This document summarizes presentations from a 2016 design summit on highway safety. It discusses using the Highway Safety Manual (HSM) to analyze safety and justify projects. Presentations covered a road diet project in Belleville, NJ that reduced predicted crashes from 56 to 31 annually, and replacing a dangerous traffic circle in Hamilton Township with a modern roundabout that was predicted to reduce crashes by 350 over 10 years. Systemic safety projects like centerline rumble strips and high friction surface treatments were also discussed.