Public Health andTransportation Webinar SeriesPart 1: Collaborating Together forCommunity HealthØ Launched in 2013
Ø Funded through the U.S. DOT, Federal Transit Administration
Ø Goal of the Center: Promoting customer-centeredmobility strategies to advance good health, economic
vitality, self-sufficiency, and community integration.
Ø Operated through a partnership of :The Transportation - Public Health Link
ØImproves Qualityof LifeØProvides Mobility,Accessibility,Equity, andSustainabilityØImpacts Safetyand HealthSource: https://www.ite.org/technical-resources/topics/transportation-and-health/resources/

Why Transportation and Public Health?

Public Transportation: aHealth Intervention
Wendy Heaps, MPH
Population Health and Healthcare Office
Office of the Associate Director for Policy and Strategy
Centers for Disease Control and Prevention

October 10, 2019

How was the HI-5 List Developed
STEP 1

STEP 2

Earned the highest
evidence rating from:• The Guide toCommunity PreventiveServices• Robert Wood Johnson
Foundation/ U of Wisconsin
County Health Rankings/
Roadmaps What Works forHealth• CDC Experts

STEP 3

STEP 4

Excluded those without
evidence reporting:Excluded Bucket 1 & 2interventions andthose with evidenceof potential harm

• Measurable impact onhealthin five years• Cost effectiveness and/orsavings over the lifetime ofthe population or earlier

Excluded those
not implemented
at policy level• Those not implemented
in more than 85% ofstates

Result: 14 interventions that earned the highest evidence ratings, show positive
health impact within 5 years, and report cost effectiveness/saving over thelifetime of the population or earlier.

www.cdc.gov/hi5

Inadequate Physical Activity and Obesity
Costs Lives And Dollars

Public Transportation SystemIntroduction or Expansion
Description• Includes a variety of transit options such as buses, light rail, and subways• Increases both access to and use of public transit and to reduce traffic

Health Impact• Reductions in health risk factors such as motor vehicle crashes, air pollution,and physical inactivity• Increases in 8 to 33 minutes of walking per day

Economic Impact• Typical American public transit service improved to high quality urban rail orbus rapid transit service would result in annual health benefits of $354.86
per person

Clean Diesel Bus Fleets

https://www.cdc.gov/asthma/default.htm

Transportation Stories fromPublic Health Innovators
Minnesota: Active Transit

San Francisco, CA:
Access toHealthcare

Massachusetts:
McGrath Bridge
North Carolina:
Safe Routes to School

Maricopa County, AZ:
Health Impact
Assessment & Light
Rail

Columbia, MO:
Health Impact
Assessment (HIA)
Stapleton, CO:
Health Equity
Biloxi, MS:
Post Hurricane

Florida:Millennials to Seniors

Access=Frequency=Ridership

Acknowledgements§Kenneth Rose, CDC
Senior Advisor, Physical Activity and Health Branch, Division ofNutrition, Physical Activity, and Obesity.

•Christopher Kochtitzky, CDC
Senior Advisor, Physical Activity and Health Branch, Division of
Nutrition, Physical Activity, and Obesity.

§Elizabeth Skillen, CDC
Health Impact in 5 Years (HI-5) Lead
Population Health and Healthcare Office, Office of the Associate
Director of Policy and Strategy.

•Danielle Nelson, FTA
Office of Program Management, Rural and Targeted Programs
Coordinating Council on Access and Mobility Lead.

Thank you!
https://www.cdc.gov/policy/index.html
www.cdc.gov/hi5
Email: Wheaps@cdc.gov
For more information, contact CDC
1-800-CDC-INFO (232-4636)
TTY: 1-888-232-6348 www.cdc.gov
The findings and conclusions in this report are those of the authors and do not necessarily represent theofficial position of the Centers for Disease Control and Prevention.

Oregon Health andTransportation Partnership
Lillian Shirley, BSN, MPH, MPA
Director of Public HealthOregon Health Authority

PUBLIC HEALTH DIVISIONHistory Of the Partnership
Oregon Department of Transportation and Health Authority

Memorandum of Understanding•Goals– Improve Traffic Safety– Increase Active Transportation
Options– Improve Air Quality andReduce Exposure to Air
Pollution– Improve Equitable Access– Improve Preparedness toEmergencies

PUBLIC HEALTH DIVISION20

Partnership Goals and Activities•Coordinate Policy andPlanning– Convening of Partnership
Decision-Making Bodies– Transportation System Plan
Guidelines– Plan Statewide Planning
Database– State Health Assessment(SHA) and State HealthImprovement Plan (SHIP)– Safe Routes to School

PUBLIC HEALTH DIVISION
21

Partnership Goals and Activities•

Foster Alignment of Healthand Transportation Goals at
State and Local Levels– Advisory Committee Participate– Convening Public Health andTransportation Practitioners– Public Health Active
Transportation Accountability
Measures

