Transportation and Health Tool

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Working together to evolve the Transportation and Health Tool APHA Webinar March 22, 2016 Ann Steedly, PE

Overview THT Development Context Development of Indicators Strategies, Interventions & Policies Website Development Implementation Activities

Context for THT Development USDOT, CDC, and APHA partnership Recognition of transportation and health intersections Establishment of vision and goals Product outcomes defined: Paper-based tool Web tool Testing and tool refinement

THT Indicator Development Process Narrowed from190 potential indicators Refined through research, evaluation criteria, subject matter expert consultation, 2-day expert workshop and agency reviews Selected 14 indicators to represent the intersection of transportation and health Prepared in-depth profiles on final set of indicators 190 67 34 14

Transportation and Health Connections Safety of travel Equity of infrastructure and health outcomes Air pollution as relates to human health Active transportation modes Access to opportunities for healthy lifestyles

Transportation and Health Linkages Working together to evolve the Transportation and Health Tool

Transportation Health Policy Working together to evolve the Transportation and Health Tool THT Indicators Final Approved Indicators 1. Commute Mode Share 2. Person Miles Traveled by Mode 3. VMT per Capita 4. Public Transportation Trips per Capita 5. Proximity to Major Roadways 6. Land Use Mix 7. Housing and Transportation Affordability 8. Physical Activity from Transportation 9. Alcohol-Impaired Fatalities 10. Road Traffic Fatalities by Mode 11. Road Traffic Fatalities Exposure Rate 12. Complete Streets Policies 13.Seat Belt Use 14. Use of Federal Funds for Bicycle and Pedestrian Efforts

Geographic Scales State Metropolitan Statistical Area (MSA) - Groups of counties showing strong commuting ties with at least one US Census urbanized area. Urbanized Area (UZA) - Densely settled areas of 50K or people comprised of census tracts. Indicator Geography State MSA UZA Commute Mode Share (Auto, Transit, Bike, Walk) X X Complete Streets X X DUI/DWI Fatalities X X Housing/Transportation Affordability X Land Use Mix X PMT (Auto, Walking) X Physical Activity from Transportation X Proximity to Major Roadways X X Road Traffic Fatalities (Auto, Bike, Ped) X X Seat Belt Use X Traffic Fatalities Exposure Rate (Auto, Bike, Ped) X X Transit Trips per Capita X X Use of Federal Funds for Bike/Ped X VMT per Capita X X

Indicator Profiles Description Transportation and health connection About the data Moving forward Related strategies References

THT Strategies Companion piece linked to THT indicators 25 strategies demonstrated to be effective at positively impacting transportation and health outcomes Final set narrowed from 150 strategies through screening, ranking and input from partner agencies Each includes evidence, resources and examples from practice Support transportation and health goal-setting 150 115 25

THT Strategies >Child safety seats >Traffic calming >Integrate health and transportation planning >Complete Streets >Encourage and promote biking and walking >Built environment strategies to deter crime >Health impact assessments >Clean freight >Distracted driving >High occupancy vehicle lanes >Graduated driver licensing >Expand public transportation >Expand bicycle and pedestrian infrastructure >Improve roadway safety >Impaired driving laws >Health performance metrics >Improve vehicles and fuels >In-vehicle monitoring and feedback >Multimodal access to transit >Promote connectivity >Rural public transportation >Ride sharing programs >Safe Routes to School >Seat belt laws >Strengthen helmet laws

THT Strategies Description Related indicators Potential health benefits Example(s) from practice Learning resources Evidence base

Contextual Elements Upcoming addition to THT site Supports understanding of area s demographic, health, environmental and transportation conditions Includes some of the original 67 indicators Demographic Health & Environment Transportation Population Asthma rates Vehicle availability Population growth Diabetes Graduated license laws Race & ethnicity Obesity Cell phone/texting laws Income Income inequality Hypertension Air quality

THT Website Development 2-year interagency process User centered design approach Potential user interviews Testing and feedback sessions FHWA site hosting and requirements Drupal web CMS Section 508 compliance DOT s map tool Website launched fall 2015 Tool updates ongoing

THT website http://www.transportation.gov/transportation-health-tool

Implementation Use Case Clackamas County, OR Transportation & Public Health Divisions County context Strategic priorities: public trust, infrastructure, safety, health Various transportation & health planning initiatives Health & Safety in All Policies pilot Application of THT Proximity to major roadways Impacts & solutions (transit, planning, greenspace, active transport) Benefits: central source, basis for dialogue, policy & data, partnerships

THT Evaluation and Implementation Strategies THT Evaluation Evaluate satisfaction Determine impacts of use Implementation workshops Apply the THT in practice Coordinate with planning processes underway Facilitate cross-sector dialogue and planning Review indicators and identify strategies Model use for other communities

THT Implementation Case Studies Present examples of THT application Highlight uses and benefits Inform practitioners and policy-makers Add to wealth of health case studies Post to THT website