Health value

New HPIO Health Value Dashboard fact sheet provides closer look at public health and prevention data

The Health Policy Institute of Ohio has released a new Health Value Dashboard fact sheet titled “A Closer Look at Public Health and Prevention.”

The fact sheet provides additional information on the public health and prevention metrics included in HPIO’s 2021 Health Value Dashboard, with a focus on state and local public health. Because most Dashboard data was collected prior to 2020, this fact sheet describes the status of public health in Ohio prior to the COVID-19 pandemic. The large number of deaths in 2020 caused by COVID-19 and a new surge in overdose deaths indicate major threats to health that further strained the public health system over the past year.

Public health and prevention is one of seven topic areas included in the 2021 Health Value Dashboard. Ohio’s strengths in this area include decreases in opioid prescribing and senior falls. Overall, however, Ohio performed worse than many other states, ranking 32nd out of 50 states and D.C. on an overall ranking of public health and prevention metrics. Public health workforce, funding and emergency preparedness and response stand out as areas needing improvement.

“From addressing the addiction crisis to combatting infectious disease, public health and prevention play an important role in ensuring that Ohioans live longer, healthier lives and rely less on clinical care,” according to the fact sheet. “While Ohio has made some improvements in preventing illness and injuries, policymakers and others can take additional actions to strengthen Ohio’s public health system.”


ICYMI: HPIO brief explores connections between criminal justice and health

The Health Policy Institute of Ohio last week released a new brief titled, Connections between Criminal Justice and Health.

According to the brief, “The research evidence is clear that poor mental health and addiction are risk factors for criminal justice involvement and that incarceration is detrimental to health.”

The brief highlights the many factors that impact both criminal justice and health outcomes, finding that:

  • There is a two-way relationship between criminal justice and health. Mental health and addiction challenges can lead to arrest and incarceration, and incarceration contributes to poor behavioral and physical health for many Ohioans.
  • Racism and community conditions contribute to criminal justice involvement and poor health. Racist and discriminatory policies and practices and community conditions, such as poverty, housing instability and exposure to trauma, lead to increased criminal justice involvement and drive poor health outcomes.
  • Improvement is possible. There are evidence-informed policy solutions to combat the drivers of criminal justice involvement and poor health outcomes.

The brief includes 15 specific evidence-informed policy options focused on:

  • Supporting mental well-being and improving crisis response for people at higher risk of criminal justice involvement
  • Reducing the number of people incarcerated in Ohio
  • Improving health for people who are currently or formerly incarcerated
  • Improving community conditions for people who are at higher risk of criminal justice involvement

ICYMI: New HPIO Health Value Dashboard ranks Ohio near bottom

Last week, the Health Policy Institute of Ohio released the latest edition of its Health Value Dashboard.

Ohio ranks 47 in the nation in health value compared to other states and D.C. according to the latest edition of the Dashboard. That means that Ohioans live less healthy lives and spend more on health care than people in most other states. Ohio’s overall health value ranking was 47 in 2014, 46 in 2017 and 46 in 2019.

The Dashboard found that Ohio’s healthcare spending is mostly on costly downstream care to treat health problems. This is largely because of a lack of attention and effective action in the following areas:

  • Children. Childhood adversity and trauma have long-term consequences
  • Equity. Ohioans with the worst outcomes face systemic disadvantages
  • Prevention. Sparse public health workforce leads to missed opportunities for prevention

Ohio ranks near bottom in latest HPIO Health Value Dashboard

Ohio ranks 47 in the nation in health value compared to other states and D.C. according to the latest edition of the Health Value Dashboard, which was released earlier this week by the Health Policy Institute of Ohio.

“Ohioans live less healthy lives and spend more on health care than people in most other states,” according to the Dashboard.

Ohio has consistently ranked near the bottom on health value in each of the four editions of the Dashboard. Ohio’s overall health value ranking was 47 in 2014, 46 in 2017 and 46 in 2019. 

The Dashboard found that Ohio’s healthcare spending is mostly on costly downstream care to treat health problems. This is largely because of a lack of attention and effective action in the following areas:

  • Children. Childhood adversity and trauma have long-term consequences
  • Equity. Ohioans with the worst outcomes face systemic disadvantages
  • Prevention. Sparse public health workforce leads to missed opportunities for prevention

The Dashboard is a tool to track Ohio’s progress toward health value — a composite measure of Ohio’s performance on population health and healthcare spending. In ranked profiles, the Dashboard examines Ohio’s rank and trend performance relative to other states across seven domains. In addition, through a series of equity profiles, the Dashboard highlights gaps in outcomes between groups for some of Ohio’s most systematically disadvantaged populations.

