul region of Minnesota)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The goal was to evaluate the regionwide impacts of turning off the ramp meters for a six-week period.

The Medical University of South Carolina Psychiatry Residency Diversity Program

Filed under Effective Practice, Health / Mental Health & Mental Disorders, Adults, Racial/Ethnic Minorities

Goal: The MUSC Psychiatry Residency program has the following goals related to diversification of the health care professional pool:
- increased racial and ethnic diversity reflecting the general South Carolina population
- promotion of racial/ethnic and gender diversity in leadership positions within the School of Medicine
- promotion of cultural competency and understanding
- more opportunities within the College of Medicine at all levels for individuals from all backgrounds

Impact: The proportion of URM applicants to MUSC psychiatry residencies increased from 8% in 2008 to 17% in 2015. The percentage of URM psychiatry residents enrolled in MUSC has tripled over the last seven years, from 9% in 2008 to 28% in 2015.

Think Big Clubs - Teen Mentoring (Palm Beach and Martin, FL)

Filed under Good Idea, Education / Student Performance K-12, Children, Teens

Goal: The goal of the program is to match high school students to elementary school students in a mentoring relationship.

Unused Medications Program (Kansas)

Filed under Good Idea, Health / Health Care Access & Quality, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Rural

Goal: The Unused Medications Repository, administered by Community Health Center of Southeast
Kansas, provides donated medications free of charge to eligible clinics in Kansas.

Impact: Over $20 million worth of prescription medications have been donated to low-income and uninsured Kansans.

Utah Skin and Colon Cancer Media Campaigns (Utah)

Filed under Effective Practice, Health / Cancer

Goal: The goal of these media campaigns was to increase awareness of cancer prevention, protection, and early detection.

Albuquerque Victim's Offender Mediation Program (Albuquerque, NM)

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

Goal: The mission of this program is to provide services that allow both victims and offenders to participate in a process where both parties have a sense of restored wholeness in their lives and in their communities. This wholeness is manifested when parties are feeling a sense of safety and trust in their communities and in their relationships with self and others. It is the goal of this organization to provide a sense of justice that repairs the damage done and restores relationships, both personal and communal, to their original state to the extent possible.

Black Women’s Media Project (Berkeley)

Filed under Good Idea, Health / Alcohol & Drug Use, Women, Racial/Ethnic Minorities

Goal: To address the detrimental impact of alcohol on women in the African American community.

CDC COMMUNITY GUIDE: Interventions to Reduce Sexual Risk Behaviors or Increase Protective Behaviors to Prevent Acquisition of HIV in Men Who Have Sex with Men: Individual-, Group-, and Community-Level Behavioral Interventions (USA)

CDC

Filed under Evidence-Based Practice, Health / Men's Health, Men

Goal: The goal of the HIV behavioral interventions program is to reduce unprotected anal intercourse among men who have sex with men.

Impact: The Community Preventive Services Task Force (CPSTF) recommends individual-level HIV behavioral interventions for adult men who have sex with men to reduce unprotected anal intercourse. Related findings recommend HIV behavioral interventions at the group level and community level.

Coded Text Messages for Chlamydia and Gonorrhea Results (Clay, FL)

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

Goal: The goal of the program is to reduce the spread of STDs/STIs in high risk populations under 25 years old by decreasing the length of time from diagnosis to treatment.

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.