William M. Lyons Volpe Center/Office of the Secretary/USDOT



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Metropolitan Area Transportation Planning for Healthy Communities TRB Transportation Planning, Land Use, and Air Quality Conference Developing Healthy and Livable Communities William M. Lyons Volpe Center/Office of the Secretary/USDOT 1

Overview 1. Introduction: highlights of FHWA Planning and Health initiatives 2. Research on Transportation Planning and Healthy Communities Metropolitan area and statewide white papers Evaluation methods for Nonmotorized Pilot Program: health focus 3. Opportunities and Challenges going forward Bringing health considerations into transportation planning and decisions 2

1. FHWA Planning and Health Initiatives 3

FHWA/FTA Capacity Building Program 4

Capacity Building Products and Services: Technical Assistance Support Research Provide Division Support Produce Webinars Conduct Peer Exchanges Deliver Workshops Provide Conference Support Stakeholder Coordination METROPOLITAN AREA TRANSPORTATION PLANNING FOR HEALTHY COMMUNITIES Prepared for: U.S. Department of Transportation Office of Planning, Environment, and Realty Federal Highway Administration Prepared by: U.S. Department of Transportation Research and Innovative Technology Administration John A. Volpe National Transportation Systems Center December 2012 5

6

Health Index Tool - Partnership of U.S. DOT/CDC The goals of the THT are to: help transportation decision-makers understand many of the issues in play at the intersection with public health; inform health-supportive state and regional transportation policies and project decisions; and strengthen collaborations between transportation and public health sectors. What the THT is: an easy-to-use online tool, pre-populated with region- and state-specific data; an assessment of where your state or MPO is performing well, and where to incorporate health measures and decisions within the transportation decisionand policy-making process; recommendations for policy improvements; an evidence base for integrating health and transportation. 7

3. Update on Research on Transportation Planning and Healthy Communities Best practice white papers Metropolitan Area Transportation Planning (MPOs) Statewide Transportation Planning (DOTs) Evaluation of Nonmotorized Pilot Program Health focus 8

Who, What, Why? Sponsor: Federal Highway Administration Office of Planning White Papers Metropolitan Area Transportation Planning for Healthy Communities http://www.planning.dot.gov/documents/volpe_fhwa_mpohealth_ 12122012.pdf Statewide Transportation Planning for Healthy Communities (anticipated March 2014) Purpose Identify best practices, challenges, and opportunities for integrating health into transportation planning A resource for transportation planners and public health partners 9

Context for white papers Who and why? What do we mean by health? What do we mean by transportation planning? Where were the case studies? What did we learn? What did we conclude and what questions remain? 10

Who, What, Why? Audience Metropolitan planning organizations State Departments of Transportation Other Partners o Traditional: transportation o Non-traditional: State and local health organizations, among others Federal staff 11

Statewide and Metro Planning Framework Focus on the planning process Flexibility for state, regional, and local goals, strategies, priorities Emerging emphasis on performance o Specific national goals and measures Implemented by all states and urban areas over 50,000 12

Statewide and Metro Planning Framework Focus on: A 3-C Planning Process o Continuing, Cooperative, Comprehensive Strategic planning Performance of multimodal system Intermodal planning Products of the process Long Range Plan (SLRTP or MTP) Strategic thinking 20+ year horizon Vision and scenarios for region Critical choices and trade-offs 4 year investment program (TIP or STIP) Links Long Range Plan strategies to decisions Focus on implementation Emerging emphasis on performance-based planning Performance management Monitoring 13

Statewide and Metro Planning Framework Transition to performance and outcome-based program (MAP-21, 2012) National performance goals Safety Infrastructure Condition Congestion Reduction System Reliability Freight Movement and Economic Vitality Environmental Sustainability 14

