Www.designforhealth.net Design for Health May 12, 2008 Design for Health HIA Training Workshop Ann Forsyth

www.designforhealth.net

Design for HealthMay 12, 2008

Design for HealthHIA Training Workshop

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HIA Training WorkshopOverview

1. Design for Health overview

2. Working session: Preliminary Checklist

3. Working session: Rapid Assessment

4. Working session: Threshold Analysis

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Design for Health www.designforhealth.net



• Research Faculty– Ann Forsyth, Cornell– Kevin Krizek, U. Colorado– Carissa Schively Slotterback, U. Minnesota

• Coordinators– Amanda Johnson, Research Fellow, U. Pennsylvania– Aly Pennucci, Research Assistant/Coordinator, U. Minnesota

• Research support– Karen Roof, PhD Student, U. Colorado– Ashley Miller, Sutee Anantsuksomsri, Research Assistants, Cornell– Joanne Richardson, Web

Design for HealthProject Staff



• Project initiated out of interest in connections between built environment and health

• Takes advantage of 2008 legislative deadline for metropolitan area comprehensive plans

• Built on work by Design Center/Active Communities Transportation (ACT) Research Group examining active living and food environments—adds a range of other issues

• Started July 2006• Separate grants given to technical assistance provider

and to Minnesota cities/counties (19 so far)

Design for HealthProject Overview



– Accessibility

– Air quality

– Environmental and housing quality

– Food

– Mental health

– Physical activity

– Safety

– Social capital

– Water quality

Core Health Topics

Design for Health

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Design for HealthConnecting Planning and Health

• Planning affects numerous health issues

• Comprehensive planning represents an opportunity to address health

• Plan implementation can further address health• Zoning ordinances• Design guidelines• Capital improvements

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Metropolitan Council Requirements 2008

Topics• Accessibility • Air Quality• Environmental and

Housing Quality • Food• Mental Health• Physical Activity• Social Capital• Safety (crime & traffic) • Water Quality

Land Use PlanFuture land useHousing planResource ProtectionTransportationTraffic Analysis Zone (TAZ) AllocationHighway & roads planBike & pedestrian planSpecial traffic situations Transit plan for facilities & serviceAviation PlanWater ResourcesWastewater & sewer planSurface water management planWater supply planParks & Open SpaceRegional parks and open spaceOptional Elements

Design for Health



Connections Between Health Topics and Plan Elements

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Land Use Plan

Future land use x x x x x x x x x

Housing plan x x x x x x x x

Resource protection x x x

Transportation

TAZ allocation x x x x

Highway & roads x x x x

Bike & pedestrian x x x x x x x

Special traffic x x x x x x

Transit plan x x x x x x

Aviation Plan x x x x

Water Resources

Wastewater & sewer x x x

Surface water x x x

Water supply plan x x

Reg. Parks and O.S. x x x x x

Optional elements:

Economic Development x x

Intergovernmental Coordination x x

Urbanization & Redevelopment Areas x x x x x x x x



• Events—talks, feedback sessions, boot camps

• Research summaries (key questions)— summarize fast-moving and contradictory evidence

• Information sheets—model planning and ordinance language/cases

• Case studies of existing plans

• Health impact assessments—three planning-oriented tools

• Image resources and PPTs

• Planning and health links

• Plan review checklists

• One-on-one technical assistance

• Web site

Design for HealthDesign for Health Activities and Tools

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Design for HealthTechnical Assistance

(Image centered left to right, 2.5 up from bottom, 2.0 from top)

• Work closely with partner communities

• Periodic meetings and phone conferences

• Assist in using tools and provide new information when needed

• Review draft plans and provide written comments

• Assist with HIAs

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Design for HealthHealth Impact Assessment

• Developed HIA tools tailored to planners

• Preliminary Assessment (checklist)

• Rapid Assessment (participatory workshop)

• Threshold Analysis (comprehensive)

• Identify and evaluate effects of policies, plans, programs, and designs on health

• Detailed guidebooks and training workshops assist planners in using tools

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Preliminary ChecklistOverview

• Overview of the Preliminary Checklist HIA 2.1

• Application of HIA to proposal and plan

• Outcomes of the HIA process




• First step in HIA process

• Checklist/survey of health issues

• Determine if further assessment is needed

• Quick

• Point-based Car

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• Assesses significance of project, plan, or policy in terms of its size and scope

• Is it significant enough to assess?

• Does the plan or proposal meet some initial thresholds for a healthy community?

• Initial scan of impacts

• Helps determine whether additional analysis is needed C

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Preliminary Checklist


Part I: Is it significant enough to assess?

1. Geographic extent

2. Reversibility

3. Population or workforce increase

4. Cumulative impact

5. People affected

6. Land use change

7. Institutional capacity

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Preliminary ChecklistPart 1: Is it significant enough to assess?

Key Questions No Uncertain Yes

Geographical extent: Does it apply to a geographic area of a full city block or larger?2 0 1 2

Cumulative impact: Is it occurring in a place where specific local health problems have been identified (e.g. traffic safety, air quality, lack of healthy foods, contaminated brownfield)?

0 1 2

People affected: Does the project or plan affect vulnerable groups (e.g. children, older people, and people with low incomes)?

