1. SETTING PRIORITIES CASA Conference Pamela Fuselli & Margaret Herbert Co-Chairs CAIR Executive Steering Committee October 2012

2. Why we set priorities Because of limited resources: Because of limited resources: time time funding funding manpowermanpower To achieved the biggest impact To achieved the biggest impact To coordinate efforts of stakeholders To coordinate efforts of stakeholders

3. What criteria to use, e.g.: Common sense Common sense Data (If so which?) Data (If so which?) Opportunity gaps Opportunity gaps Provincial or regional interest Provincial or regional interest Media attention Media attention Political agendas Political agendas Advocacy or lobby groups Advocacy or lobby groups

4. Winnipeg Model: ADVANTAGES Utilizes available injury data Utilizes available injury data Incorporates qualitative and quantitative considerations Incorporates qualitative and quantitative considerations Provides structure to stakeholder deliberations Provides structure to stakeholder deliberations Is transparent, can be documented Is transparent, can be documented Can be revisited over time Can be revisited over time

5. HOW THE MODEL WORKS (“recipe”….) Choose major injury categories for consideration Choose major injury categories for consideration Choose quantitative criteria (data) Choose quantitative criteria (data) Choose qualitative criteria (readiness, potential, capacity to effect change) Choose qualitative criteria (readiness, potential, capacity to effect change) Rank and score Rank and score Put it all together Put it all together Perform a reality check Perform a reality check Report Report

6. AGRICULTURAL INJURIES by CASA and CAIR CAIR started the “quantitative” - data driven - process CAIR started the “quantitative” - data driven - process The new data available The new data available Agricultural Fatalities in Canada 1990-2008

7. PRIORITY SETTING PROCESS Injury Categories Roll-over Roll-over Run-over Run-over Tractor-related Tractor-related Other machine-related Other machine-related Entanglement in machinery Entanglement in machinery Collision with a motor vehicle (on road) Collision with a motor vehicle (on road) Pinned or struck by a machine Pinned or struck by a machine Animal-related Animal-related Drowning Drowning Fall from a height Fall from a height

8. PRIORITY SETTING PROCESS Data measures 1.Potential years of life lost - a measure of premature mortality 2.Mortality – number, rates or % all injury mortality 3.Hospitalization – number, rate or % all injury hospitalization 4.Measures of Disability - short/long term 5.Economic burden – direct health care costs and/or indirect costs Note: CAIR does not have current data on 3, 4 and 5.

9. QUANTITATIVE CRITERIA Roll over Run over Entang- elment Motor Vehicle Collision Pinned/ Struck by a Machine Animal Related Struck by Non- Machine Object 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 Sum337.571113.514.512.518 Quantitative Priority Ranking 114357860 Sample – Quantitative Criteria

10. PRIORITY SETTING PROCESS Ranking based on data 1.Roll-over 2.Run-over 3.Motor Vehicle Collision (with farm machinery) 4.Entanglement

11. GUIDING the QUALITATIVE PROCESS Broad, practical, “hands on” knowledge needed Broad, practical, “hands on” knowledge needed Understanding of agricultural community, resources, interests Understanding of agricultural community, resources, interests A sense of gaps and opportunities A sense of gaps and opportunities Knowledge of best practices and promising technologies Knowledge of best practices and promising technologies

12. QUALITATIVE CRITERIA Examples of categories to choose among Disproportionate burden Disproportionate burden Effective interventions Effective interventions Opportunity gap Opportunity gap Potential cost savings Potential cost savings Trends Trends Impact on agricultural community Impact on agricultural community Ability to take action and influence others Ability to take action and influence others Lack of activity by other sectors Lack of activity by other sectors Readiness of agricultural community Readiness of agricultural community Readiness of political systems Readiness of political systems Readiness of partners (industry, suppliers,…) Readiness of partners (industry, suppliers,…)

13. QUALITATIVE CRITERIA Roll over Run over Entang- elment Motor Vehicle Collision Pinned/ Struck by a Machine Animal Related Struck by Non- Machine Object Drown- ing Fall from Height Champion Cost Savings Impact that can be achieved Qualitative Priority Ranking Sample – Qualitative Criteria

14. QUALITATIVE CRITERIA Roll over Run over Entang- elment Motor Vehicle Collision Pinned/ Struck by a Machine Animal Related Struck by Non- Machine Object Drown- ing Fall from Height Quantitative Priority Ranking Qualitative Priority Ranking Overall Priority Ranking Sample – Pulling it Together

15. Linking with the NFSS NFSS Priorities NFSS Priorities Program Program Targets Targets Offerings Offerings Research Research Priority Setting Priority Setting Rollovers Rollovers Runovers Runovers Motor Vehicle Collisions Motor Vehicle Collisions Entanglement Entanglement

16. Linking with the NFSS Rollovers Rollovers Program Program Targets Targets Offerings Offerings Research Research

17. Linking with the NFSS This is model can be used by CASA as a priority setting exercise. This is model can be used by CASA as a priority setting exercise. Priorities identified in models like this one can be used by any organization to set priorities, for example on research Priorities identified in models like this one can be used by any organization to set priorities, for example on research

18. Linking with the NFSS In addition, priority setting across the farm safety community is needed In addition, priority setting across the farm safety community is needed Research, training, programming… Research, training, programming… Model is sensitive to community environments Model is sensitive to community environments

19. QUESTIONS for Working Group What are the strengths of the priority setting process as you see them? What are the strengths of the priority setting process as you see them? Where do you expect we are going to have difficulties in setting priorities? Where do you expect we are going to have difficulties in setting priorities? How would you overcome these difficulties? How would you overcome these difficulties? What questions do you have about the priority setting process? What questions do you have about the priority setting process?