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 Evidence-Based Practice, Economy / Housing & Homes, Adults, Racial/Ethnic Minorities
Goal: To evaluate the association of a “Housing First” intervention for chronically homeless individuals with severe alcohol problems with health care use and costs.
Impact: Total cost offsets for Housing First participants relative to controls averaged $2449 per person per month after accounting for housing program costs.
Medicaid Savings Resulted When Community Health Workers Matched Those With Needs To Home And Community Care (Arkansas)
Filed under Evidence-Based Practice, Economy / Government Assistance, Older Adults
Goal: The goal of this program is to reduce costs by using specially trained community health workers to help connect people with unmet long-term needs and/or those at risk of entering nursing homes to Medicaid home and community-based services.
Impact: Similar interventions may help other localities achieve cost-saving and equitable access to publicly funded long-term care options other than institutional care.
Filed under Evidence-Based Practice, Health / Mental Health & Mental Disorders
Impact: The Community Preventive Services Task Force (CPSTF) recommends depression care management at home for older adults with depression on the basis of strong evidence of effectiveness in improving short-term depression outcomes.
Filed under Evidence-Based Practice, Health / Children's Health, Children
Goal: The goal of Patient Asthma Care Education is to improve asthma health outcomes for children through clinician education and skill building.
Filed under Effective Practice, Health / Maternal, Fetal & Infant Health, Women
Goal: The goal of this program is to increase prenatal entry into WIC. The ultimate purpose is to lower the rate of low birth weight as well as the rate of infant mortality.
Filed under Good Idea, Health / Older Adults, Older Adults
Goal: The program’s mission is to maximize the wellness and independence of adults in their community.
Filed under Evidence-Based Practice, Health / Children's Health, Adults, Women, Families, Racial/Ethnic Minorities, Urban
Goal: The objectives are to increase knowledge of SIDS risk reduction strategies, including sleep position, use of cribs (instead of adult beds and couches), and elimination of bedding.
Impact: Childcare provider behavior related to safe sleep practices can be improved from short, in-person targeted educational sessions.
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.
Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases
Impact: The Community Preventive Services Task Force (CPSTF) recommends school and organized child care center-located vaccination programs based on strong evidence of effectiveness in increasing vaccination rates, and in decreasing rates of vaccine-preventable disease and associated morbidity and mortality.
The updated CPSTF recommendation is based on findings from 27 studies in which vaccination programs in schools or child care centers:
-Provided vaccinations on site
-Were administered by a range of providers including school health personnel, health department staff, and other vaccination providers
-Were delivered in a variety of different school and organized child care settings
-Delivered one or more of a range of vaccines recommended for children and adolescents, and
-Included additional components such as education, reduced client out-of-pocket costs, and enhanced access to vaccination services
School- and organized child care center-located vaccination programs may be most useful in improving immunization rates among children and adolescents for new vaccines, and vaccines with new, expanded recommendations (such as the annual immunization for seasonal influenza) where background rates are likely to be very low and improvements in coverage are needed.
Addressing the Social Determinants of Health through the Alameda County, California, Place Matters Policy Initiative (Alameda County, CA)
Filed under Good Idea, Health, Urban
Goal: The goal of the Place Matters initiative is to improve the health of participating communities by “addressing social conditions that lead to poor health” through “identifying the complex root causes of health disparities and defining strategies to address them.”
Impact: AC Place Matters has identified 10 best practices that could help other programs address social determinants of health: find and foster strong leadership, dedicate staff resources to the work, engage staff from across the local health department, contribute to building grassroots power, address root causes, partner with community organizations and leaders, partner with government institutions across sectors, work reactively and proactively, build capacity, and use tools that ensure a focus on health equity.