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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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Access to Transportation and Health Care Visits for Medicaid Enrollees With Diabetes

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

Goal: The goal of the study was to evaluate the association between Medicaid‐provided nonemergency medical transportation and diabetes care visits.

Impact: The findings of this study underscore the importance of ensuring transportation to Medicaid populations with diabetes, particularly in the rural areas where the prevalence of diabetes and complications are higher and the availability of medical resources lower than in the urban areas.

ACT!vate Omaha (Omaha, NE)

Filed under Good Idea, Health / Physical Activity

Goal: The mission of ACT!vate Omaha is to create awareness, advocacy and excitement about activity and the importance of designing our community for active lifestyles.

Adopt-A-Highway (USA)

Filed under Effective Practice, Environmental Health / Toxins & Contaminants

Goal: The goal of Adopt-A-Highway programs is to improve the appearance of roadsides and to reduce the annual cost of picking up litter on the highway system.

Adopt-A-Ship Program (USA)

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

Goal: The goal of this program is to introduce teachers and students in grades 5 - 8 to the people, vessels, and activities of the American Merchant Marine, and to foster an interest in geography, history, transportation, trade, science, math, and English.

Association of Rideshare-Based Transportation Services and Missed Primary Care Appointments: A Clinical Trial (Philadelphia)

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

Goal: The goal of the clinical trial was to evaluate the association between rideshare-based medical transportation and missed primary care appointments among Medicaid patients.

Impact: Although the uptake of ridesharing was low and did not decrease missed primary care appointments for this particular clinical trial, future studies trying to reduce missed appointments can explore alternative delivery models or target populations with stronger transportation needs.

AZTech Intelligent Transportation System (Maricopa County, AZ)

Filed under Effective Practice, Community / Transportation

Goal: The AZTech Executive Committee set the following objectives:

1. Integrate the existing Intelligent Transportation Infrastructure (ITI) into a regional system.
2. Establish a regional integrated traveler information system for the multi-modal travelers.
3. Demonstrate the benefits of integrated community-based transportation systems to achieve system efficiencies.
4. Provide a showcase of how technology can improve the overall quality of life, conserve energy and reduce pollution.
5. Set a worldwide standard of excellence for deployment of ITS in a major economy.

Bay Area Transportation Justice Working Group (San Francisco, CA)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The goal of the Transportation Justice Working Group is to increase awareness of the relationship between transportation and health.

Best Workplaces for Commuters (USA)

Filed under Effective Practice, Environmental Health / Air

Goal: The goal of this program is to reduce the environmental impact of commuting and to help get employees to work safely, on time, and free of commute-related stress.

Bicycle Education Enhancement Program (BEEP) (Pennsylvania)

Filed under Good Idea, Art & Recreation / Sports Recreation & Parks, Children, Teens, Families, Urban

Goal: The goal of the program is to provide middle and high school students in the greater Philadelphia are with education and tools to become life-long cyclists.

Bridging the Gap (Seattle)

Filed under Effective Practice, Community / Transportation, Urban

Goal: The nine-year goals of Bridging the Gap are to:
* Reduce the infrastructure maintenance backlog.
* Pave and repair Seattle streets.
* Make seismic upgrades to the most vulnerable bridges.
* Improve pedestrian and bicycle safety and create safe routes to schools.
* Increase transit speed and reliability.

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.
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