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, Health / Oral Health
Impact: The Community Preventive Services Task Force (CPSTF) recommends school-based programs to deliver dental sealants and prevent dental caries (tooth decay) among children.
Filed under Evidence-Based Practice, Health / Physical Activity
Goal: MANNA uses nutrition to improve health for people with serious illnesses who need nourishment to heal. By providing medically tailored meals and nutrition education, we empower people to improve their health and quality of life.
Impact: MANNA members report significant health care cost reductions due to improved health.
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 Good Idea, Health / Children's Health, Children
Goal: The goal of this program is to reduce the impact of lead poisoning and to prevent new cases of lead poisoning among Niagara County children.
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 / Older Adults, Older Adults
Goal: Reduce hospital/nursing home readmissions and improve care for older adults.
Impact: Reduced 30-day readmission rate from 18.2 to 8.9 percent over the course of 2 years, resulting in estimated savings of more than $17 million through 1,804 avoided readmissions.
Filed under Evidence-Based Practice, Health / Respiratory Diseases, Children, Families
Goal: The goals of the Seattle-King Healthy Homes project are: to increase knowledge of home environmental health threats and asthma self-management among households with a child who suffers from asthma; help households reduce environmental threats in the household; improve health status and reduce asthma-related medical care utilization.
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.