Policy Basics

Ohio Health Value Review– November 2019

January 31, 2020
This image has an empty alt attribute; its file name is HVR_Banner.png

To see the most current edition of the Ohio Health Value Review click here


November 2019

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.

An accurate Census count is critical to HPIO’s work

At the core of all HPIO work are two questions: What are the greatest health challenges facing Ohio and what can policymakers do to improve Ohio’s health value?

To answer these questions, HPIO needs publicly available data. Every project that the Institute completes, from the Health Value Dashboard to Ohio Medicaid Basics to the State Health Assessment, requires solid information for identifying where attention is most urgently needed, analyzing trends and finding evidence of what works.

The sources of data most used by HPIO come from the U.S. Census Bureau.

In addition to a large-scale national count every 10 years, the Census Bureau produces detailed data related to the health and wellbeing of the nation through sources such as the annual American Community Survey and the National Survey of Children’s Health.

HPIO used the American Community Survey data regarding the uninsured and child poverty rates, for example, in the Dashboard and the State Health Improvement Plan (SHIP). Similarly, the National Survey of Children’s Health is the source of the rate of adverse childhood experiences and child physical activity in the SHIP and of how many children live in a household with a smoker in the Dashboard.

The foundation for analyzing all of that data is the decennial Census. In fact, almost all population-level health data available in the United States, from sources such as the Center for Disease Control and Prevention’s Behavioral Risk Factor Survey, use decennial Census data for comparing population numbers and calculating rates.

The U.S. Constitution requires a count of the nation’s population every 10 years through a national census. All U.S. residents are required by law to respond to Census questionnaires. The data from next year’s 2020 Census, the 24th in our nation’s history, will be used to redraw legislative districts and by numerous federal agencies to determine how to allocate funding.

Counting every person in the United States is a daunting task and the U.S. Census Bureau plans to hire about 500,000 temporary workers to canvas the nation. Despite the massive mobilization effort that is already beginning, concerns remain about undercounting the population. To address those concerns, the Census Bureau is soliciting assistance from state and community organizations to help raise awareness and answer questions about the Census.

Ohio organizations can explore opportunities to assist in Census outreach by visiting the U.S. Census Bureau’s partners website. Given the far-reaching impact of Census data, having an accurate count should be a top priority for all organizations with an interest in improving the health of all Ohioans.

Health value graphic

Housing that is stable, affordable and in a safe neighborhood that provides opportunities for quality education, employment and recreation is associated with better health. As illustrated in the graphic below from the 2019 State Health Assessment summary report, people in Ohio with less than high school education and black and Hispanic populations are more likely to live in housing with severe problems.

Health value resources

The 2019 Health Value Dashboard found that Ohio ranks 46 out of 50 states and the District of Columbia on health value, landing in the bottom quartile. This means that Ohioans are living less healthy lives and spending more on health care than people in most other states. In the Dashboard, HPIO prioritized nine evidence-based strategies that work to improve health value focused on:
  • Creating opportunities for all Ohio children to thrive
  • Investing upstream in employment, housing and transportation
  • Building and sustaining a high-quality addiction prevention, treatment and recovery system
The resources below provide additional information that can be used to improve health value in Ohio.

Population health and healthcare spending

Social and economic environment

Access to care

Healthcare system

Public health and prevention

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