Spy Pond Partners April 2009 NCHRP 20-24(37C) – Comparative Performance Measurement Safety Performance Based on the Fatality Analysis Reporting System.

Slides:



Advertisements
Similar presentations
DC Responses Received WA OR ID MT WY CA NV UT CO AZ NM AK HI TX ND SD NE KS OK MN IA MO AR LA WI IL MI IN OH KY TN MS AL GA FL SC NC VA WV PA NY VT NH.
Advertisements

THE COMMONWEALTH FUND Millions of uninsured Source: Income, Poverty, and Health Insurance Coverage in the United States: United States Census Bureau,
Background Information on the Newspoets Total Number: 78 active newspoets. 26 (of the original 36) newspoets from returned this year.
SHSP Progress and Future Federal Perspective Beth Alicandri Office of Safety 2011 SHSP Peer Exchange June 14 – 15, 2011 Crown Plaza Hotel, Austin, Texas.
Mobility Update as of February 15, WA OR CA NV ID MT ND SD WY UT CO AZ NM AK HI TX OK KS NE MN IA MO AR LA MS ALGA FL WI IL MI IN KY TN SC NC VA.
National TIM Responder Training Program Implementation Progress - As of November 2, 2015 Train-the-Trainer Sessions 193 sessions with 7,115 participants.
Agencies’ Participation in PBMS January 20, 2015 PA IL TX AZ CA Trained, Partial Data Entry (17) Required Characteristics & 75% of Key Indicators (8) OH.
Essential Health Benefits Benchmark Plan Selection, as of October 2012
House Price
Train-the-Trainer Sessions 240 sessions with 8,187 participants
House price index for AK
WY WI WV WA VA VT UT TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
NJ WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK OH ND NC NY NM NH NV
Train-the-Trainer Sessions 384 sessions with 11,279 participants
Train-the-Trainer Sessions 379 sessions with 11,183 participants
Medicaid Costs are Shared by the States and the Federal Government
Train-the-Trainer Sessions 386 sessions with 11,336 participants
Non-Citizen Population, by State, 2011
Share of Women Ages 18 – 64 Who Are Uninsured, by State,
WY WI WV WA VA VT UT TX TN1 SD SC RI PA1 OR OK OH ND NC NY NM NJ NH2
WY WI WV WA VA VT UT TX TN1 SD SC RI PA OR OK OH1 ND NC NY NM NJ NH NV
WY WI WV WA VA* VT UT TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
WY WI WV WA VA VT UT TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
Mobility Update and Discussion as of March 25, 2008
Current Status of the Medicaid Expansion Decision, as of May 30, 2013
IAH CONVERSION: ELIGIBLE BENEFICIARIES BY STATE
WAHBE Brokers / QHPs across the country as of
619 Involvement in State SSIPs
Train-the-Trainer Sessions 362 sessions with 10,873 participants
State Health Insurance Marketplace Types, 2015
State Health Insurance Marketplace Types, 2018
HHGM CASE WEIGHTS Early/Late Mix (Weighted Average)
Train-the-Trainer Sessions 386 sessions with 11,336 participants
Train-the-Trainer Sessions 394 sessions with 11,460 participants
Percent of Women Ages 19 to 64 Uninsured by State,
Train-the-Trainer Sessions 392 sessions with 11,432 participants
Status of State Medicaid Expansion Decisions
Medicaid Income Eligibility Levels for Parents, January 2017
State Health Insurance Marketplace Types, 2017
S Co-Sponsors by State – May 23, 2014
WY WI WV WA VA VT UT* TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
Seventeen States Had Higher Uninsured Rates Than the National Average in 2013; Of Those, 11 Have Yet to Expand Eligibility for Medicaid AK NH WA VT ME.
Employer Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and percent of under-65 population live where premiums.
Train-the-Trainer Sessions 396 sessions with 11,504 participants
Employer Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and percent of under-65 population live where premiums.
Average annual growth rate
Train-the-Trainer Sessions 250 sessions with 8,352 participants
Market Share of Two Largest Health Plans, by State, 2006
Percent of Children Ages 0–17 Uninsured by State
Train-the-Trainer Sessions 402 sessions with 11,649 participants
How State Policies Limiting Abortion Coverage Changed Over Time
United States: age distribution family households and family size
Status of State Medicaid Expansion Decisions
Train-the-Trainer Sessions 402 sessions with 11,649 participants
Employer Premiums as Percentage of Median Household Income for Under-65 Population, 2003 and percent of under-65 population live where premiums.
Percent of Adults Ages 18–64 Uninsured by State
Uninsured Nonelderly Adult Rate Has Increased from Percent to 20
Train-the-Trainer Sessions 401 sessions with 11,639 participants
States including quality standards in their SSIP improvement strategies for Part C FFY 2013 ( ) States including quality standards in their SSIP.
Status of State Medicaid Expansion Decisions
WY WI WV WA VA VT UT* TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
WY WI WV WA VA VT UT* TX TN SD SC RI PA OR* OK OH ND NC NY NM* NJ NH
Train-the-Trainer Sessions 416 sessions with 11,878 participants
Current Status of State Individual Marketplace and Medicaid Expansion Decisions, as of September 30, 2013 WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK.
Status of State Medicaid Expansion Decisions
Income Eligibility Levels for Children in Medicaid/CHIP, January 2017
WY WI WV WA VA VT UT TX TN SD SC RI PA OR OK OH ND NC NY NM NJ NH NV
Train-the-Trainer Sessions 429 sessions with 12,141 participants
Train-the-Trainer Sessions 436 sessions with 12,254 participants
Train-the-Trainer Sessions 386 sessions with 11,336 participants
Presentation transcript:

