Embed Size (px)
Citation preview
Regional Collaboration for Healthy
Communities
Shelley Saitowitz, County Health and Human Services Agency
Kathleen Ferrier, AICP, Walk San Diego
Phil Trom, San Diego Association of Governments
Vikrant Sood, Metropolitan Transportation Commission
APA 2013 Conference, Chicago, Il Monday, April 15, 2013
2
Weight of the Nation
3
Determinants of Health Status
Medical Care
Genetics
Social, Environment, Behavior
Source: Journal of Health Affairs 2002
10%
60%
30%
4
Transportation Costs, the Environment
Annual transportation Costs per Household, by Census Block in San Diego County
and our Health
The True Cost of Transportation
Today’s Session
Using San Diego as a case example to . . .
• Explore the need for regional collaboration to
address health outcomes;
• Understand the advantages and dis-advantages
of regional initiatives; and
• Discuss potential approaches to launch and
sustain regional efforts.
7
US National Prevention Strategy
Enabling Statewide Initiatives
• Health in All Policies
• Complete Streets Act
2008
• Safe Routes to School
Programs
• SB 375 and AB 32
The Epidemic in San Diego
Childhood Obesity Action Plan released
Health Equity by Design Caltrans grant California Local Public Health and Built Envt. Grant
Growing Green, Growing Healthy Symposium Healthy General Plans Workshop SB 375 California Complete Streets Act
County of San Diego Chronic Disease Agenda: 3-4-50 ARRA/ CDC Communities Putting Prevention to Work (CPPW) Grant
Affordable Care Act County of San Diego, LiveWell, San DIego! Formal partnership with SANDAG begins
National Prevention Strategy released
Workshops:
Active Design
Complete Streets
Health Impact Assessmnt
Prevention Fund: CDC Community Transformation Grant (CTG)
Moving Toward a Healthy Region
2006
2008
2009
2010
2011 2020
2012
2007
• Healthy Nutrition:
increase availability of
fresh produce in
communities and improve
workplace policies
• Healthy Schools:
improve nutrition and
increase physical activity
in schools
• Healthy Places: change
the built environment to
increase physical activity
San Diego CPPW Focus Areas
Healthy Places
SANDAG
Health Forecasting
Regional Planning
Healthy Communities
Campaign
Safe Routes to Schools
Active Commuters
Trans-portation
Regional Bikeway
Signage and Promotion
• $373 million program of the US
Centers for Disease Control
and Prevention (CDC)
• Funded through the American
Recovery and Reinvestment
Act of 2009 (ARRA) to:
– Preserve and create jobs
– Strengthen the nation’s healthcare
infrastructure
– Reduce healthcare costs through
chronic disease prevention
activities
14
Healthy Works / CPPW
• $16.1 million for obesity
prevention
• Focused on policy, systems
and environmental change
• Funded 15 Interventions
addressing:
– Physical activity through built
environment strategies
– Healthy nutrition through the
availability of fresh produce
– Nutrition and physical activity in
schools
Healthy Works / CPPW
15
Metropolitan Planning Organization (MPO)
Governed by a Board of Directors
Consolidated Agency
Regional Transportation Plan (RTP) and Sustainable
Communities Strategy (SCS)
Regional Comprehensive Plan (RCP)
16
San Diego Association of Governments
Oceanside
Carlsbad
Encinitas
Solana Beach
Del Mar
San Diego
Coronado
Imperial Beach
Chula Vista
National City
Lemon Grove
La Mesa El Cajon
Santee
Poway
Escondido San
Marcos
Vista
County of San Diego
San Diego
Riverside County
Imperial County
MEXICO
PACIFIC OCEAN
Orange County
17
San Diego Association of Governments
Physical activity
Access to daily goods
and services
Air quality
Injury prevention
and safety
. . . Healthy Communities!