The Dashboard includes examples of nine evidence-informed policies that could be adopted by Ohio policymakers and private-sector partners to make Ohio a leader in health value.


HPIO fact sheet outlines link between transit, health equity

The Health Policy Institute of Ohio released a new fact sheet titled “Transit and Health Equity,” which explores the connection between transportation access and health.

According to the fact sheet, “Transportation access is critical for good health across the lifespan.” The fact sheet notes:

  • Transportation to prenatal care and healthy food can improve birth outcomes and reduce infant mortality disparities.
  • Reliable transportation offers better access to jobs which supports self-sufficient employment, and in turn, can lead to higher income and better physical and mental health.
  • Transportation access connects older adults to friends and family, health care, volunteer opportunities and other activities and supports necessary for healthy aging.

The fact sheet also includes links to existing state plans that include strategies for policymakers to consider for improving transit.


ACEs cost Ohio $10 billion a year in healthcare costs, new HPIO analysis finds

First-of-its kind analysis by the Health Policy Institute of Ohio has found that if adverse childhood experiences (ACEs) are eliminated, more than $10 billion in annual healthcare and related expenses could be avoided in Ohio.

The analysis is included in a new HPIO policy brief, Adverse Childhood Experiences (ACEs): Economic Impact of ACEs in Ohio. The study also found that focusing action on reducing ACEs, particularly those associated with behavioral health, can yield significant savings. For example, more than $4.5 billion in annual spending to treat depression in Ohio is attributable to ACEs.

“The research is clear that ACEs result in both significant health and economic impacts,” the brief states. “Economic costs from ACEs are incurred across the public and private sectors, including substantial costs to the healthcare system. The economic burden of ACEs also impacts the state child protection, behavioral health, criminal justice and education systems, as well as private sector businesses. By preventing and mitigating the impacts of ACEs, policymakers and others can put Ohio on a path towards improved health value.”

The brief is the second in three planned briefs as part of HPIO’s Ohio ACEs Impact Project. In August 2020, HPIO released the first brief, Adverse Childhood Experiences (ACEs): Health impact of ACEs in Ohio.


HPIO releases updated equity resource page, Dashboard data tools

The Health Policy Institute of Ohio has released several new tools for policymakers and stakeholders interested in better understanding the health equity challenges facing the state.

Ohio ranks 46 out of 50 states and the District of Columbia on health value in HPIO’s 2019 Health Value Dashboard. The Dashboard highlights in a series of equity profiles that communities of color, Ohioans who have lower incomes or educational attainment, are sexual or gender minorities and/or live in rural or Appalachian counties, experience the worst health outcomes.

The Dashboard underscores that “Improving health value in Ohio means closing Ohio’s troubling health gaps and ensuring that all Ohioans have the opportunity to live to their full health potential.”

The Dashboard also highlights a set of evidence-based strategies that can move Ohio towards health equity and improved health value.

The new HPIO tools to further illuminate the issue are:


HPIO plans forums for release of 2019 Health Value Dashboard

The Health Policy Institute of Ohio plans to release the latest edition of its Health Value Dashboard early next month.

As part of the release, HPIO is hosting three forums to explore how Ohio’s performance on health value has changed since the 2017 Health Value Dashboard, as well as Ohio’s strengths, challenges and policy opportunities to drive improvement.

Each forum will highlight Ohio’s health and explore key themes in the 2019 Health Value Dashboard including gaps in outcomes by race/ethnicity, income/education level and disability status. Speakers will address policy opportunities to advance improved population health, health equity and sustainable healthcare spending such as the implementation of population health improvement strategies and upstream collaboration.

Click below for more information and to register:


HPIO releases Health Policy Briefing Book ahead of fall elections

The Health Policy Institute has released a 2018 Health Policy Briefing Book that includes data and strategies the next Ohio governor and General Assembly can use to develop evidence-informed policies that will improve the health of all Ohioans. 

The book provides information on how Ohio currently performs on health and healthcare spending and the strategic steps policymakers can take, including more detailed information on three key issues: Medicaid and other healthcare coverage, addiction, child health and wellbeing and prevention. 


State experts address health challenges facing Ohio

Last week WBNS-TV in Columbus focused its weekly Face the State program on addressing Ohio’s health challenges.

Panelists on the program included HPIO President Amy Rohling McGee, along with Kurt Lewis, President and CEO of UnitedHealthcare of Ohio, Dr. Sheldon Retchin, Professor of Public Health and Medicine at the Ohio State University and Wendy Patton, Senior Project Director at Policy Matters Ohio.

The panel discussion included healthcare spending and health value in Ohio and how policymakers should address the state’s opioid epidemic.