P R E S E N T E D B Y :

C H P P D T R A N S P O R T A T I O N W O R K G R O U P

1 3 9 t h A n n u a l A P H A C o n f e r e n c e

W a s h i n g t o n D C

N o v e m b e r 1 , 2 0 1 1

Branding Transportation as a Public Health Service

K a r y n M . W a r s o w , M S , M P H D r P H C a n d i d a t e , J o h n s H o p k i n s B l o o m b e r g S c h o o l o f P u b l i c H e a l t h

D e p a r t m e n t o f H e a l t h P o l i c y M a n a g e m e n t a n d L e a d e r s h i p

S t e p h e n F . M a y e r , P h D , P E P a r s o n s C o r p o r a t i o n

B u s i n e s s D e v e l o p m e n t M a n a g e r

T r a n s p o r t a t i o n S t r a t e g y L e a d e r

No relat ionships to disclose

The Transportation-Public Health Link A Trans-disciplinary Approach

W H E R E ’ S T H E D I S C O N N E C T ?

Transportation & Public Health

APHA 10 Policy Statements

Encouraging transportation and land-use planning policies, such as a complete streets policy, that support healthy communities.

Establishing performance measures to promote safe, affordable and equitable public transit and alternative modes of transportation such as walking and cycling.

Using health impact assessments to inform and guide transportation policy, projects and planning.

Fostering the participation of local communities and underserved populations in all stages of the transportation planning and development process.

Expanding the funding of community-based transportation programs and services that promote health and provide access to healthy food and water, affordable housing, employment, schools, health care and recreation.

Funding programs that expand transportation options for disadvantaged or disabled populations, and that promote safe, convenient transportation options for children and seniors.

Designing and constructing multi-modal transportation systems within each state and metropolitan area to meet the needs of users of all ages and abilities, including those in rural areas.

Collecting data and funding research to evaluate how transportation and planning policies affect public health and health equity.

Supporting reductions in transportation-related emissions and greenhouse gases. Increasing vehicle, motorist, passenger, cyclist and pedestrian safety.

Transportation Overview

Based on a military culture Security

Mobility

Economic sustainability

Services viewed as a “utility”

USDOT Mantra: Do MORE with less Adopting a business model

Integrated Fiscal & Strategic Management Approach

Performance metrics

Financial accountability

Public constituency now viewed as a customer/stakeholder

Multi-modal integration (urban and rural)

Sustainability of the Built Environment

Market Perspective of Transportation

Total Market Revenue (top 25 companies) in support of transportation infrastructure in the Top 10 States decreased from $476B (2008) to $470B(2010) representing a decrease of 1.16%

State budgets are strained and priorities are largely focused on maintenance activities as opposed to new construction

Transportation officials are actively exploring alternative project delivery and financing approaches to build new projects

Reauthorization Chairman Mica

8th extension of SAFETEA-LU

6-year plan proposed

$35 billion per year (amount generated by the 18.4 cents per gallon federal gas tax)

Long-term planning creates permanent jobs

Raises federal capitation spending on partnership projects

SAFETEA-LU (federal surface transportation)

Federal Aviation Administration (FAA)

Transportation Infrastructure Bank

Public-Private Partnerships (P3)

Tolling as a financing source

Sustainable Return on Investment (SROI)

Reduced Transport Air Emissions

Increased Transportation

Safety

Reduced O&M Costs

Transport Option Value

Transportation Time Savings /

Reliability

Higher Density / Higher Efficiency

Transportation Cost Savings

Economic Development

Benefits

Reduced Stormwater

Runoff

Public Expenditures

Courtesy of Eric Bill, MBA Senior Economist, HDR Decision Economics, eric.bill@hdrinc.com

Advantage of Non-Cash Benefits : The Public Health Twist

Courtesy of Eric Bill, MBA Senior Economist, HDR Decision Economics, eric.bill@hdrinc.com

Context Sensitive Solutions (DOT Project Basis)

Public Health

“Context sensitive solutions (CSS) is a collaborative, interdisciplinary approach that involves all stakeholders in providing a transportation facility that fits its setting. It is an approach that leads to preserving and enhancing scenic, aesthetic, historic, community, and environmental resources, while improving or maintaining safety, mobility, and infrastructure conditions.”

Results of Joint AASHTO/FHWA Context Sensitive Solutions Strategic Planning Process Summary Report, March 2007

“Public Health (multi/interdisciplinary) is the science of protecting and improving the health of communities through education, promotion of healthy lifestyles, and research on disease and injury prevention.” By analyzing the effect of genetics, personal choice and the environment on health, programs can be developed that prevent and/or halt the re-occurrence of illness and injury. These programs are based on the development and implementation of educational initiative, policies, services, regulating systems and the results of scientific research (stakeholders).” Source: www.whatispublichealth.org

Defining the Link

Health Impact Assessment: Where does it fit?