What do we mean by transportation planning? Metropolitan Area Metropolitan Planning Organization (MPO) Metropolitan Transportation Plan (MTP) Transportation Improvement Program (TIP) Statewide State Department of Transportation (DOT) Statewide Long Range Transportation Plan (SLRTP) Statewide Transportation Improvement Program (STIP) 15

What do we mean by transportation planning? Source: FHWA/FTA Transportation Planning Process: Key Issues 16

What do we mean by consideration of health? Holistic and comprehensive Traditional and emerging ' Explicit Forward-looking 17

What do we mean by considering health in transportation planning? Comprehensive Explicit Forward-looking 18

Where were the case studies? 19

Where were the case studies? MPOs Nashville MPO Puget Sound Regional Council Sacramento Area Council of Governments San Diego Association of Governments Criteria: Type and breadth of health-related activities Leadership and partnerships DOTs California (Caltrans) Iowa (Iowa DOT) Massachusetts (MassDOT) Minnesota (MnDOT) North Carolina (NCDOT) Institutionalization of health considerations into plans and programs Geographical diversity 20

MPO Case Studies - Framework 21

MPO Case Studies - Framework 22

MPO Case Studies - Framework 23

MPO Case Studies - Framework 24

DOT Case Studies - Framework 25

DOT Case Studies - Framework 26

DOT Case Studies - Framework 27

DOT Case Studies - Framework 28

Motivations MPOs DOTs National priorities and programs Local government, community interest Board State government Other State agencies Executive level Partnerships with public health agencies Research and analysis Staff 29

Motivations State Initiatives Nashville: TN Obesity Taskforce and Plan Sacramento and San Diego: CA Sustainable Communities Strategy with GHG targets Special grants CDC o Seattle, Nashville, San Diego: Communities Putting Prevention to Work Grant o San Diego: Community Transformation Grant Nashville, PSRC, SANDAG: CDC grant Sacramento: HUD Sustainable Communities Planning Grant o o Involves health groups Health performance measures for RTP Early partnerships Seattle, Nashville, San Diego: MPO and county health staff 30

Motivations http://www.healthyworks.org http://www.phi.org/resources/?resource=hiapguide http://www.eatwellplaymoretn.org/ 31

Early Actions MPOs Informal participation by public health partners Documentation of healthtransportation connection Research and analysis Partnerships Federal grant programs/projects Programs DOTs Relationship with State health department Research studies Health or sustainability initiatives Application to specific areas healthcare access, active transportation, smart growth, climate change, SRTS, Complete Streets 32

Early Actions Vision and Scenario Plans Sacramento Blue Print: transportation, land use, air quality scenarios o Active transportation, access for disadvantage populations San Diego: mobility choices to support a sustainable and healthy region Seattle: recognizes links between healthy environment, economy, and public health Data, measures Nashville o Health survey: baseline on physical activity, disparity, food access o CDC collaboration to analyze built environment/transportation, health links San Diego o Healthy Communities Atlas: walkability, school/health/food access, bike/ped safety, low mobility areas o Health Impact Analysis and Training Health Partnerships Nashville: local health department, Safe Routes to School, CDC Seattle: 3 county public health agencies; technical committees 33

Early Actions http://www.sacog.org/sustainable/ www.middletnstudy.com http://www.kingcounty.gov/transportation/healthscape.aspx 34

Structural Changes MPOs Vision or MTP goals TIP project selection criteria Performance monitoring Staff capacity Heath-related technical and advisory committees Formal membership by health partners Tools and analyses (e.g., HIAs) DOTs Integration into plans/documents other than SLRTPs/TIPs Technical assistance to local governments 35

Structural Changes Long Range Transportation Plan Nashville: Active Transportation of 1 of 3 goals San Diego: RTP/Sustainable Communities Strategy o Integrates health policies, goals, and metrics o Health based project evaluation and metrics Seattle: linking transportation to health thru air quality and physical activity Sacramento: health throughout, active transportation, reduced emissions, equity Transportation Improvement Plan (TIP) Nashville: Health criteria in project selection o STP funds: 15% active transportation, 70% of road projects have nonmotorized elements Sacramento: screening criteria for active transportation mode share Evolving methodologies San Diego and Nashville: Integrated Transportation Health Impact Model (ITHIM) 36

