Guide to improving health value

Evidence for what works

HPIO’s 2017 Health Value Dashboard™ finds that Ohio ranks 46 out of 50 states and D.C. on health value, a composite measure of population health outcomes and healthcare spending. This means that Ohioans are living less healthy lives and spending more on health care than people in most other states.

This resource page provides information about where to find evidence-informed strategies proven to address many of the challenges identified in the Dashboard.

State health improvement plan (SHIP)

  • 2017-2019 state health improvement plan (Ohio Department of Health): Released by the Governor’s Office of Health Transformation and the Ohio Department of Health in February 2017, the SHIP is a strategic menu of priorities, outcome objectives and evidence-based strategies designed to address three of Ohio’s greatest health challenges: mental health and addiction, chronic disease, and maternal and infant health.

State policy options fact sheets

Each HPIO fact sheet briefly summarizes outcomes and healthcare costs related to specific health challenges identified in the 2017 Health Value Dashboard. The fact sheets also identify strategies most likely to improve health and decrease disparities based on the strongest-available evidence, describe the extent to which each strategy is currently being implemented in Ohio and offer policy options for implementing or expanding the strategies.

Addiction Evidence Project

Launched in December 2017, the HPIO Addiction Evidence Project provides policymakers and other stakeholders with information needed to evaluate Ohio’s policy response to the opiate crisis, and accelerate and continually improve strategies to address substance use disorders in a comprehensive, effective and efficient way.

Recommendations to reduce infant mortality

A New Approach to Reduce Infant Mortality and Achieve Equity, prepared by HPIO for the Legislative Service Commission in 2017, provides 127 specific recommendations to address infant mortality by improving housing, transportation, education and employment.

Evidence-based policymaking overview resources

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  • Navigating sources of evidence: A guide to effective prevention strategies This HPIO policy brief defines “evidence-based prevention” and provides guidance on how to find the best-available sources of evidence for what works to prevent Ohio’s greatest health challenges.
  • Results First: A project of the Pew Charitable Trusts and the MacArthur Foundation, the Results First initiative provides state governments with tools to conduct cost-benefit analyses. The analysis model and technical assistance help state leaders to identify which programs work and which do not, and to calculate potential returns on investment of funding alternative programs.
  • How states engage in evidence-based policymaking: A national assessment: This report from the Pew-MacArthur Results First initiative identifies specific actions states can take to incorporate research findings into their decisions.

Tools for benefit-cost analysis

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  • Washington State Institute for Public Policy (WSIPP): Literature reviews and benefit-cost analyses on education, behavioral health, public health and criminal justice programs. WSIPP was created by the Washington state legislature to conduct non-partisan research. Although the data used to calculate the benefit-to-cost ratios is specific to Washington state, the analysis and literature reviews on this website can provide general guidance to other states.
  • Community Health Advisor: Interactive tool from the Health Partners Institute that estimates the impact of specific strategies on medical costs and health outcomes. Addresses smoking, physical activity and cardiovascular disease.

Recommended sources of evidence: Comprehensive range of health topics

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See HPIO’s Navigating sources of evidence brief for additional sources.

Recommended sources of evidence: Mental health and addiction

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Mental health and addiction are also addressed in the recommended sources in the comprehensive range of health topics section above.

Recommended sources of evidence: Chronic disease

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Chronic disease is also addressed in the recommended sources in the comprehensive range of health topics section above.

Recommended sources of evidence: Maternal and infant health

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Maternal and infant health is also addressed in the recommended sources for comprehensive range of health topics section above.

Recommended sources of evidence: Social determinants of health

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  • Results First Clearinghouse Database: Clearinghouse that aggregates and rates evidence of effectiveness from several other registries. Topics include child welfare, social policy, criminal justice and education.
  • Top Tier Evidence: Systematic reviews on early childhood, education, employment/training, housing/homelessness and other topics.

Social determinants of health are also addressed in the recommended sources in the comprehensive range of health topics section above.

Additional tools for local community health improvement planners

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2017-2019 state health improvement plan community strategy and indictor toolkits

HPIO evidence inventories

Resources for improving public health and prevention

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  • Beyond Medical Care: HPIO policy brief and series of fact sheets describing emerging policy opportunities to advance prevention and improve health value in Ohio
  • Improving population health planning in Ohio: Report prepared for the Ohio Department of Health, Ohio Department of Medicaid and Governor’s Office of Health Transformation to provide recommendations to strengthen Ohio’s population health planning and implementation infrastructure.