1. HIA & the Built Environment Greenways are Healthy! (What does that really mean?) Donald Kostelec, AICP | Kostelec Planning, LLC | Asheville, NC | @kostelecplan don@kostelecplanning.com

2. HIA & the Built Environment 2

3. What does healthy policy look like? 3

4. HIA & the Built Environment What does unhealthy policy look like? 4

5. HIA & the Built Environment

6. Urban Landscapes of Illinois Collection 6

7. HIA & the Built Environment 7

8. Source: Lots to Lose: How America’s Health and Obesity Crisis Threatens our Economic Future (2012) 8

9. HIA & the Built Environment Who am I? Don Kostelec, AICP Asheville, NC Kostelec Planning 13 years in planning & health Transportation Research Board Committee on Health + Transportation WNC Adjunct Professor Performed 12 HIAs across the US and several plans with strong health emphasis. 9

10. HIA & the Built Environment Projects with Health Themes Boise Asheville 10

11. HIA & the Built Environment Health Impact Assessment (HIA) – “A combination of procedures, methods and tools by which a policy, program or project may be judged as to its potential effects on the health of a population, and the distribution of those effects within the population.” (World Health Organization) Marriage of public health, planning, and policy Involvement of expert opinions, research, and community involvement. Inform decision-makers of the potential health impacts, positive and negative, of their decision(s). What is HIA? 11

12. HIA & the Built Environment Steps of an HIA 12

13. HIA & the Built Environment How do we do HIA? 13

14. HIA & the Built Environment Methods Workshop Background research – Community Health Assessment – Census – Any state/local data Field analysis Measuring project goals/objectives Health Claims Interviews Surveys 14

15. HIA & the Built Environment Change-making MountainWise secured 4 years of funding to implement recommendations $50,000 commitment by New Belgium Brewing Company for top priority Design changes in Bown Library site Bristol-Myers Squib commitment to fund greenway design in Robbinsville Purchase of new bicycles for Haywood County schools & new bike racks downtown Habitat for Humanity grant in Shiloh Neighborhood for Little Free Library 15

16. HIA & the Built Environment The Plan Policy Designing It Building It Final Product 16

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20. HIA & the Built Environment Evaluating Goals/Objectives  Strong Evidence of Increased Physical Activity  Moderate Evidence of Increased Physical Activity  Little Evidence of Increased Physical Activity 20

21. HIA & the Built Environment 21

22. HIA & the Built Environment Outcomes of HIA 22

23. HIA & the Built Environment Measuring Health Claims 23

24. HIA & the Built Environment Logic Framework 24

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28. Hot Spots

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34. Destinations & the 7 Dimensions 34

35. HIA & the Built Environment Destinations & Influence on Health 35

36. 36 Health & The Thread Trail

37. HIA & the Built Environment Questions & Discussion 37

38. HIA & the Built Environment Greenways are Healthy! (What does that really mean?) Donald Kostelec, AICP | Kostelec Planning, LLC | Asheville, NC | @kostelecplan don@kostelecplanning.com