0 1 2

Total + + =

If total score is 11 or greater, HIA may be needed, move to Part 2.

If total score is 7-10, a HIA is potentially needed, moving to Part 2 recommended.

If total score is 6 or less, no HIA is required. You may wish to do a HIA on a targeted area or problem.





Part 2: Does the plan/policy/project meet thresholds?

1. Accessibility

2. Physical activity

3. Social capital

4. Air quality

5. Water quality

6. Food

7. Safety

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Key Questions No Uncertain Yes

Accessibility: Is there regularly scheduled transit service within ¾ miles of all residential and employment areas?

2 1 0

Air quality: Are there any residential areas or schools within 200 meters of a major auto-related transportation corridor such as a freeway or road with six or more lanes?

0 1 2

Food: Are there supermarkets or fruit and vegetable stores located within a mile of each home?

2 1 0

Total + + =

If total score is 13 or greater, it is recommended that you conduct an HIA.If total score is 8-12, an HIA is potentially needed.If total score is 7 or less, no HIA required. You may wish to do an HIA on a targeted area or problem.

Part 2: Does the plan or proposal meet some initial thresholds for a health community?



Preliminary ChecklistCompleting the Preliminary Checklist

• What information is needed?

• Where do I get information?

• Who should be involved?

• How do you use it for a proposal or plan?

• Project proposal (e.g. mixed use development)

• Corridor plan (e.g. transit corridor development strategy) C

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Preliminary ChecklistCompleting a Preliminary Checklist (Part 1) - Proposal

Key Questions What info? Where to get it? Who has it?

Geographic extent: Does it apply to a geographic area of a full city block or larger?

•Proposed project boundaries•Street network

•Site plan•Master streets plan

•Developer•Planning•Public works

Cumulative impact: Is it occurring in a place where specific local health problems have been identified (e.g. traffic safety, air quality, lack of healthy foods, contaminated brownfields)?

•Proposed land use•Health data•Site conditions•Traffic conditions

•Site plan•Comprehensive plan•Environmental review•Transportation plan•CIP

•Developer•Planning•Environmental services•Public works•Health agency•EPA

People affected: Does the project or plan affect vulnerable groups (e.g. children, older people, people with lower incomes)?

•Existing and proposed land use•Demographic information

•Site plan•Comprehensive plan•Census

•Developer•Planning•Housing/service providers•School district



Preliminary ChecklistCompleting a Preliminary Checklist (Part 2) - Proposal



•Proposed land use•Transit routes

•Site plan•Transit system map

•Developer•Planning•Public works•Transit providers


•Proposed land use •Roadway locations and functional classification

•Site plan•Comprehensive plan•Transportation plan (local, county, state)•CIP (local, county, school district)

•Developer•Planning•Public works•County •State DOT•School district


•Existing and proposed land use•Permit information

•Site plan•Comprehensive plan•Business license files

•Developer•Planning•Housing services•Business licensing agency



Preliminary ChecklistCompleting a Preliminary Checklist (Part 1) - Plan


Geographic extent: Does it apply to a geographic area of a full city block or larger?

•Proposed project boundaries•Street network

•Draft plan•Master streets plan

•Planning•Public works

Cumulative impact: Is it occurring in a place where specific local health problems have been identified (e.g. traffic safety, air quality, lack of healthy foods, contaminated brownfields)?

•Proposed land use and station locations•Health data•Site conditions•Traffic conditions

•Draft plan•Comprehensive plan•Environmental review•Transportation plan•CIP (local, county, school district)

•Planning•Environmental services•Public works•Health agency•EPA•County•Transit provider

People affected: Does the project or plan affect vulnerable groups (e.g. children, older people, people with lower incomes)?

•Existing and proposed land use and station locations•Demographic information

•Draft plan•Comprehensive plan•Census

•Planning•Housing/service providers•School district•County•Transit provider



Preliminary ChecklistCompleting a Preliminary Checklist (Part 2) - Plan



•Proposed land use•Transit routes

•Draft plan•Transportation plan (local and regional)

•Planning•Public works•Transit provider•County


•Proposed land use •Roadway locations and functional classification

•Draft plan•Comprehensive plan•Transportation plan (local, county, state)•CIP•School district plan

•Planning•Public works•County highway agency•Mn/DOT•School district•Transit provider•County


•Existing and proposed land use•Permit information

•Draft plan•Comprehensive plan•Business license files

•Planning•Housing services•Business licensing agency•Transit provider•County



Preliminary ChecklistUsing the HIA

• Who is involved?

• City staff – planners, engineers, parks, public health, others

• Public

• Elected/appointed officials

• Other agencies/organizations

• What is required?

• Time varies

• Basic knowledge of the project, plan, or policy C

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Preliminary ChecklistUsing the HIA

• What are the outcomes of a preliminary checklist?

• Knowledge about the connections between health and planning

• Additional HIA may be needed

• Key health concerns may emerge

• Need for scoring adjustments to reflect local values and conditions

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Preliminary ChecklistSummary

• Overview of the Preliminary Checklist HIA 2.1

• Application of HIA to proposal and plan

• Outcomes of the HIA process

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Documents

Www.designforhealth.net Design for Health May 12, 2008 Design for Health HIA Training Workshop Ann Forsyth