Beyond medical care

Executive summary 

In addition to medical care, health is shaped by our behaviors and by social, economic and physical environments.  Upstream prevention strategies that address the causes of health problems rather than just the downstream consequences can help to improve health value in Ohio.

This new HPIO report provides actionable steps to improve Ohio’s commitment to upstream prevention through a balanced portfolio of health improvement activities both inside and outside the healthcare system.  The main report and a series of fact sheets provide policymakers and health leaders with a roadmap to expand the health policy agenda in Ohio to include a more balanced focus on the factors that shape our health both inside and outside the clinical care system.

Click here for presentations slides (pdf) from a webinar overview of the “Beyond medical care” publication

Fact Sheets

• Preventing type 2 diabetes: An example of how Ohio can improve health value and health equity
• Paying for value over volume through payment reform
• Wellness trusts
• Leveraging hospital community benefit for upstream prevention
• Pay-for-success financing
• The “Health and Equity in All Policies” approach to decision making
• Community integrators and backbone organizations
• Key messages for talking about prevention policy opportunities

Additional material

HPIO recommends the following reports from national organizations for additional detail on the concepts discussed in this report:

• A prevention prescription for improving health and health care in America, Bipartisan Policy Center, 2015
• Towards sustainable improvements in population health: Overview of community integration structures and emerging innovations in financing, US Centers for Disease Control and Prevention, 2015
• State payment and financing models to promote health and social service integration, Center for Health Care Strategies, Inc., 2015
• Financing prevention: How states are balancing delivery system and public health roles, National Academy for State Health Policy and ChangeLab Solutions, 2014
• How can we pay for a healthy population?: Innovative new ways to redirect funds to community prevention, Prevention Institute, 2013