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.

Submit a Promising Practice

The HOV System: Guide to High Occupancy Vehicle Lanes (Harris County, Texas)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The goal of METRO's HOV lane network is to reduce traffic congestion and promote ridesharing and the use of public transportation.

The INC Well (Kansas City, MO)

Filed under Good Idea, Health / Heart Disease & Stroke, Adults, Women, Men, Older Adults, Racial/Ethnic Minorities, Urban

Goal: The INC Well's goal is to improve upon the built and social environment to establish a health and wellness supportive presence for those who are taking a proactive role in their quality of life.

Impact: The INC Well created a dedicated space where people can utilize health resources and take their wellness into their own hands.

The JAUNT Program: A Regional Transportation System (Charlottesville, VA)

Filed under Effective Practice, Community / Transportation

Goal: The goal of this program is to provide affordable public transportation in central Virginia.

The Living Room (DuPage County, IL)

Filed under Effective Practice, Health / Mental Health & Mental Disorders

Goal: The end goal of The Living Room is to reduce recidivism to the hospital and pair those in need with the right resources to help them be able to handle their mental health crises and move away from using The Living Room. Additionally, a main goal of The Living Room is matching those in need with a particular peer specialist to create a lasting connection.

Impact: Connects individuals experiencing mental health illness or crises to peer specialists which help reduce recidivism to the emergency room or hospital, help manage future crises, and provide a connection to continued non-clinical support and resources.

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.

The National Center on Financing for Children with Special Health Care Needs

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

Goal: The purpose of this four year project is to work in support of the Maternal and Child Health Bureau to meet its Children with Special Health Care Needs (CSHCN) National Agenda performance outcome that “all families of CSHCN will have adequate private and/or public insurance to pay for the services they need.” The work of the cooperative agreement will be multi-faceted and will (1) overcome the gaps in knowledge about CSHCN’s health care use and charges, (2) assess the extent to which CSHCN are receiving the health care services they need and the degree to which reimbursement is adequate to meet those needs, (3) identify trends in and developing recommendations for financing strategies, and (4) disseminate this information to families, health care providers, public and private health plans, and policy makers.

The Perfect 10 Project (Kansas)

Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Families, Rural

Goal: The Perfect 10 Project objective is to increase the initiation rates of breastfeeding to 84%, increase our duration rates of breastfeeding by 25% at 6 months to 35.8% (currently 28.6%), and 32.6% at one year (currently 18.1%).

Impact: There were 102 physician referrals from the Lower 8 counties for breastfeeding assistance in the first six months of 2016, 148 breastfeeding moms were helped through our after-hours hotline in the first six months, and 24 moms attended our Mommy & Me breastfeeding support group.

The REACH Promotora Community Coalition (Hidalgo and Cameron counties, TX)

Filed under Good Idea, Health / Diabetes, Racial/Ethnic Minorities

Goal: The goal of this program is to reduce the rate of diabetes along the border of Texas and Mexico.

The Senior Companion Program (Savannah, GA)

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

Goal: The primary caregivers of terminally ill patients often have regular jobs, require additional assistance, or just need some respite from their demanding schedule. Senior Companions provide much-needed assistance that allows patients to remain at home while giving primary caregivers a break.

The Veggie Project at the Monroe Carell, Jr. Children's Hospital at Vanderbilt (Davidson)

Filed under Good Idea, Health / Physical Activity, Children, Teens, Adults, Women, Men, Older Adults, Families, Racial/Ethnic Minorities, Urban

Goal: To make Nashville a healthier community by improving access to fresh fruits and vegetables in food desert neighborhoods while supporting local farmers and empowering and educating youth.

An Effective Practice meets the following HCI criteria:

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.
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:

The program description includes: the sponsoring organization, program goals, program funding source, program implementation steps and outcomes.
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:

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.
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.
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.