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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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Supplemental Nutrition Assistance Program (SNAP) Participation and Health Care Expenditures Among Low-Income Adults

Filed under Evidence-Based Practice, Health / Older Adults

Goal: To determine whether the Supplemental Nutrition Assistance Program (SNAP), which addresses food insecurity, can reduce health care expenditures.

The Arkansas Wellness Coalition (AWC) (Arkansas)

Filed under Good Idea, Health / Wellness & Lifestyle, Adults, Older Adults

Goal: The Coalition's purpose is to improve the health and well-being of all Arkansans through the implementation of nationally recognized peer-reviewed guidelines for physicians and patient self-management.

The Green House Project (USA)

Filed under Evidence-Based Practice, Health / Older Adults, Older Adults

Goal: The mission of the Green House Project is to partner with organizations, advocates, and communities to lead the transformation of institutional long-term care by creating viable homes where elders and others enjoy excellent quality of life and quality of care.

Impact: Studies showed that Green House homes are likely to reduce hospitalization rates among residents, and Medicare and Medicaid costs per resident, when compared to residents in traditional nursing homes. Also, nurses are more likely to spend more hours in Green House homes.

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.

Transportation Solutions for Caregivers (TSC) (USA)

Filed under Good Idea, Community / Transportation, Older Adults

Goal: The purpose of Transportation Solutions for Caregivers: A Solutions Package for Volunteer Transportation Programs, is to provide some guidance and basic information to existing volunteer programs as well as those planning to start new ones. Through such programs, Easter Seals aspires to help communities meet the transportation needs and preference of older adults and their caregivers who reside therein and maintain a mobile older population.

Walk Wise, Drive Smart (Hendersonville, NC)

Filed under Good Idea, Community / Public Safety, Older Adults

Goal: To build community support for and awareness of senior-pedestrian safety issues.

Waterloo Smoking By-law and Cigarette Labeling (Canada)

Filed under Good Idea, Community / Governance, Adults

Goal: The goal of this policy is to protect residents from second-hand smoke, encourage smoking cessation and raise public awareness about tobacco issues.

Wheels that Care (Kansas City, MO)

Filed under Good Idea, Community / Transportation, Adults, Older Adults

Goal: Shepherd's Center Central is a local leader in the regional effort to ensure that all people can age successfully with dignity, security, and respect.

Impact: The Wheels that Care program helped 77 older adults attend their necessary appointments and maintain their independence through 1,550 hours of travel time to and from participants' homes and their appointments.

Wisconsin Collaborative Diabetes Quality Improvement Project (Wisconsin)

Filed under Effective Practice, Health / Diabetes

Goal: The goal of this program is to improve diabetes care in Wisconsin.

Women's Lifestyle Heart Trial (Eugene, OR)

Filed under Effective Practice, Health / Heart Disease & Stroke, Women

Goal: The goal of the Women's Lifestyle Heart Trial is to reduce cardiovascular risk factors among postmenopausal women with coronary heart disease through lifestyle changes.

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.