Data Graphics

HPIO has released a new publication, titled “Strategies to Prevent Adverse Childhood Experiences (ACEs) in Ohio: Building Skills and Strengthening Connections to Caring Adults,” that details the state’s progress in implementing policies that prevent adverse childhood experiences.

“Building skills and strengthening connections to caring adults ensures that every child can thrive,” according to the brief. “Enhancing a variety of assets and resources can buffer children and families from the well-documented harmful effects of toxic stress and adversity and promote the ability to withstand, adapt and recover from trauma.”

The brief details policies that enhance skills so that parents and youth can handle stress, manage emotions and tackle everyday challenges and connect youth to caring adults and activities. The brief also highlights examples of strategy implementation in Ohio, informed by key informant interviews, and identifies strengths, gaps and recommendations for each strategy.

There are many evidence-based parent, caregiver and family skills training programs operating throughout the state. For example, in May 2022, the Triple P Online and Teen Triple P Online programs became available free-of-charge to all Ohio families, granting them access to the programs for one year upon enrollment, through a partnership between the Governor’s Children’s Initiative, Ohio Children’s Trust Fund and the Ohio Department of Job and Family Services. As of June 4, 2023, 10,656 Ohio parents and caregivers had enrolled in one of the programs. The graphic above shows the number of enrollees in each county.

In 2020 and 2021, HPIO released a series of policy briefs on the health and economic impacts of ACEs and elevated 12 evidence-based, cost-effective strategies (programs, policies and practices) that prevent ACEs before they happen and improve health. This brief is the second publication in a new series examining those strategies. The first brief in the series details how policymakers can ensure a strong start for children and strengthen economic supports for families.

Support for this project was provided by the Harmony Project, the Ohio Children’s Hospital Association and HPIO’s other core funders.

HPIO analysis has found that over the past decade, about 84% of the increase in spending on the Medicaid program in Ohio has been paid from federal funds, with the state accounting for 16% of the increase. As illustrated in the graphic above, between state fiscal years 2012 and 2022, total federal and state spending on Ohio’s Medicaid program grew by an average of 6.7% per year, from about $18.4 billion in SFY 2012 to more than $35 billion in SFY 2022.

The analysis was included in HPIO’s Ohio Medicaid Basics, a primer that provides an overview of the Medicaid program in Ohio. HPIO has released Medicaid Basics every two years since 2005.

The 2023 edition, which was released in May, includes information on Medicaid eligibility, covered groups and services, delivery systems, financing, spending and recent policy and programmatic changes.

New analysis from HPIO has found that in 2021, 88% of Ohio adults reported that all or most of the time during their childhood, they had an adult in their household who made them feel safe and protected (as illustrated in the graphic above). The data will be included in an HPIO policy brief, the second in a series on strategies to prevent adverse childhood experiences (ACEs) in Ohio, that is expected to be released in August.

Nurturing and responsive caregivers — and a safe, stable family environment in which basic needs are met — give children a strong foundation. These are powerful protective factors that can decrease substance misuse, mental health problems and violent and risky behaviors in adolescence and later in life. Also, research has shown that having at least one nurturing, stable caregiver can mitigate the negative effects of ACEs.

HPIO has created a recap of its December 2022 forum titled “Preventing ACEs in Ohio: Ensuring a strong start for children and strengthening economic supports for families.”

For several years, HPIO has led the Ohio ACEs Impact project, which is informed by a multi-sector advisory group and includes a number of policy briefs, fact sheets and a resource page to build on and amplify current efforts to address ACEs in Ohio.

The Health Policy Institute of Ohio today released new analysis that found that if Ohio eliminated racial disparities, by 2050 the state could gain $79 billion in economic output each year, an increase of 10% over current gross state product.

Titled “Unlocking Ohio’s Economic Potential: The Impact of Eliminating Racial Disparities on Ohio Businesses, Governments and Communities,” the analysis is a first-of-its-kind look at the economic potential associated with eliminating racial and ethnic disparities in Ohio, as illustrated in the graphic above.

“Beyond the substantial impacts on people and communities of color across Ohio, disparities in outcomes, such as life expectancy and overall health status, represent missed economic opportunities for Ohio businesses, governments and communities,” the report finds. “By eliminating racial disparities, leaders in Ohio can grow the workforce, increase consumer spending, strengthen communities and reduce fiscal pressures on state and local budgets.”

The report also includes recommended action steps and examples of how states, counties and municipalities across the country are implementing policies to reduce disparities.

“Ohioans of all ages and from all sectors, communities and backgrounds can take meaningful steps to dismantle systemic racism and improve the health and economic vitality of the state,” according to the report.

Support for this project was provided by bi3, Interact for Health, The Columbus Foundation and HPIO’s other core funders.

Analysis included in HPIO’s 2023 Health Value Dashboard shows the cyclical connection between health and economic conditions. Improved health of Ohioans leads to greater participation in the workforce and higher earnings, which increases opportunity for better health. As illustrated above, Ohio has experienced a 51% increase in deaths among working-age Ohioans from 2007 to 2021 and the state’s labor force participation has decreased 9% from 2007 to 2022.

The Dashboard found that Ohio can address the serious challenges facing its workforce by building upon the state’s strong manufacturing base, strategic location and educational infrastructure that has attracted recent investments from major employers, such as Intel, Honda, Ford and LG Energy Solutions.

“Further building upon these strengths — including 200 corporate headquarters, 14 public universities and 23 community colleges — can lead to a robust workforce that meets the needs of employers and reinvigorates local communities,” according to the Dashboard. “With strategic investments in vocational education and work supports, more Ohioans can join the labor force and increase their earnings, which will reduce poverty and improve health.”

More information on the topic is available in HPIO’s data snapshot Death Trends among Working-Age Ohioans.

Analysis of data from HPIO’s 2023 Health Value Dashboard shows that Hispanic and Black Ohioans face barriers to health care because of costs. Data shows that Hispanic Ohioans are 2.4 times more likely to be unable to see a doctor due to cost compared to white Ohioans, as illustrated above. Black Ohioans are 1.6 times more likely than white Ohioans to face financial challenges to receiving medical care. If disparities were eliminated in Ohio, 76,449 fewer Hispanic and Black Ohioans would face a cost barrier to accessing care.

The Dashboard found that Black and Latino Ohioans often experience worse outcomes than white Ohioans across measures of health, healthcare access and the social, economic and physical environment and that racism and bias are primary drivers of poor outcomes experienced by those groups. These disparities in outcomes lead to missed economic opportunities for Ohio.

Next month, HPIO plans to release a new policy brief that will quantify the positive economic impacts of eliminating racial disparities for Ohio businesses, governments and communities.