COUNTY HEALTH RANKINGS & ROADMAPS: TRANSPORTATION AND HEALTH Karen Odegaard MPH & Anne Roubal MS

County Health Rankings & Roadmaps is a collaboration between the Robert Wood Johnson Foundation and the University of Wisconsin Population Health Institute.

3 ACKNOWLEDGEMENTS ‣ Robert Wood Johnson Foundation – Including Abbey Cofsky, Paul Kuehnert, Michelle Larkin, Jim Marks, Joe Marx, Marjorie Paloma, Naima Wong ‣ Wisconsin County Health Rankings & Roadmaps Team – Including Bridget Catlin, Julie Willems Van Dijk, Patrick Remington, David Kindig, Kitty Jerome, Amanda Jovaag, Alison Bergum ‣ Our Partners – Including Burness Communications, Community Catalyst, United Way Worldwide, ASTHO, NACCHO, NNPHI, Dartmouth Institute, CDC, NCHS

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6 ‣ Simplify complex data ‣ Media coverage ‣ Add context ‣ Call to action ‣ Starting point WHY RANK?

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8 COUNTY HEALTH RANKINGS LOGIC MODEL Media attention Community leaders use report Broad community engagement Evidence- informed strategies implemented Improved health outcomes Population based data collected County Health Rankings

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10 HISTORY OF TRANSPORTATION AND HEALTH ‣ Urban Planning ‣ Green space ‣ Community infrastructure ‣ Land use and zoning ordinances ‣ Climate change ‣ Emergency preparedness ‣ Access to health care

11 TRANSPORTATION ‣ Public systems – Bikes/cars/sidewalks/highways/ streets ‣ Safety ‣ Ability to travel to necessary locations ‣ Pollution

12 TRANSIT ‣ In 2008, the average American drove 10,000 miles ‣ 80% of Americans commute in a car ‣ 74% of all trips 2 miles or less are made by car

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14 ‣ Actionable measures ‣ Valid, reliable, recognizable ‣ County-level ‣ Free or low cost ‣ Up-to-date as possible ‣ Fewer measures better than more HOW MEASURES ARE SELECTED

15 ‣ Driving alone – The percentage of the working population who commute to work alone in a car, van, or truck – Dane County: 73% – Wisconsin: 80% – Top Performers: 71% ‣ Long commute – The percentage of the work force driving alone who spend more than 30 minutes commuting – Dane County: 22% – Wisconsin: 26% – Top Performers: 15% EXPLICIT TRANSIT MEASURES Data from the American Community Survey

16 OTHER TRANSIT MEASURES USED IN RESEARCH ‣ Traffic Crashes ‣ Freight travel time/speed ‣ Traffic congestion/density ‣ Access to jobs and labor ‣ Emissions and road conditions ‣ H + T Index – location efficient neighborhoods

17 DRIVING ALONE

18 LONG COMMUTE

19 WI DISTRIBUTION OF TRANSIT MEASURES

20 WHERE ELSE DOES TRANSIT BELONG?

21 PERCENTAGE OF COMMUTERS WHO WALK/BIKE

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23 WHAT IS HEALTHY COMMUNITY DESIGN? Integrating evidence-based health strategies into community planning, transportation, and land-use decisions. Source: Centers for Disease Control and Prevention

24 WHAT WORKS FOR HEALTH Find effective programs and policies at works-for-health works-for-health

25 ‣ Improve streetscape design ‣ Mixed-use development ‣ Bicycle/pedestrian master plans ‣ Access to places for physical activity ‣ Safe Routes to School ‣ Walking school buses WHAT WORKS: BUILDING HEALTHY COMMUNITIES

26 WWFH WEBSITE TOUR ‣ What Works for Health ‣ Select Housing & Transit on the model ‣ Walk through what you can find in What Works for Health – Narrow by approach – Select Walking School Buses

27 WALKING SCHOOL BUSES “Walking school buses tear down parental fears … that prevent many kids from walking to school.”

28 TRANSPORTATION AND HEALTH HIA finds economic and health benefits associated with public transportation.

29 RWJF CULTURE OF HEALTH PRIZE WINNER “People who have maybe never sat at the same table together have to come together.”

30 Using the Intro to What Works for Health worksheet, walk through the tool and explore transportation-related strategies. Discuss how you could use What Works for Health in your work. ACTIVITY: USING WHAT WORKS FOR HEALTH Assignments needed: Time keeper, Note- taker, Website Navigator, and Reporter Time: 10 min. What Works for Health worksheet: \\files.match.wisc.edu\Projects\CH- RoadMap\Action Center\Materials & Resources\Instructional Design\Activities and exercises\Intro to WW4H Activity with Instructions_Updated April 2014.docx

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