PUBLIC HEALTH DIVISION
22

Partnership Goals and Activities•Collaborate on Research andData Analysis– Oregon Household Activity
Survey– Oregon Avenue ProtectedBicycle Lane Case Study– Linking Crash with Emergency
Medical Service Data– Non-Emergency Medical
Transportation Trip
Optimization Pilot Project– Bicycle Travel Activity Study

PUBLIC HEALTH DIVISION
23

Moving Forward••••Building the Relationship
Between Transportation, Public
Health and Social Equity
Statewide Policy Development
Climate Change Adaptation
Framework
Continuing Current Efforts

PUBLIC HEALTH DIVISION
24

Transportation and Public HealthPartnerships:
Building Healthy and Resilient Communities

Mary Ann Cooney ASTHO
October 2, 2019

Association of State andTerritorial Health Officials
Vision: State and territorial health agencies advancing
health equity and optimal health for all

Strategic Priorities:
q Develop Strong and Effective State andTerritorial Health Ofﬁcials

q Improve Public Health through Capacity
Building, Technical Assistance and Thought
Leadershipq Advocate for Resources and Policies that
Improve the Public’s Health and Well Being

POPULATION HEALTH?
And what makes it different from PUBLICHEALTH?
Public health: Programs/interventions siloed bydisease type.
POPULATION health: Place-based, community-wide
interventions.
Public health: Measure success by overall healthimprovements.
POPULATION health: Success MUST include reduced
disparities.
Public health: Priorities may be determined by fundingstreams.
POPULATION health: Priorities set by the community.

Advancing HEALTH EQUITY and Optimal Health For AllThree Pillar
Approach
toPopulation
HealthDo I have the right tools and systems tocapture data that is meaningful?
Identifying disparities through reporting, datacollection, and information systems.
Drive decision making through useful, highquality data.

What is the broader context?

Addressing the root cause of the issue. Making
sure public health and their partners have “realworld” solutions and that no one is left behind.

LEADERSHIP, CAPACITY BUILDING, POLICY

How are clinical services paid for anddelivered?

Bringing clinical services to a community in away that is accessible.

ASTHO PRESIDENT’S CHALLENGE:

BUILDING HEALTHY AND RESILIENT COMMUNITIES1.

ASTHO’s Pulse Check on
Transportation Priorities
Alabama“improved traffic safety culture andan efficient, interconnectedtransportation system that supports
economic development, preserves
the quality of the environment, andenhances quality of life.”

Massachusetts“connecting residents, especially
low-income residents andseniors, to medical care,substance use treatment,groceries, jobs, education andother drivers of good healthoutcomes”

Minnesota

Washington“Transit and Healthsystems…Indicators associatedwith supportive systems could
include (and are not limited to):Access to transportation: transit,
street connectivity, walking andbicycling for transportation…”“Goal: Create communities that
promote positive social
connections and support healthpromoting behaviors. “MEANINGFUL COMMUNITY ENGAGEMENTHealth Opportunity Index: Virginia

Contact Information:
Mary Ann Cooneymcooney@astho.org

Questions?

Image Credit: https://goo.gl/images/whXcqM

NCMM ResourcesØ 30 + ”By Topic” Pages to provide resources on specific areas ofinterest including Health and Transportation: nc4mm.org/by-topic
Ø Relevant Research including a recent publication on Opportunities toImprove Community Mobility through Community Health Needs
Assessments.
Ø Learn and connect with others. Email us to be connected with local
peers or other communities doing similar work
Ø Receive direct detailed technical assistanceContact us directly: info@nc4mm.org

Health and Transportation Resources
Partner Resources:
Ø CDC Transportation Recommendations
Ø CDC HI-5 Interventions
Ø ASTHO Transportation Policy Guidelines
Other Resources:
Ø CTAA’s Health Care and Transportation ResourceCenterØ Guidebook for Communications between
Transportation and Public Health Communities

Public Health and Transportation Webinar SeriesPart Two: On the Ground in Washington County, Minn.
Join us on Wednesday November 6th from 2:00 – 3:00pm ET
Part two of our public health and transportation webinar series will provide adeep dive into Washington County, Minnesota. Presenters will discuss how theircommunity came together around health and transportation, and the outcomesof their cross-sector partnership. The presenters will also cover the role of theirCommunity Health Needs Assessment and Community Health Improvement
Plan in propelling this work forward, and offer tips for identifying relevant
stakeholders, participating in transportation and health priority setting, andbuilding and sustaining similar partnerships in your community.
Speakers:• Stephanie Souter, MS, AICP, Public Health Program Supervisor, Washington County, MN• Rachelle Henkel, MSW, LGSW, Senior Services Social Worker, Fairview Home Care andHospice• Marna Canterbury, MS, RD, Director of Community Health, Lakeview Health Foundation• Sheila Holbrook-White, Mobility Manager, Washington County, MN

Register HereTwitter: @NC4MM
www.nc4mm.org

Contact information:
Alex King
Senior Program Associate, Health Care and Transportation
Community Transportation Association of America
king@ctaa.org
202.340.5284