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Image Source: https://www.flickr.com/photos/davidyuweb/13370127374 T HE C RITICAL I NTERSECTION OF P UBLIC H EALTH , S OCIAL E QUITY , AND P ERFORMANCE - B ASED P LANNING Dave Vautin M ETROPOLITAN T RANSPORTATION C OMMISSION D ECEMBER 3, 2014 P ORTLAND , O REGON A C ASE S TUDY FROM THE S AN F RANCISCO B AY A REA

T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

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Page 1: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Image Source: https://www.flickr.com/photos/davidyuweb/13370127374

THE CRITICAL INTERSECTION OF

PUBLIC HEALTH, SOCIAL EQUITY, AND

PERFORMANCE-BASED PLANNING

Dave VautinMETROPOLITAN TRANSPORTATION COMMISSION

DECEMBER 3, 2014 – PORTLAND, OREGON

A CASE STUDY FROM THE SAN FRANCISCO BAY AREA

Page 2: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Smarter Target-Setting:

Integrating Public Health and Social Equity1

2

3

Why Project Evaluation Matters:

Limitations of Scenario-Level Analysis

Quantifying Benefits:

Framework for Evaluating Hundreds of Projects

Image Source: https://www.flickr.com/photos/davidyuweb/14681108615

4Linking Performance and Policy Decisions:

High-Performers and Low-Performers

5What’s Next:

Leveraging New Tools in Health/Equity Planning

2

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Smarter Target-Setting:

Integrating Public Health and Social Equity1

Image Source: https://www.flickr.com/photos/davidyuweb/14681108615

3

Page 4: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

CMAPChicago

NYMTCNew York

SPCPittsburgh

BMPOBoston

DVRPCPhiladelphia

EWGCOGSt. Louis

NJTPANewark

MTCSan Francisco

SEMCOGDetroit

ARCAtlanta

6

74%

87%

87%

88%

89%

92%

94%

97%

97%

98%

0% 25% 50% 75% 100%

O&M Expansion

40%

50%

53%

55%

55%

57%

60%

70%

0% 25% 50% 75% 100%

O&M Expansion

MWCOGWashington

SCAGLos Angeles

PSRCSeattle

SANDAGSan Diego

H-GACHouston

MAGPhoenix

DRCOGDenver

NCTCOGDallas

BMCBaltimore

MCMinneapolis

insufficient data provided by MPO

insufficient data provided by MPO

TOP 20 MPOS: O&M VERSUS EXPANSION FUNDING 4

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Establish Performance Targets

Assess Project Performance

Assess Scenario Performance

Assess Plan/EIR Performance

Monitor Performance of Adopted Plan

A

B

C

D

E

LONG-RANGE

PLANNING

PROCESS

Image Source: http://www.flickr.com/photos/fritography/5162434063/sizes/l/

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Page 6: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

BRIEF HISTORY OF PERFORMANCE ASSESSMENT AT MTC

2005 2009 20132001

2001 REGIONAL

TRANSPORTATION

PLAN

Year

SCENARIO

PLANNING

Transportation

investment

packages

Transportation

investment

packages

Transportation

investment

packages

Integrated

transportation &

land use scenarios

PERFORMANCE

TARGETS

Transportation

targets

Transportation

targets

Transportation

targetsIntegrated targets

QUALITATIVE

PROJECT

ASSESSMENT

None Goals-based Goals-based Targets-based

QUANTITATIVE

PROJECT

ASSESSMENT

None NoneLimited benefit-

cost analysis

Rigorous benefit-

cost analysis

NUMBER OF

PROJECTS

ANALYZED

0 400 700 900

6

Page 7: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

• First regional plan to integrate transportation, land use, and housing

• Sustainable Communities Strategy initiated by California Senate Bill 375

7

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A COLLABORATIVE TARGET-SETTING PROCESS

