SETTING PRIORITIESSETTING PRIORITIES

CASA ConferenceCASA Conference

Pamela Fuselli & Margaret HerbertPamela Fuselli & Margaret HerbertCo-Chairs CAIR Executive Steering CommitteeCo-Chairs CAIR Executive Steering Committee

October 2012October 2012

Why we set prioritiesWhy we set priorities

Because of limited resources:Because of limited resources:• timetime

• fundingfunding•manpowermanpower

To achieved the biggest impactTo achieved the biggest impact

To coordinate efforts of stakeholdersTo coordinate efforts of stakeholders

What criteria to use, e.g.: What criteria to use, e.g.:

Common senseCommon sense

Data (If so which?)Data (If so which?)

Opportunity gapsOpportunity gaps

Provincial or regional interestProvincial or regional interest

Media attentionMedia attention

Political agendasPolitical agendas

Advocacy or lobby groupsAdvocacy or lobby groups

Winnipeg Model: ADVANTAGESWinnipeg Model: ADVANTAGES

Utilizes available injury dataUtilizes available injury data

Incorporates qualitative and quantitative Incorporates qualitative and quantitative considerationsconsiderations

Provides structure to stakeholder Provides structure to stakeholder deliberationsdeliberations

Is transparent, can be documentedIs transparent, can be documented

Can be revisited over timeCan be revisited over time

HOW THE MODEL WORKS HOW THE MODEL WORKS ((““reciperecipe””….)….)

Choose major injury categories for considerationChoose major injury categories for consideration

Choose quantitative criteria (data)Choose quantitative criteria (data)

Choose qualitative criteria (readiness, potential, Choose qualitative criteria (readiness, potential, capacity to effect change)capacity to effect change)

Rank and scoreRank and score

Put it all togetherPut it all together

Perform a reality checkPerform a reality check

ReportReport

AGRICULTURAL INJURIESAGRICULTURAL INJURIESby CASA and CAIRby CASA and CAIR

CAIR started the CAIR started the ““quantitativequantitative”” - data - data driven - processdriven - process

The new data available The new data available

Agricultural Fatalities in Canada 1990-2008

PRIORITY SETTING PROCESSPRIORITY SETTING PROCESSInjury CategoriesInjury Categories

Roll-overRoll-over

Run-overRun-over

Tractor-relatedTractor-related

Other machine-relatedOther machine-related

Entanglement in machineryEntanglement in machinery

Collision with a motor vehicle (on road)Collision with a motor vehicle (on road)

Pinned or struck by a machinePinned or struck by a machine

Animal-relatedAnimal-related

DrowningDrowning

Fall from a heightFall from a height

PRIORITY SETTING PROCESSPRIORITY SETTING PROCESSData measuresData measures

1.1. Potential years of life lost - Potential years of life lost - a measure of premature a measure of premature mortalitymortality

2.2. Mortality – Mortality – number, rates or % all injury mortality number, rates or % all injury mortality

3.3. Hospitalization Hospitalization – – number, rate or % all injury number, rate or % all injury hospitalizationhospitalization

4.4. Measures of Disability Measures of Disability - - short/long termshort/long term

5.5. Economic burden Economic burden – – direct health care costs and/or direct health care costs and/or indirect costsindirect costs

Note: CAIR does not have current data on 3, 4 and 5.Note: CAIR does not have current data on 3, 4 and 5.

QUANTITATIVE CRITERIA

Rollover

Run over

Entang-elment

Motor Vehicle Collision

Pinned/Struck by a Machine

AnimalRelated

Struckby Non-MachineObject

Drown-ing

Fall from

Height

Deaths 1990-2008

Rank

392

1

353

2

157

3

143

4

139

5

123

6

103

7

69

8

63

9

PYLL (%)

Rank

15.9

2

20.7

1

7.6

4.5

7.8

3

6.1

6

4.6

7.5

4.6

7.5

7.6

4.5

2.2

9

Rank Sum 3 3 7.5 7 11 13.5 14.5 12.5 18

Quantitative Priority Ranking

1 1 4 3 5 7 8 6 0

Sample – Quantitative Criteria

PRIORITY SETTING PROCESSPRIORITY SETTING PROCESSRanking based on dataRanking based on data

1.1. Roll-overRoll-over

2.2. Run-overRun-over

3.3. Motor Vehicle Collision (with farm Motor Vehicle Collision (with farm machinery) machinery)

4.4. EntanglementEntanglement

GUIDING the QUALITATIVE GUIDING the QUALITATIVE PROCESSPROCESS

Broad, practical, Broad, practical, ““hands onhands on”” knowledge needed knowledge needed

Understanding of agricultural community, Understanding of agricultural community, resources, interestsresources, interests

A sense of gaps and opportunitiesA sense of gaps and opportunities

Knowledge of best practices and promising Knowledge of best practices and promising technologiestechnologies

QUALITATIVE CRITERIAQUALITATIVE CRITERIAExamples of categories to choose amongExamples of categories to choose among

Disproportionate burdenDisproportionate burden Effective interventionsEffective interventions Opportunity gapOpportunity gap Potential cost savingsPotential cost savings Trends Trends Impact on agricultural communityImpact on agricultural community Ability to take action and influence othersAbility to take action and influence others Lack of activity by other sectorsLack of activity by other sectors Readiness of agricultural communityReadiness of agricultural community Readiness of political systemsReadiness of political systems Readiness of partners (industry, suppliers,…)Readiness of partners (industry, suppliers,…)

QUALITATIVE CRITERIA

Rollover

Run over

Entang-elment

Motor Vehicle Collision

Pinned/Struck by a Machine

AnimalRelated

Struckby Non-MachineObject

Drown-ing

Fall from

Height

Champion

Cost Savings

Impact that can be achieved

Qualitative Priority Ranking

Sample – Qualitative Criteria

QUALITATIVE CRITERIA

Rollover

Run over

Entang-elment

Motor Vehicle Collision

Pinned/Struck by a Machine

AnimalRelated

Struckby Non-MachineObject

Drown-ing

Fall from

Height

Quantitative Priority Ranking

Qualitative Priority Ranking

Overall Priority Ranking

Sample – Pulling it Together

Linking with the NFSSLinking with the NFSS

NFSS Priorities NFSS Priorities

ProgramProgram

TargetsTargets

OfferingsOfferings

ResearchResearch

Priority Setting Priority Setting

RolloversRollovers

RunoversRunovers

Motor Vehicle Motor Vehicle CollisionsCollisions

EntanglementEntanglement

Linking with the NFSSLinking with the NFSS

RolloversRollovers

ProgramProgram

TargetsTargets

OfferingsOfferings

ResearchResearch

Linking with the NFSSLinking with the NFSS

This is model can be used by CASA as This is model can be used by CASA as a priority setting exercise.a priority setting exercise.

Priorities identified in models like this Priorities identified in models like this one can be used by any organization to one can be used by any organization to set priorities, for example on researchset priorities, for example on research

Linking with the NFSSLinking with the NFSS

In addition, priority setting across the In addition, priority setting across the farm safety community is needed farm safety community is needed

Research, training, programming…Research, training, programming…

Model is sensitive to community Model is sensitive to community environmentsenvironments

QUESTIONS for Working QUESTIONS for Working GroupGroup

What are the strengths of the priority What are the strengths of the priority setting process as you see them? setting process as you see them?

Where do you expect we are going to Where do you expect we are going to have difficulties in setting priorities? have difficulties in setting priorities?

How would you overcome these How would you overcome these difficulties?difficulties?

What questions do What questions do you you have about the have about the priority setting process?priority setting process?