Ohio Department of Medicaid’s Maternal and Infant Health … · 2019. 4. 3. · Stark Butler Mahoning Summit 15.56% Stark 13.50% Montgomery 15.91% Mahoning 14.63% Lucas 14.41% Hamilton

Ohio Department of Medicaid’s Maternaland Infant Health Measures

Stark County

Ohio Department of MedicaidBureau of Health Innovaon and QualitySpring 2019

Preterm Birth (%)

Quarterly Data 2012 - 2018

2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

5%

10%

15%

20% 19.32%

14.66%

10.75%

14.82%14.83%14.93%

10.51%

13.66%

10.78%

15.32%

13.95% 13.94% 13.43%13.29%

11.09%

13.20%

16.39%15.69%

11.73%13.06%

15.79%

11.29%

17.41%

14.68%

12.85%

15.45%14.79%

15.98%

14.84%

17.16%

12.67%12.67%11.68%

14.93%

16.22% 16.22%17.09%

12.55%11.81%

15.12%

12.45%

14.48%

12.32%

14.92% 14.64%

12.28%

15.47%

12.67%12.10%

Preterm Birth (%) - Ohio Medicaid - OEI Counes by Quarter

CounesButler Mahoning Stark

Stark, Butler, Mahoning Counes - Preterm Birth (%)Trends by Quarter | CY 2012-2018

County PTB Aggregate RateQ1 2012 - Q2 2018

Butler

Stark

Mahoning 14.63%

13.50%

13.72%

PTB Current RateQ3 2017 - Q2 2018

15.76%

12.85%

14.13%

Annual Target for Real Impact*

From 331 to 304 PTB Infants



Note: Stascal significance test is based off of a 95% confidence level using the binomial test of proporons. The baseline rate (a rate for the enre me period fromQ1 2012 – Q2 2018) is compared to the annual target numerator, denominator, and rate for future data to determine a change that would result in p- value less than 0.05,resulng in stascal significance at a 95% confidence level. In order to normalize and account for any quarterly variaon, the size of the denominator for the target measureis based off of an average quarterly calculaon of the denominators from Q1 2012 through Q2 2018. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasurePTB

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetPTB

Quarter of Time Period (Quar..All values

Stark

MahoningStark Butler

Summit15.56%

Stark13.50%

Montgomery15.91%

Mahoning14.63%

Lucas14.41%

Hamilton16.13%

Franklin15.04%

Cuyahoga16.45%

Butler13.72%

Brown13.50%

Adams15.86%

A zip code (ZCA) must have anumerator of at least 5 and adenominator of at least 30otherwise the ZCA is blank onmap for privacy.

Data are through Q2 2018.Data are limited to Medicaidas the payer.

Stark, Butler, Mahoning Counes - Preterm Birth (%)OEI County Quinles | CY 2012-2018

Map Measure Ranges>=0 < 13.731%>= 13.731% < 14.642%>= 14.642% < 15.848%>= 15.848% < 16.121%>= 16.121%

Stark County - Preterm Birth (%)OEI Quinles | CY 2012-2018

Summit15.56%

Stark13.50%

Montgomery15.91%

Mahoning14.63%

Lucas14.41%

Hamilton16.13%

Franklin15.04%

Cuyahoga16.45%

Butler13.72%

Brown13.50%

Adams15.86%

Stark13.50%


A zip code (ZCA) must have anumerator of at least 5 and adenominator of at least 30otherwise the ZCA is blank on mapfor privacy.

Data are through Q2 2018.Data are limited to Medicaid as thepayer.