Structural Changes http://psrc.org/growth/vision2040 Nashville MPO 37

FHWA Nonmotorized Pilot Program $28 m. to demonstrate role of walking and bicycling in 4 pilot communities Columbia, Missouri; Marin County, Calif.; Minneapolis, MN; Sheboygan, Wisconsin Demonstrate: mode shift, health and environmental benefits Working group: FHWA, Pilots, CDC, Volpe, Rails to Trails Conservancy Report to Congress (2012) Extend data collection and analysis to 2014 March 2014 Report Expanded focus on health and accessibility/equity o Using WHO HEAT model with CDC o Explore use of other models Woodcock/ITHIM model MTC Calculator 38

Cal Park Tunnel Opening Day 39

Institutionalizing Data Collection Pilot Evaluation Updated products; one pagers, etc. Congressional Report Community wide modeling Project specific Impacts Longitudinal tracking of outcomes Local Measurement Annual Benchmarking Location based trends Project Outcomes Daily/annual volume estimations Other Uses Support of local/national research efforts Educate local officials & Public Inform Planning Studies Provide data via web portal Prepare special reports for local analysis Institutionalize nonmotorized travel data 500 400 300 200 100 - Weekday Counts Lake Street Bridge 76 141 100 129 280 290 311 311 116 372 FALL 07 FALL 08 FALL 09 FALL 10 FALL 11 2007 TO 2011 BICYCLING UP 33% WALKING UP UP 53% BIKE WALK

A few lessons learned From positive to how positive? Quantify to compete for funds, Performance measures to demonstrate results Consider monetizing Role of a plan Set ambitious goals Energy, environment, health, affordability, livability From claiming to demonstrating Count, measure, evaluate, present Understandable metrics Comparable metrics: value of monetization Time horizon go long Regional and project scale Walk and bike as part of multimodal system Importance of institutional side Role of new partners Sustaining new service Mainstreaming in the planning process 41

Where are the opportunities? Incremental / evolving Forward-thinking Explicit Comprehensive Apply to all 4 aspects: Activity, Access, Safety, Air Quality Data, performance measures, and tools MAP-21 encouragement of performance-based planning Emerging tools (e.g., WHO HEAT, Woodcock/ITHIM, HIAs) 42

4. Opportunities for collaboration? Possible next steps for FHWA-Volpe research Phase 3 white paper on data and performance measures Best practices peer exchanges US DOT and CDC collaboration Transportation and Health Index Tool: under development Nonmotorized Pilot Communities February 2014 report: focus on health Areas for longer term research Health benefits focus Expand applications of HEAT and Woodcock/ITHIM models Other possibilities? 43

Contact Information FHWA-Volpe Transportation Planning and Healthy Communities Research Fred Bowers, FHWA project manager: Frederick.Bowers@dot.gov William M. Lyons, Volpe Center project manager: william.lyons@dot.gov Metropolitan Area Transportation Planning for Healthy Communities http://www.planning.dot.gov/healthy_communities_desc.asp Statewide Transportation and Healthy Communities, report to be posted at: http://www.fhwa.dot.gov/planning/health_in_transportation/resources/ FHWA Webinar on white papers, with MPO case studies https://connectdot.connectsolutions.com/p7zv88li7jx/ FHWA Nonmotorized Transportation Pilot Program Gabe Rousseau, FHWA Project Manager: Gabriel.Rousseau@dot.gov William Lyons, Volpe Project Manager: William.Lyons@dot.gov 2012 Report to Congress https://www.fhwa.dot.gov/environment/bicycle_pedestrian/ntpp/2012_report/ 2014 Report https://www.fhwa.dot.gov/environment/bicycle_pedestrian/ntpp/ 44