• Engaged stakeholders from the region’s 9 counties, 101 cities,

26 transit operators, and numerous advocacy organizations

• 6-month process to define performance measures & targets

• 8-month process to establish project evaluation framework

• Result: broad support for rigorous performance assessment from

key stakeholders, executive leadership, and policymakers

Image Source: http://www.flickr.com/photos/tq2cute/4407502443/sizes/o/

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Page 9: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Image Source: https://www.flickr.com/photos/timerding/3468819493/

CHOOSING A PUBLIC HEALTH TARGET

Infrastructure-

Oriented

PUBLIC HEALTH

Increase sidewalk-

miles and bicycle

lane-miles by X%

Customer-

Oriented

PUBLIC HEALTH

Increase average

daily time spent

walking or biking by

X%

Objective-

Oriented

PUBLIC HEALTH

Decrease life-year

impact of mortality or

morbidity due to

insufficient physical

activity by X%

- OR-

- OR-

9

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Image Source: https://www.flickr.com/photos/timerding/3468819493/

CHOOSING AN EQUITY TARGET

Infrastructure-

Oriented

Invest X% of regional

transportation dollars

into disadvantaged

communities

Customer-

Oriented

Increase middle-class

jobs within X minutes

by transit by Y%

Objective-

Oriented

Decrease housing and

transportation costs

as a share of low-

income household

budgets by X%

- OR-

- OR-

EQUITY

EQUITY

EQUITY

10

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Image Source: https://www.flickr.com/photos/timerding/3468819493/

CHOOSING AN AIR QUALITY TARGET

Infrastructure-

Oriented

CLEAN AIR

Increase the market

share of zero-

emission cars &

trucks to X%

Customer-

Oriented

CLEAN AIR

Reduce particulate

emissions by X%

Objective-

Oriented

CLEAN AIR

Reduce premature

deaths from exposure

to particulate

emissions by X%

- OR-

- OR-

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CLIMATE

PROTECTION

ADEQUATE

HOUSING

HEALTHY

AND SAFE

COMMUNITIESOPEN SPACE AND

AGRICULTURAL

PRESERVATION

EQUITABLE ACCESS

ECONOMIC

VITALITY

TRANSPORTATION

SYSTEM EFFECTIVENESS

Reduce per-capita

greenhouse gas

emissions from cars and

light-duty trucks

House all of the

region’s projected

housing growth

Reduce premature deaths

from exposure to

particulate emissions

Reduce injuries and

fatalities from collisions

Increase average daily time

spent walking or biking

Direct all non-

agricultural

development

within the urban

footprint

Decrease housing

and transportation

costs as a share of

low-income

household budgets

Increase gross

regional product

Increase non-auto

mode share and

reduce VMT per capita

Maintain the

transportation systemEC

ON

OM

YEN

VIR

ON

MEN

TEQ

UIT

Y

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EQUITY ANALYSIS TECHNICAL MEASURESCOMPARING “COMMUNITIES OF CONCERN” WITH REMAINDER OF BAY AREA

Image Source: https://www.flickr.com/photos/clintsharp/11061059935

Housing + Transportation Affordability

Displacement Risk

Vehicle Miles Traveled Density

Average Commute Travel Time

Average Non-Commute Travel Time

1

2

3

4

5

13

Page 14: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Impetus for Project-Level Assessment:

Limitations of Scenario-Level Analysis2

Image Source: https://www.flickr.com/photos/davidyuweb/14681108615

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Page 15: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

SCENARIO

TRANSPORTATION

PROJECTS

LAND USE

PATTERN

PLANNING

FRAMEWORK

PROJECT-LEVEL

TARGETS ASSESSMENT

PERFORMANCE

ASSESSMENT

PERFORMANCE-BASED PLANNING FRAMEWORK

PROJECT-LEVEL

EQUITY ASSESSMENT

SCENARIO-LEVEL

TARGETS ASSESSMENT

SCENARIO-LEVEL

EQUITY ASSESSMENT

PROJECT-LEVEL

BENEFIT-COST ASSESSMENT

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SCENARIO PERFORMANCE ASSESSMENTComparing Forecasted Outcomes to Regional Targets

