The Health Policy Institute of Ohio Health Value Dashboard is a tool to track Ohio’s progress toward health value — a composite measure of Ohio’s performance on population health outcomes and healthcare spending. In ranked profiles, the Dashboard examines Ohio’s rank and trend performance relative to other states across seven domains. In addition, through a series of equity profiles, the Dashboard highlights gaps in outcomes between groups for some of Ohio’s most systematically disadvantaged populations.
Ohio ranks 47 out of 50 states and D.C. on health value. This means that Ohioans are living less healthy lives and spending more on health care than people in most other states.
Ohio ranks in the bottom quartile on 29% of ranked metrics and in the top quartile on only 12% of ranked metrics.
Why does Ohio rank poorly?
Ohio’s healthcare spending is mostly on costly downstream care to treat health problems. This is largely because of a lack of attention and effective action in the following areas:
1. Children. Childhood adversity and trauma have long-term consequences
Many of Ohio’s children experience early adversity and trauma, including exposure to Adverse Childhood Experiences (ACEs) such as child abuse and neglect, living in poverty and experiencing racism.
Ohio ranks in the bottom half of states on measures that put children at increased risk of exposure to adversity and trauma, including adult depression, drug overdose deaths, excessive drinking and incarceration.
2. Equity. Ohioans with the worst outcomes face systemic disadvantages
Racism and other forms of discrimination drive troubling differences in outcomes across Ohio. This includes racist and discriminatory beliefs and interactions among Ohioans and structural racism and discrimination embedded within systems and across sectors, rooted in ageism, ableism, xenophobia, homophobia and other “isms” or “phobias.”
Ohioans experiencing the worst health outcomes are also more likely to be exposed to risk factors for poor health. These include trauma and adversity, toxic stress, violence and stigma, and inequitable access to resources.
3. Prevention. Sparse public health workforce leads to missed opportunities for prevention
Limited investment in public health. Only three other states spend less on public health than Ohio, limiting public health workforce and ability to proactively implement comprehensive approaches to our state’s greatest health challenges.
Patchwork approach to community-based prevention. Ohio struggles on several outcomes that could be prevented, such as addiction and chronic disease. Stretched thin by the many demands of the COVID-19 pandemic, public health departments now have even fewer resources to devote to these issues.
We encourage you to share the Dashboard widely with policymakers and other key stakeholders. Full color hard copies of the Dashboard are available by request, in limited quantities. Fill out the form below to order copies.