The COVID-19 pandemic presents unprecedented challenges for the health of Ohio’s people and economy. The Center for HOPES is proud to serve the state as part of a coalition whose aims are to monitor the effects of the pandemic on Ohio and identify data-driven strategies for response and recovery. Together with the Department of Health, Development Services Agency, Department of Medicaid, Office of Budget and Management, Department of Administrative Services, and Job and Family Services, the Center for HOPES is leveraging a wide range of data sources to provide real-time analysis of Ohio’s economy and households. This includes analyzing unemployment insurance claims, health insurance coverage, and consumer confidence about public health and financial security. The state’s executive leadership is drawing on these insights to inform its decisions about health, safety, and economic recovery.
Ohio Economic Roundtable
In the fall of 2020, Professor Eric Seiber, Director of the Center for HOPES, accepted Governor DeWine’s invitation to serve as a member of the Ohio Economic Roundtable. The aim of the Roundtable is to convene experts from a variety of economic disciplines and get their insights on how the pandemic is likely to affect Ohio’s economic outlook in the coming years. As part of the Roundtable, Dr. Seiber will offer feedback on the Ohio Office of Budget and Management’s revenue forecasting models for fiscal year 2022-2023, which are used in the state’s budget preparation and approval process. As a health economist, Dr. Seiber is uniquely qualified to provide insights about the implications of the pandemic and concurrent recession on Ohio’s economy, programs, and people.
The National Institutes of Health funded a four-state research study, which includes Ohio, to test the impact of an integrated set of evidence-based interventions across health care, behavioral health, justice, and other community-based settings. The goal is to prevent and treat opioid misuse and opioid use disorder (OUD) within highly affected communities in four states and reduce opioid related deaths by 40 percent over three years. The Center for HOPES is heading the Health Economics core for Ohio’s HEALing Communities Study project, coordinating a cost-effectiveness analysis for Ohio’s community engagement, evidence-based practice interventions, and communications strategies.
Overdose Data to Action (OD2A) is a multi-year project funded through a CDC grant aimed at increasing comprehensiveness and timeliness of surveillance data related to the overdose epidemic. The Center for HOPES is supporting the work of Franklin County Public Health, the CDC grantee, by 1) facilitating data conversations across Ohio State and the community about opioid overdose events, 2) creating “use cases” for geospatial data visualizations and analyses, and 3) integrating information across organizations into a unified tool for understanding the overdose epidemic in Franklin County.
This work involves adding layers to the Franklin County Opioid Crisis Activity Levels (FOCAL) Map using data obtained from data partners on the grant, including the Center for Urban and Regional Analysis, Mighty Crow, the College of Public Health, and the Central Ohio Trauma System. FOCAL Map is an interdisciplinary collaboration with researchers from across campus and stakeholders in the community to map opioid overdose incidents with high spatiotemporal resolution and visualize them in the context of relevant socioeconomic and administrative data. Adding layers to FOCAL Map will assist in building state and local capacity for public health prevention and response efforts determined to be promising based on research evidence. It will also make Prescription Drug Monitoring Programs (PDMPs) easier to use and access and facilitate collaborations with health systems, insurers, and communities to improve opioid prescribing. It adds new work focused on linkages to care and other areas of innovation supported by evidence-based practice.
The Ohio Medicaid Assessment Survey (OMAS) is an Ohio-specific assessment that provides health care access, utilization, and health status information about residential Ohioans at the state, regional and county levels, with a concentration on Ohio’s Medicaid, Medicaid-eligible, and non-Medicaid populations. The OMAS mission is to assist the efficient and effective administration of Ohio’s Medicaid program.
OMAS is a mail, web, and random digit dial telephone survey first fielded in 1997. In its eighth iteration, OMAS enables tracking of the state’s health system and health status over time. In 2020, OMAS is fielding a supplemental survey on the effects of the COVID-19 pandemic on Ohio households.
The main topics for OMAS are health care access, health care utilization, insurance status, chronic and acute health conditions, mental health, health risk behaviors, and health demographics such as employment, income, and socioeconomic indicators. These topics assist the Ohio Department of Medicaid and other health-associated state and local agencies in identifying health services and system gaps and assist in developing strategies for improving health services to Ohio’s population.
OMAS is widely used for health system research and program development by Ohio’s colleges and universities, state and local governments, private sector organizations, and policy makers. OMAS data have been used for grant applications, community health initiatives, academic publications and presentations, health system planning activities, and philanthropic activities. These uses comply with the OMAS project’s purpose to serve Ohio’s Medicaid population and the state’s health-vulnerable populations.
State Profile of Contraceptive Use and Access
The Ohio Policy Evaluation Network (OPEN) conducts rigorous and forward-thinking social-science research on the reproductive health of Ohioans. OPEN’s goal is to evaluate the reproductive health care landscape of Ohio in the context of federal and state laws, regulations, and policies. We study equity, access, outcomes, cost, and autonomy regarding reproductive health. Our interdisciplinary team includes faculty, students, and staff from The Ohio State University, the University of Cincinnati, Cincinnati Children’s Hospital Medical Center, and Case Western Reserve University. The mission of OPEN is to produce valuable and timely evidence for public policy makers. We aim to support more equitable access to quality reproductive health care in Ohio.
The Center for HOPES is leading the development of a state profile of contraceptive access in Ohio, such that stakeholders can understand contraceptive use patterns, gaps in coverage, and changes over time among a range of potential contraceptive users. The big picture challenge is estimating contraceptive prevalence (1) for the entire reproductive age population of Ohio and (2) with sufficient timeliness to be program-and policy-relevant. No single data source covers the population in a timely manner, and all impose trade-offs and limitations. We are currently analyzing the following data: (1) National Survey for Family Growth; (2) Ohio Pregnancy Assessment Survey; (3) Title X Family Planning Annual Report for Ohio; (4) Symphony Health claims data; (5) Marketscan commercial claims, and (6) Ohio Medicaid (aggregate).
Web Learning Series: Reproductive Health Services and Considerations for Women with Substance Use Disorders
Unintended pregnancy rates are high among women with substance use disorders (SUD), approaching eight of every 10 pregnancies among women using opioids, suggesting that women with SUD have significant unmet contraceptive needs. The Center for HOPES and the Center for Public Health Practice are co-hosting a six-part virtual learning series examining the intersection of addiction and reproductive health, and explore and promote best practices for advancing health equity and access to care among women with substance use disorders (SUD). National and Ohio-based experts are providing insights on integrated care models that are improving reproductive health care for women with SUD. This series is produced in partnership with Association of Maternal and Child Health Programs, Association of State and Territorial Health Officials, Center for Community Solutions, Ohio Association of Community Health Centers, Ohio Department of Health, Ohio Perinatal Quality Collaborative, and the Harm Reduction Coalition.
This free virtual series runs from July 15, 2020 through December 16, 2020. Register