Built Environment Strategies
18
SANDAG’s Healthy Works Projects
Stakeholder Engagement
Pass-Through Grant
Programs and Incentives
Regional Policies and
Programs
Tools and Technical
Assistance
19
Public Health Stakeholder
Group (PHSG)
City / County Planning,
Redevelopment & Public Works
County Health
Health Care Providers
Professional Organizations (APA, ASLA & AIA)
Community-Based
Organizations
Advocacy Groups (Active Transportation, Seniors,
Food Security, Sustainability,
Equity & Health)
Stakeholder Engagement
20
Safe Routes to School
(SRTS) Coalition
City / County Planning & Traffic
Engineering
State and County Health
School Administration
Parent Groups
Community-Based
Organizations
Advocacy Groups
Over $1 million in pass-
through grants to:
Integrate health
considerations in planning
Promote active
transportation and
walkable neighborhoods
Support SRTS planning
and programs
Grant Programs and Incentives
21
Regional Health and Wellness Policy Framework and
Performance Measures
Regional Safe Routes to School Strategic Plan
Regional Policies
22
Bike to Work Month – May 2011
Bike Safety and Education
Programs – 1,500+ participants
Bike to Work Day – 75 pit stops
and 6,000+ participants
SchoolPool Program
Walking SchoolBus and Bike
Buddy Programs
Walk Ride and Roll Campaign
4,500 kids from 22 schools
walked or biked to school
Active Transportation Promotion
23
Demographics
Population Density
Low-Income Areas
Minority Areas
Low Mobility Areas
Low Community Engagement
Health Atlas
24
Vacant and Underutilized
Parcels
Arterial Density
Traffic Volume Density
Complete Neighborhoods
Injury Prevention
Pedestrian and Cyclist Traffic
Crashes
Youth Traffic Safety
Food and Nutrition
Access to Healthy Food
Fast Food Residential Density
Air Quality
Physical Activity and Active
Transportation
Walkability
Transit Accessibility
Park Access
Non-Motorized Trail Access
Daycare, Library, Elementary
School and Health Care Access
Crime and Physical Disorder
Violent Crimes
25
Activity Based Model (ABM)
Health Module
More accurately account for
active transportation trips
Analysis of health for
proposed policies / projects
Monitoring and evaluation of
health-related targets
Transportation Modeling Enhancements
26
I-805 Bus Rapid Transit / 47th Street
Trolley Station Area Planning
Provide transit service in an
underserved community
Provide safe routes to transit
US-Mexico San Ysidro Border
Health Equity Transportation Study
Improve active transportation and
public transit access to community
facilities and amenities
Evaluate health impacts on
neighboring residents, commuters
and employees
Promote active modes of travel
Health Benefits and Impacts Analysis
27
Training Workshops
Build capacity in the region to conduct health analysis
Promote health consideration in local policies,
projects and programs
Health Benefits and Impacts Analysis
28
Active Design Guidelines
29
SANDAG’s Existing Guidelines National Best Practices
Complete Streets Training Workshops
30
Compliance with the 2008
California Complete Streets Act
(AB 1358)
In partnership with the National
Complete Streets Coalition and
WalkSanDiego
Phase 1 participants:
– City of Chula Vista
– City of San Diego
– City of Encinitas
– City of La Mesa
Community Transformation Grant (CTG)
31
Program Objectives:
Community-level efforts to reduce chronic diseases
Improve public health, reduce health disparities, and control
health care spending
Funding:
$103 million to 61 communities serving 120 million
Americans
$15 million to HHSA for five years
$2.5 million to SANDAG for five years
Community Transformation Grant (CTG)
32
Stakeholder Engagement
SRTS Strategic Plan Implementation
Health and Wellness Policies
Regional Complete Streets Policy
Health Benefits and Impacts Analysis
Today’s Session
Using San Diego as a case example to . . .
• Explore the need for regional collaboration to
address health outcomes;
• Understand the advantages and dis-advantages
of regional initiatives; and
• Discuss potential approaches to launch and
sustain regional efforts.
33
Advantages of a Regional Approach
• Issues such as health, like transportation and access to
food, are regional in nature
– Most solutions are effective if implemented across multiple
jurisdictions / neighborhoods
– Bridges gap between national / statewide programs and local
action; regional efforts can tailor programs to local context
• Extends the reach to multiple jurisdictions even when
only a select few are receptive
– Allows for dissemination of successful models and best practices
more effectively
– Leverages and aligns scarce resources
– Supports smaller jurisdictions that may be resource constrained
• Pushes participants to take the long-term view
34
Dis-Advantages of a Regional Approach
• SANDAG and HHSA have no jurisdiction over
local land use and transportation decisions.
• SANDAG typically relies on the following
strategies to influence local decisions:
– Policy frameworks and guidance
– Incentives and resources
– Tools and technical assistance
• Can become unmanageable for larger regions
35
Shelley Saitowitz
County Health and Human Services Agency
619-692-8536
Kathleen Ferrier, AICP
Walk San Diego
619-544-9255
Phil Trom
San Diego Association of Governments
619-699-7330
Vikrant Sood
Metropolitan Transportation Commission
510-817-5828