16

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SCENARIO PERFORMANCE ASSESSMENTComparing Forecasted Outcomes to Regional Targets

17

Page 18: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

SCENARIO EQUITY ANALYSISUnderstanding Impacts to “Communities of Concern”

Measure Community 20102040 No

Project2040 Preferred

Housing +

Transportation

Affordability

Low-Income 72% 80% 74%

Rest of Region 41% 44% 43%

Displacement

Risk

COC n/a 21% 36%

Rest of Region n/a 5% 8%

VMT DensityCOC 9,737 11,447 11,693

Rest of Region 9,861 11,717 11,895

Commute Travel

Time

COC 25 26 26

Rest of Region 27 29 27

Non-Commute

Travel Time

COC 12 13 13

Rest of Region 13 13 13

18

Page 19: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Quantifying Benefits:

Framework for Evaluating Hundreds of Projects3

Image Source: https://www.flickr.com/photos/davidyuweb/14681108615

19

Page 20: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Number and cost of projects are approximated for simplicity.

200

100

100

700

Committed

Number of Projects

Quantitative

& qualitative

30

150

2010

Committed

Cost of Projects (in billions of $)

Quantitative

& qualitative

Qualitative

only

Qualitative

only (by

project

type)

Qualitative

only

Qualitative only

(by project type)

DETERMINING HOW TO EVALUATE PROJECTS –

AND WHICH PROJECTS SHOULD BE EVALUATED

20

Page 21: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

TARGETS

ASSESSMENT

Compare benefits & costs

Analyzed most significant projects

(approximately 100 in total)

Determine impact on targets

adopted by MTC and ABAG

Analyzed all 900 uncommitted

projects

BENEFIT-COST

ASSESSMENT

PRIMARY ELEMENTS OF PROJECT PERFORMANCE ASSESSMENT

21

Page 22: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Targets Assessment

Benefit-Cost Assessment

BENEFITS• Travel time (including recurring & non-recurring delay)

• Travel cost (auto operating/ownership, parking)

• Emissions (CO2, PM2.5, ROG, NOx)

• Collisions (fatalities, injuries, property damage)

• Health impacts due to active transport

• Noise

COSTS• Capital costs

• Net operating and maintenance (O&M) costs

Assessed qualitatively using target scores (max score of +10).

Assessed quantitatively using MTC Travel Model One.

1. Climate Protection

2. Adequate Housing

3. Particulate Matter

4. Collisions

5. Active Transportation

6. Open Space

7. Equitable Access

8. Economic Vitality

9. Non-Auto Mode Share/VMT

10. State of Good Repair

22

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23

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25

Page 26: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

BENEFITS SPECIFIC TO PUBLIC HEALTH – AND COST-EFFECTIVENESS

Top 3 Most Cost-Effective Projects for Active Transportation

Project Name Annual Project Cost ∆ Active Individuals Cost-Effectiveness (∆/$)

BART Metro Program -$18.5 million 2,735 people infinite

Cordon Pricing $5.1 million 11,899 people 2,338

Treasure Island Pricing $1.2 million 2,483 people 2,108

Top 3 Least Cost-Effective Projects for Active Transportation

Project Name Annual Project Cost ∆ Active Individuals Cost-Effectiveness (∆/$)

Muni TEP $7.8 million -3,811 people -486

I-80 Auxiliary Lanes $3.5 million -399 people -112

Alameda-Oakland BRT $2.1 million -200 people -96

Image Source: https://www.flickr.com/photos/dpworks/6277280935

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Page 27: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Example Project

Equity Map:

San Francisco

County

27

Page 28: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Linking Performance and Policy Decisions:

High-Performers and Low-Performers4

Image Source: https://www.flickr.com/photos/davidyuweb/14681108615

28

Page 29: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

CALTRAIN

DOWNTOWN

EXTENSION

SAMPLE HIGH-PERFORMING

PROJECTS

PRIORITIZED FOR

REGIONAL FUNDING

BART

METRO

URBAN BRT

SYSTEMS

FREEWAY

PERFORMANCE

INITIATIVE

SMART

EXPANSION

DUMBARTON

RAIL

FREEWAY

WIDENING(US-101 & SR-239)

