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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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BLAST Lyme Disease Prevention Program (Ridgefield, CT)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The goal of the program is to raise awareness of the most effective Lyme disease prevention practices, to educate the community about the early signs and symptoms of Lyme and other tick-borne diseases, and to promote timely diagnosis and treatment.

Impact: The BLAST program has raised awareness of the most effective Lyme disease prevention practices through various outlets and has been recommended by the CDC.

Deer-Targeted Interventions on Lyme Disease Incidence (Northeastern United States)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Rural

Goal: The goal of the interventions is to reduce the number of blacklegged ticks to ultimately reduce the incidence of Lyme disease.

Impact: The four-poster device was effective in decreasing erythema migrans (EM) rash incidence in an endemic area. The deer hunt did not have a significant effect on the incidence of EM rash, although the incidence did decrease.

Protocol for the Isolation and Quarantine of Communicable Disease (Rockland County, NY)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The main objective of the Protocol is to provide a medicolegal framework for the protection of public health and safety in the face of emerging threats of infectious diseases and bioterrorism agents with due regard to a citizen's right to due process.

Communicable Disease Prevention/Public Health Preparedness: HealthSentry (Kansas City, MO)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of HealthSentry is to meet the challenge of linking public health organizations to reliable clinical data without burdensome manual data collection and reporting.more timely and accurate reporting.

Hepatitis B ESL Education Curriculum for Chinese Immigrants (Canada)

Filed under Evidence-Based Practice, Health / Immunizations & Infectious Diseases, Adults, Racial/Ethnic Minorities

Goal: To educate the Chinese Canadian immigrant community on Hepatitis B knowledge and to promote Hepatitis B testing through ESL curriculum.

Impact: The Chinese immigrant population in North America has a rate of Hepatitis B infection that is 10 times higher than the general population's rate of approximately 0.5 percent. The Hepatitis B ESL curriculum is effective in increasing knowledge about Hepatitis B among Chinese immigrants in Canada.

Healthy Kids Express Screening and Immunization Program (St. Louis, Missouri Metro Region)

Filed under Effective Practice, Health / Children's Health, Children, Teens, Families, Urban

Goal: The mission of HKES&I is to increase access to needed healthcare for children. This is accomplished through the goal of identifying children who need further follow-up, particularly for hearing and vision problems, and to connect them to those services.

Impact: Healthy Kids Express Screening and Immunization program is successful in providing evidence based care to low-income populations and for connecting those identified with screening needs to needed follow-up care.

Less Talk and More Action -- Protecting Seniors Against West Nile Virus (Yavapai, AZ)

Filed under Good Idea, Environmental Health / Toxins & Contaminants, Older Adults

Goal: This program aims to protect seniors against West Nile virus exposure.

The Michigan Antibiotic Resistance Reduction (MARR) Coalition (Michigan)

Filed under Good Idea, Health / Immunizations & Infectious Diseases

Goal: The Michigan Antibiotic Resistance Reduction Coalition (MARR) seeks to improve the use of antimicrobial agents and reduce antimicrobial resistance rates in health care facilities and communities throughout the state of Michigan through the collaborative efforts of academic, community, government, labor and industry partners. MARR seeks to accomplish this mission by serving as a catalyst and facilitator for programs of judicious antimicrobial use, and providing such programs; maintaining a repository of current and credible information about antimicrobial resistance; and participating in clinical interventions and research that will ensure improved antimicrobial use and reduce antimicrobial resistance.

A Community Approach to Mosquito Control (Louisville, KY)

Filed under Effective Practice, Health / Immunizations & Infectious Diseases

Goal: The goal of this program is to reduce the mosquito population in Metro Louisville and subsequently reduce mosquito-borne disease transmission.

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.