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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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Drinking Water Nitrification Surveillance Program (Lee County, FL)

Filed under Good Idea, Health / Maternal, Fetal & Infant Health

Goal: The goal of this program is to detect nitrification in drinking water in order to protect infants under six months old from methemoglobinemia and prevent other consequential bacteriological problems.

EPA's Clean Water Act Recognition Awards (USA)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: The objectives of the program are to educate the public about the contributions that publicly-owned wastewater treatment facilities make to clean water; to encourage public support for municipal and industrial efforts in effective wastewater management, biosolids management, and wet weather pollution control; and to recognize communities that go much beyond the minimum needed to meet Clean Water Act requirements.

Flex Your Power Case Study: Otay Water District (San Diego County, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability

Goal: The goal of these projects was to promote water and energy conservation.

Flex Your Power Case Study: Santa Clara Valley Water District (San Jose, CA)

Filed under Effective Practice, Environmental Health / Energy & Sustainability, Urban

Goal: Besides attempting to prevent rolling blackouts, the City of San Jose wanted to participate in the water conservation program to reduce the amount of treated wastewater that is released into San Francisco Bay.
Specific goals included:
-Continue to support SCVWD's mission of water supply and management in spite of external power interruptions,
- Provide 24-hour battery backup for SCADA instrumentation and communications,
-Provide indefinite power backup via backup generators for critical source pumping, water treatment and emergency operations, and
- Reduce HVAC and lighting use to prudent levels.

GIS Walking Maps (Boston, MA)

Filed under Good Idea, Health / Physical Activity, Adults, Older Adults, Families, Urban

Goal: Walking maps are designed to encourage low-income individuals to increase their physical activity by providing information on safe walking routes and destinations within their neighborhood.

Green Power Partnership - Bellingham's global warming pollution reduction through use of green power (Bellingham)

Filed under Effective Practice, Environmental Health / Air

Goal: The goal is for cities or companies to reduce their carbon footprint. For example, research shows that buying 100 percent green power is the most significant step the City of Bellingham can take to protect the climate; it would eliminating more than 65 percent of the global warming pollution caused by municipal operations.

Healthy Communities Walking Program (Michigan)

Filed under Effective Practice, Health / Physical Activity, Adults, Older Adults

Goal: The goal of the Healthy Communities Walking Program is to reduce the occurrence of preventable chronic diseases, especially those associated with being overweight, by assisting participants in setting up exercise regimes and encouraging healthy eating.

Hometown Walk of Hope (Union City, TN)

Filed under Good Idea, Health / Cancer, Urban

Goal: The goal of Hometown Walk of Hope is to raise money to help Obion County residents who have been diagnosed with cancer.

Integrated Watershed Management (Massachusetts)

Filed under Good Idea, Environmental Health / Toxins & Contaminants

Goal: Addressing environmental issues on a watershed basis requires the cooperation and participation of many different people. This initiative aims to facilitate partnerships between state agencies, NGOs and civil society in order to yield better environmental results.

MHD-MWW Water Quality Technical Workgroup (Milwaukee, WI)

Filed under Good Idea, Health / Immunizations & Infectious Diseases, Urban

Goal: The overriding goal of the workgroup is to develop, institute and evaluate preventive measures (e.g. procedures, protocols and policies) that would mitigate the impact of any future waterborne disease incidents. Post 9/11, the workgroup has evolved to include discussions on water security in the context of an intentional contamination event.

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.