Ohio Health Value Review– April 2019
August 1, 2019
To see the most current edition of the Ohio Health Value Review click here
The Ohio Health Value Review is a quarterly electronic update from the Health Policy Institute of Ohio designed to strengthen connections between public health and healthcare partners in Ohio and highlight opportunities for different sectors to work together to improve health value in our state. If you have questions about the newsletter or have suggested tools or resources you would like to see included in future editions, please contact Nick Wiselogel, HPIO’s Vice President of Strategic Communications.
New HPIO Dashboard shows Ohio has work to do to increase health value
Ohio ranks 46th in the nation in the Health Policy Institute of Ohio’s 2019 Health Value Dashboard, which ranks states and the District of Columbia on a combination of population health and healthcare spending metrics.
The Dashboard shows that Ohioans are less healthy (43rd in population health) and spend more on health care (28th in healthcare spending) than people in other states.
“While Ohio continues to rank in the bottom quartile on health value, there are many evidence-informed opportunities we can pursue to improve our outcomes, both through policy change and public-private sector collaboration,” said HPIO President Amy Rohling McGee. “Improvement is possible, and this year the Dashboard includes more evidence-informed strategies that policymakers can use to address the challenges Ohio faces.”
The Dashboard is unique in its emphasis on “health value,” a ranking that considers both population health and healthcare spending rather than health outcomes alone. The Dashboard also takes a more comprehensive approach in looking at health by evaluating social, economic and physical environments – which are significant contributors to overall health.
The 2019 Health Value Dashboard is the third edition of the rankings. HPIO released its first Dashboard in late 2014. Ohio ranked 46th in the 2017 Dashboard and 47th in health value in the inaugural edition.
The data collection and analysis for the Dashboard was conducted in partnership with the Ohio University Voinovich School of Leadership and Public Affairs. The metrics were selected by a wide array of experts who participated in an advisory group and workgroups convened by HPIO.
Health value graphic
The graphic below, created by HPIO for its 2019 Health Value Dashboard, shows where Ohio ranks on population health, healthcare spending and health value, compared to other states and D.C.
*The domain and subdomain ranks are the composite of individual metric ranks. For example, adult smoking is a metric under the health behaviors subdomain of population health.
Note: Health value rank equally weights the population health and healthcare spending domains. The rank is not an average of population health and healthcare spending rank. For more details, see the methodology section on the 2019 Health Value Dashboard webpage
Health value resources
The resources below can be used to help improve health value in Ohio.
Population health and healthcare spending
- Cross-Agency Strategies to Curb Health Care Costs: Leveraging State Purchasing Power – National Academy for State Health Policy
- 2017 Health Care Cost and Utilization Report – Health Care Cost Institute
- Promoting Health and Cost Control in States – Trust for America’s Health
- Estimation of 1-Year Changes in Medicaid Expenditures Associated With Reducing Cigarette Smoking Prevalence by 1% – Journal of the American Medical Association
Social and economic environment
- Medicaid Programs Seek to Address Social Determinants of Health – Health Payer Intelligence
- Social Determinants As Public Goods: A New Approach To Financing Key Investments In Healthy Communities – Health Affairs
- A Roadmap to Reducing Child Poverty – National Academies of Sciences, Engineering and Medicine
- Protecting the Health of Children: A National Snapshot of Environmental Health Services – American Public Health Association
- How States Promote Lead Screening and Treatment – National Academy for State Health Policy
- Punishing and toxic neighborhood environments independently predict the intergenerational social mobility of black and white children – Proceedings of the National Academy of Sciences of the United States of America
Access to care
- Ohio Medicaid Basics 2019 – Health Policy Institute of Ohio
- Engineering outcomes: Managed care and value-based design in Ohio Medicaid – Center for Community Solutions
- New Medicaid Funding Could Help States Better Integrate Care for Children with Medical Complexity – National Academy for State Health Policy
- How States Keep Community at the Center of Hospitals’ Community Health Needs Assessments – National Academy for State Health Policy
- Hospital Price Transparency: The Next Frontier – National Academy for State Health Policy
- Relationship Between State Policy and Anesthesia Provider Supply in Rural Communities – RAND Corporation
Public health and prevention
- The Return on Investment of Public Health System Spending – AcademyHealth
- 2019 County Health Rankings and Roadmaps – Robert Wood Johnson Foundation
- The Impact of Chronic Underfunding of America’s Public Health System: Trends, Risks, and Recommendations, 2019 – Trust for America’s Health
- Mass Incarceration Threatens Health Equity in America – Robert Wood Johnson Foundation
- Overview of the American Academy of Family Physicians EveryONE Project – American Academy of Family Physicians
- Advancing Tobacco Prevention and Control in Rural America – Maine Public Health Institute (via the National Network of Public Health Institutes)
State Health Improvement Plan (SHIP) priority topics
The 2017-2019 SHIP, facilitated by HPIO under contract with the Ohio Department of Health, lays out specific steps to achieve measurable improvements on key priorities. Below are resources that address those priority areas.
Mental health and addiction
- HPIO Addiction Evidence Project resource page: Law enforcement and the criminal justice system – Health Policy Institute of Ohio
- RecoveryOhio Advisory Council Initial Report– RecoveryOhio, Office of the Governor
- Addressing the Opioid Crisis: Medication-Assisted Treatment at Health Care for the Homeless Programs – Kaiser Family Foundation
- Primary and Behavioral Health Care Integration Program: Impacts on Health Care Utilization, Cost, and Quality – Rand Corporation
- Community-Focused Health Care For The Seriously Ill – Health Affairs
- What Can Be Done To Better Support Older Adults To Age Successfully In Their Homes And Communities? – Health Affairs
Maternal and infant health
- Prenatal Exposure to Domestic Violence: Summary of Key Research Findings – Case Western University Center on Trauma and Adversity
- Effects of State-Level Earned Income Tax Credit Laws on Birth Outcomes by Race and Ethnicity – Health Equity
- Achieving Birth Equity for Minority Women Means Addressing Their Stress – Children’s Hospital of Philadelphia PolicyLab