Policy Basics

Ohio Health Value Review– September 2020

December 10, 2020

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


September 2020

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.

Health value graphic

There are many organizations working to improve child well-being in Ohio at the state and local levels. Across these entities, the impact of adverse childhood experiences (ACEs) has surfaced as a common challenge that must be addressed. In August, HPIO released a publication titled “Adverse Childhood Experiences (ACEs): Health Impact of ACEs in Ohio” that summarizes current research on how ACEs impact health and well-being and provides new data and analysis on the prevalence of ACEs in Ohio and the impact of ACEs on the health of Ohioans.

Exposure to ACEs is a pervasive problem affecting many children in Ohio and across the country. National data and analysis provide clear evidence that ACEs exposure is linked to poor health and well-being through adulthood, including disrupted neurodevelopment, social problems, disease, disability and premature death. In addition, ACEs exposure has severe long-term cost implications at the individual and societal levels, including increased medical, child welfare, criminal justice and special education expenditures, as well as productivity losses.

The figure below illustrates the impact of preventing exposure to ACEs on six health outcomes. For example:
  • An estimated 36% of depression diagnoses in Ohio can be attributed to experiencing multiple ACEs. If exposure to ACEs were eliminated among Ohioans, an estimated 36% of depression diagnoses could be prevented.
  • An estimated 33% of current smoking in Ohio can be attributed to experiencing multiple ACEs. If exposure to ACEs were eliminated, an estimated 33% of current smoking could be prevented.

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

Public health and prevention

State Health Improvement Plan (SHIP) priority topics

The newly distributed 2020-2022 SHIP, facilitated by HPIO under contract with the Ohio Department of Health, lays out specific steps to achieve measurable improvements on three priority health outcomes. Below are resources that address those priority areas.

Mental health and addiction


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