No such thing as “one size fits all” Transportation infrastructure projects are multilevel and multi-

dimensional just like human health Integrative approach using multiple measures and/or models

Build on existing transportation network systems Increases buy-in by transportation professionals Decreases economic burden to the transportation system as compared to

a new public health initiative Encourages public health professionals as part of the team to educate

and guide the process

SROI expansion Context Sensitive Solutions (CSS) expansion Environmental Review (ER)/NEPA Define and identify applicable projects: bike/pedestrian (walkable

communities) vs. trade corridor

Community Health Planning and Policy Development (CHPPD)

CHPPD Transportation Work Group

Indentified survey topic area of interest

Identified a gap in APHA service reach: transportation infrastructure professionals

Trans-disciplinary approach: public health and transportation

Non-APHA member partners

Philosophy: Respect for individual perspective

Experience

Professional background

Culture

Transportation Work Group: Core Team

Karyn M. Warsow, MS, MPH DrPH Candidate, Johns Hopkins Bloomberg School of Public Health, Department of Health Policy

Management and Leadership Previous Parsons Corporate Strategy Intern APHA Section of CHPPD, TWG Chair

Anthony Delucia, PhD East Tennessee State University, Department of Surgery

APHA Section of Environment, TWG Vice Chair

Ijeoma Nwachuku, PhD APHA Section of CHPPD

Stephen F. Mayer, PhD, PE Parsons Corporation, Business Development Manager (Tolling /Innovation) & Transportation Strategy Leader

Assistant Professor of Strategic Management and Technology Transfer, Niagara University

Robert O. Felt IV Communications Specialist Michigan Department of Transportation (MDOT)

Neil Gray Director of Governmental Affairs

International Bridge, Tunnel and Turnpike Association (IBTTA)

Brief Overview

The Transportation-Public Health Link (T-PH Link) Based on a conceptual process that considers the synergistic

association of factors affecting the health of communities: Sociopolitical Economic Environmental

Analysis of performance metrics assigned to a particular facility Multi-dimensional integrative problem solving approach accounting

for the individual determinants acting at different levels of the transportation system

Evidence-based trans-disciplinary research approach Maintaining flexibility in perspective Information sharing based on lessons learned Linking of issues to improve best practices, policy and community

Objective and Expected Outcomes

Objective Eliminate cross-discipline miscommunication between public

health and transportation professionals by using a practical model to facilitate the exchange of information required to improve community planning and policy development.

Expected Outcomes Improve open mutual communication to facilitate the exchange

of information through active listening with understanding.

Encourage partnerships between public health and transportation professionals that result in the development of innovative transportation strategies by merging ideas that improve the health of communities.

Graphic Source: http://commons.lib.washington.edu/

Marketing & Social Networking

Interpersonal Communications Transportation-related meetings (regional traffic safety, TRB, IBTTA

legislative conference, CHPPD…and anyone who will listen!)

Conference presentations Michigan Public Health Association 2011

APHA 2011

Research Innovation Technology Administration (RITA): November 2012 abstract submission

CHPPD Web-Paint

Facebook

Linkedin

Proposed Website

Pilot Survey

Sample population N=18 Questions and top three responses What is public Health?

Overall (good, wellbeing, broad health): 10 Medical care: 2 Collective/population health: 1

What is the link between transportation and public health? Impact wellness: 6 Access to medical care: 4 Safety: 4

What are issues that influence transportation decision and policy making? Funding: 9 Opinion/Advocacy: 5 Demand/congestion: 5

Research Initiative

Harris Interactive

Qualitative Interviews

200 Contacts: transportation infrastructure professionals

50 completed surveys

Quantitative Survey

Based on qualitative survey results

Nationally disseminated

Seeking cause-effect marketing corporate partner

Survey Results may lead to:

Manuscript(s)

Policy implications

What is Branding?

Source: http://marketingconversation.com/2011/06/02/branding-is-more-relevant-than-ever/

The Concept of Branding

Branding transportation as a public health service will help to eliminate the cross-discipline miscommunication between public health and transportation professionals through the sharing of information needed to improve community planning and policy development.

A partnership between transportation and public health has the potential to facilitate innovative solutions to the challenges faced by transportation with the merging of ideas based on lessons learned by public health professionals in the field.

Labeling of transportation as a public health service sends a positive image to the public as opposed to transportation being viewed as a utility. Who really wants to pay a utility bill?

Transportation as a value added service to meet a demand in the marketplace is more apt to receive public support and a willingness to pay when the trade-off is improved quality of life.

Policy Implications

Support a cultural shift in transportation infrastructure project planning and development as reflective of a systematic evidence-based research driven by an integrated fiscal and strategic management business approach with health as an integrated component of decision-making.

Encourage the combined use and interpretation of qualitative and quantitative data to make informed strategic decisions.

Include trained public health professionals as part of the transportation infrastructure planning and development team to facilitate open mutual communication between the disciplines and the public constituency.

Brand transportation as a public health service to facilitate an exchange of information and ideas and to facilitate public buy-in.