Spy Pond Partners April 2009 NCHRP 20-24(37C) – Comparative Performance Measurement Safety Performance Based on the Fatality Analysis Reporting System (FARS)

2 Spy Pond Partners Value of Comparative Performance Measurement for Safety Comparative performance measurement is a powerful technique for motivating and facilitating changes that result in improved performance Motivates organizations to pursue improvements by showing them what their peers have been able to achieve Highlights effective practices associated with states that “moved the needle” for traffic fatality rate during the timeframe Results adds to a growing compendium of best practices (construction delivery, pavement smoothness, safety…) Comparative performance provides a compelling basis for executives for further improvement and associated practices. Linking results to practice at a macro level in the case of safety has proved valuable not so much for discovering new practices, but for reinforcing and lending further support to already recognized best practices.

3 Spy Pond Partners Value of Comparative Performance Measurement for Safety (cont.) Looking at what multiple high performing states have done allows distillation of important practices Compared to the two other areas (on-time, on-budget and pavement smoothness), safety is more "mature" with respect to performance measurement and use of performance data to target improvements. A single "take away" from the interviews with top performing states, it is the critical importance of being able to FOCUS activities based on credible and timely data. Safety practitioners have institutionalized use of performance data for discovery of what works well and what doesn't. Continued work towards improving comparability of safety data across states is important – it will be valuable as federal performance measures are explored for reauthorization.

4 Spy Pond Partners Final Set of Performance Measures Primary Performance Measure % change in 3 year average between and in total fatalities per 100 million VMT Secondary Performance Measure (tie breaker or screening) 3 year average Fatality rate Supplemental Performance Measures % change in 3 year average between and in total fatalities per 100 million VMT (most recent portion of the time period) % change in 3 year average between and in urban fatality rate (fatalities on roads with urban functional classification divided by 100 million VMT on roads with urban functional classification) % change in 3 year average between and in rural fatality rate (fatalities on roads with rural functional classification divided by 100 million VMT on roads with rural functional classification) Change in 3 year average of total number of fatalities

5 Spy Pond Partners Performance Results

6 Spy Pond Partners Methods for Identification of Top Performing States Four methods used – recommendations reflect “union” across methods 1. Straight ranking based on percentage change in fatalities 2. Screen out states with lower than national average fatality rate, then rank based on percentage change in fatalities 3. Geographic peer groupings - select top state within each of 5 geographic zones (see next slide) – based on percentage change in fatalities, with absolute fatality rate as tie-breaker 4. Urban/Rural peer groupings – 5 groups based on percentage of fatalities on urban classified roadways – select top state within each group – based on percentage change in fatalities, with absolute fatality rate as tie-breaker

7 Spy Pond Partners Peer Groupings - Geographic Regions Used by FHWA for Travel Monitoring – 5 regions (

8 Spy Pond Partners Peer Groupings - % of Fatalities on Urban Roadways Group 1 Less than 15 percent of fatalities on Urban Classified Roads (9 states) ME, MS, MT, ND, SC, SD, VT, WV, WY Group percent of fatalities on Urban Classified Roads (15 states) AL, AS, ID, IN, IA, KS, KY, MN, NE, NH, NM, OK, OR, UT, WI Group percent of fatalities on Urban Classified Roads (14 states) AK, CO, DE, GA, LA, MI, MO, NC, OH, PA, TN, TX, VA, WA Group percent of fatalities on Urban Classified Roads (8 states) AR, CA, FL, HI, IL, MD, NV, NY Group 5 Over 60 percent of fatalities on Urban Classified Roads (4 states) CT, MA, NJ, RI

9 Spy Pond Partners Summary Results and Recommendations for Best Practice Identification * tied or close second

10 Spy Pond Partners Selected States Top Performing States - Interviewed Tier 1 Top Performers Alaska Colorado Connecticut Maine Maryland Massachusetts Michigan Minnesota New York Utah

11 Spy Pond Partners Findings Improvements in safety performance were the result of: Coordinated, Focused Efforts on the 4E's (Engineering – Enforcement – Education - Emergency Response) with no big surprises, no silver bullets Solid Leadership Dedicated Resources Committed Players

12 Spy Pond Partners Findings High degree of consistency across states interviewed in what people felt was important

13 Spy Pond Partners Findings Key factors leading to good performance were: Leadership and Interagency Partnerships Performance Targets and Continuous Monitoring of Progress Support Legislation to Reduce Highway Fatalities Use timely and accurate data to target programs and countermeasures for greatest payoff Maximize coordination across state and local law enforcement agencies Pursue creative and proactive public communications and messaging

14 Spy Pond Partners Safety Data for Comparative Performance Measurement Shift to use of fatalities to fatalities+injuries to provide a more robust basis for comparison Fatalities are relatively rare events – random variations impact performance results Continue work on consistency across states on definition and reporting of serious injuries. Support improvements to timeliness of both crash and VMT data States that have achieved quick turnaround have reported significant benefits in terms of willingness to use the data to target resources where they will have the greatest payoff Improve locational accuracy of crash data (particularly for local roadways) Quantification of both enforcement activities and engineering improvements to allow for cross state comparison would be of value % of freeway miles with shoulder rumble strips by year (for engineering) % of annual nighttime/weekend VMT represented by enforcement activities.