SAMPLE LOW-PERFORMING

PROJECTS

REQUIRED COMPELLING

CASE FOR INCLUSION IN

PLAN

SAMPLE

MODERATE-PERFORMING

PROJECTS

“NOTHING TO SEE HERE, MOVE ALONG”

URBAN BUS

FREQUENCY

IMPROVEMENTS

EXPRESS LANE

NETWORK

21

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Page 30: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

COMPELLING CASE CRITERIA

Category 1: Modeling Limitations

must prove limitations directly resulted in a B/C ratio less than 1

1. Interregional or recreational corridor

2. Access to international airports

3. Benefit accrual from non-modelable effects such as weaving

reduction, transit crowding reduction, etc.

4. Synergies with other fully funded investments

Category 2: Federal Requirements

1. Cost-effective in reducing CO2, PM, or ozone precursors

2. Improves mobility or air quality in communities of concern

Image Source: http://www.flickr.com/photos/jasonholmberg/8436363059/sizes/o/

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13

18

12

Projects re-scoped:(7) Environmental phase only

(5) Sponsor agreed to fully

fund project locally

(1) Down-scoped to achieve

B/C ratio greater than 1

Projects withdrawn

by sponsors

Compelling cases approved:(6) Communities of Concern

(1) Air quality

(1) Recreational trips

Case slated for

rejection; “settled

out of court”

IMPLICATIONS OF COMPELLING CASE REQUIREMENT

FOR LOW-PERFORMING PROJECTS

Image Source: http://www.flickr.com/photos/fritography/5162434063/sizes/l/

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Page 32: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

What’s Next:

Leveraging New Tools in Health/Equity Planning5

Image Source: https://www.flickr.com/photos/davidyuweb/14681108615

32

Page 33: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

Image Source: http://upload.wikimedia.org/wikipedia/commons/6/64/Capitol_at_Dusk_2.jpg

Expectations for performance

assessment have grown

significantly in the past

decade.

Yet there remains no national

mandate to incorporate

health & equity measures. It

is up to MPOs and state DOTs

to lead the way.

33

Page 34: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

INTEGRATED TRANSPORT AND HEALTH IMPACTS MODEL

(ITHIM)

-2000

-1000

0

1000

2000

3000

4000

5000

6000

7000

Active Transport Strategy Low Emission VehiclesStrategy

Change in D

isabilit

y-A

dju

sted L

ife-Y

ears

per

Million

Policy Strategy Analysis Example

Physical Activity Air Pollution Injuries

• Developed in 2011;

now being leveraged

by MPOs across

California

• Calculates health

impacts (mortality

and morbidity)

related to air quality,

physical activity, and

collisions

• Integrates with travel

demand model & GIS

databases (Excel-

based tool)

34

Page 35: T CRITICAL INTERSECTION OF P HEALTH, SOCIAL EQUITY AND ... · 12/11/2014  · 1 Integrating Public Health and Social Equity 2 3 Why Project Evaluation Matters: Limitations of Scenario-Level

• Integrating health and equity measures into regional and state

performance frameworks is a critical step to support livability

and sustainability objectives.

• Focusing on outcomes – rather than proxies – leads to more

meaningful results that support smarter policy decisions.

• It is essential to move beyond scenarios to quantify a suite of

project-level benefits in the long-range planning process.

• New tools and methodologies make incorporating health

benefits easier than in years past.

Image Source: http://www.flickr.com/photos/rao_anirudh/8732828358/sizes/o/

CONCLUDING THOUGHTS

35

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Questions?

Image Source: http://www.flickr.com/photos/9702212@N03/3794015390/sizes/o/

Dave VautinMETROPOLITAN TRANSPORTATION COMMISSION

[email protected]

36