SETTING PRIORITIES - casa-acsa.ca · setting process as you see them? Where do you expect we are...
Transcript of SETTING PRIORITIES - casa-acsa.ca · setting process as you see them? Where do you expect we are...
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SETTING PRIORITIES
CASA Conference
Pamela Fuselli & Margaret Herbert
Co-Chairs CAIR Executive Steering Committee
October 2012
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Why we set priorities
Because of limited resources:
• time
• funding
•manpower
To achieved the biggest impact
To coordinate efforts of stakeholders
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What criteria to use, e.g.:
Common sense
Data (If so which?)
Opportunity gaps
Provincial or regional interest
Media attention
Political agendas
Advocacy or lobby groups
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Winnipeg Model: ADVANTAGES
Utilizes available injury data
Incorporates qualitative and quantitative
considerations
Provides structure to stakeholder
deliberations
Is transparent, can be documented
Can be revisited over time
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HOW THE MODEL WORKS
(“recipe”….)
Choose major injury categories for consideration
Choose quantitative criteria (data)
Choose qualitative criteria (readiness, potential,
capacity to effect change)
Rank and score
Put it all together
Perform a reality check
Report
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AGRICULTURAL INJURIES
by CASA and CAIR
CAIR started the “quantitative” - data
driven - process
The new data available
Agricultural Fatalities in Canada 1990-2008
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PRIORITY SETTING PROCESS
Injury Categories
Roll-over
Run-over
Tractor-related
Other machine-related
Entanglement in machinery
Collision with a motor vehicle (on road)
Pinned or struck by a machine
Animal-related
Drowning
Fall from a height
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PRIORITY SETTING PROCESS
Data measures
1. Potential years of life lost - a measure of premature
mortality
2. Mortality – number, rates or % all injury mortality
3. Hospitalization – number, rate or % all injury
hospitalization
4. Measures of Disability - short/long term
5. Economic burden – direct health care costs and/or
indirect costs
Note: CAIR does not have current data on 3, 4 and 5.
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QUANTITATIVE
CRITERIA
Roll
over
Run
over
Entang-
elment
Motor
Vehicle
Collision
Pinned/
Struck
by a
Machine
Animal
Related
Struck
by Non-
Machine
Object
Drown-
ing
Fall
from
Height
Deaths
1990-2008
Rank
392
1
353
2
157
3
143
4
139
5
123
6
103
7
69
8
63
9
PYLL (%)
Rank
15.9
2
20.7
1
7.6
4.5
7.8
3
6.1
6
4.6
7.5
4.6
7.5
7.6
4.5
2.2
9
Rank Sum 3 3 7.5 7 11 13.5 14.5 12.5 18
Quantitative
Priority
Ranking
1 1 4 3 5 7 8 6 0
Sample – Quantitative Criteria
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PRIORITY SETTING PROCESS
Ranking based on data
1. Roll-over
2. Run-over
3. Motor Vehicle Collision (with farm
machinery)
4. Entanglement
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GUIDING the QUALITATIVE
PROCESS
Broad, practical, “hands on” knowledge needed
Understanding of agricultural community,
resources, interests
A sense of gaps and opportunities
Knowledge of best practices and promising
technologies
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QUALITATIVE CRITERIA
Examples of categories to choose among
Disproportionate burden
Effective interventions
Opportunity gap
Potential cost savings
Trends
Impact on agricultural community
Ability to take action and influence others
Lack of activity by other sectors
Readiness of agricultural community
Readiness of political systems
Readiness of partners (industry, suppliers,…)
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QUALITATIVE
CRITERIA
Roll
over
Run
over
Entang-
elment
Motor
Vehicle
Collision
Pinned/
Struck
by a
Machine
Animal
Related
Struck
by Non-
Machine
Object
Drown-
ing
Fall
from
Height
Champion
Cost Savings
Impact that
can be
achieved
Qualitative
Priority
Ranking
Sample – Qualitative Criteria
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QUALITATIVE
CRITERIA
Roll
over
Run
over
Entang-
elment
Motor
Vehicle
Collision
Pinned/
Struck
by a
Machine
Animal
Related
Struck
by Non-
Machine
Object
Drown-
ing
Fall
from
Height
Quantitative
Priority
Ranking
Qualitative
Priority
Ranking
Overall
Priority
Ranking
Sample – Pulling it Together
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Linking with the NFSS
NFSS Priorities
Program
Targets
Offerings
Research
Priority Setting
Rollovers
Runovers
Motor Vehicle
Collisions
Entanglement
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Linking with the NFSS
Rollovers
Program
Targets
Offerings
Research
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Linking with the NFSS
This is model can be used by CASA as
a priority setting exercise.
Priorities identified in models like this
one can be used by any organization to
set priorities, for example on research
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Linking with the NFSS
In addition, priority setting across the
farm safety community is needed
Research, training, programming…
Model is sensitive to community
environments
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QUESTIONS for
Working Group
What are the strengths of the priority
setting process as you see them?
Where do you expect we are going to
have difficulties in setting priorities?
How would you overcome these
difficulties?
What questions do you have about the
priority setting process?