Stark County - Preterm Birth (%)OEI Quinles | CY 2012-2018 Yearly Comparison

2012 2013 2014 2015 2016 2017 2018



Wyandot13.28%

Wood12.05%

Williams11.42%

Wayne12.56%

Washington11.95%Warren

12.71%Vinton12.55%

VanWert13.23%

Union12.51%

Tuscarawas13.99%

Trumbull12.55%

Summit15.56%

Stark13.50%

Shelby12.81%

Seneca14.32%

Scioto12.75%

Sandusky12.27%

Ross13.67%

Richland12.62%

Putnam13.48%

Preble13.71%

Portage12.38%

Pike15.28%

Pickaway13.47%

Perry10.94%

Paulding10.95%

Ottawa9.72%

Noble11.58%

Muskingum13.75%

Morrow13.94%

Morgan12.16%

Montgomery15.91%

Monroe14.94%

Miami11.72%

Mercer11.79%

Meigs11.22%

Medina12.26%

Marion14.16%

Mahoning14.63%

Madison14.51%

Lucas14.41%

Lorain13.80%

Logan14.27%

Licking14.25%

Lawrence8.89%

Lake11.76%

Knox13.25%

Jefferson11.29%

Jackson11.41%

Huron12.38%

Holmes11.97%

Hocking11.29%

Highland12.12%

Henry10.61%

Harrison13.21%

Hardin16.02%

Hancock13.41%

Hamilton16.13%

Guernsey14.61%

Greene14.08%

Geauga12.02%

Gallia9.12%

Fulton11.11%

Franklin15.04%

Fayette13.69%

Fairfield13.35%

Erie13.33%

Delaware11.56%

Defiance11.34%

Darke10.74%

Cuyahoga16.45%

Crawford11.55%

Coshocton11.28%

Columbiana13.12%

Clinton12.41%

Clermont12.76%

Clark13.70%

Champaign13.15%

Carroll11.43%

Butler13.72%

Brown13.50%

Belmont20.25%

Auglaize16.52%

Athens12.20%

Ashtabula13.27%

Ashland13.13%Allen

17.56%

Adams15.86%

Statewide - Preterm Birth (%)Overall Quinles by County | CY 2012 - 2018

2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

13.49%

12.99%12.60%

14.30%

12.49%

13.06%13.27%

13.51%

13.87%13.51%

12.95%

13.95%

13.29%

14.16%

13.47%12.98%

13.99%13.96%

12.77%

13.67%

13.56%

14.07%

13.02%

13.64%

13.48%

14.41%

17.67%

17.99%

16.99%

19.01%

16.81%

18.13%

17.36%

17.73%

17.52%

19.12%

17.46%

17.58%

17.36%

18.87%

16.81%

17.78%

17.79%

18.28%

17.88%17.62% 17.43%

19.17%

16.66%

16.58%

16.43%

16.95%

Quarterly Trends by Race - Preterm Birth (%)All OEI Counes | CY 2012-2018

RaceAfrican AmericanCaucasianMissingOtherOther/Unknown

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

2012 2013 2014 2015 2016 2017 2018

10%

11%

12%

13%

14%

15%

16%

17%

18%

19%

10.58%

16.21%

13.58%

16.87%

15.00%

14.53%

13.41%

15.30%15.32%

13.54%

12.40%

14.78%14.62%

14.13% 14.12%14.35%14.43%

13.96%

16.06%16.02%

11.90%

Yearly Trends by MCP - Preterm Birth (%)All OEI Counes | CY 2012-2018

Buckeye CareSource Molina Paramount United

Data are through Q2 2018.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

Stark County Quarterly Control Chart - Preterm Birth (%)CY 2012-2018

What is a control chart? Stascal controlcharts depict variaon in the quarterlytrends of data for a given measure byhelping to idenfy whether data is withinnormal limits and paerns of variaon, orconversely, whether special cause variaonis present. The control charts help toidenfy “out of control” increases,decreases, or trends for a measure in agiven me period. The mean rate iscalculated for the overall me period and isrepresented in black. The quarterly rate isdisplayed in green. Finally, two and threestandard deviaons above and below themean rate are included as upper and lowerbounds which adjust according to the size ofthe quarterly denominators.

Note: Two and three standard deviaonswere set to zero if the values were less thanzero (i.e., a negave value).


Very Preterm Birth (%)


2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

2%

4%

6%

1.08%

4.75%

2.93%

1.12%

2.97%

3.04%

1.41%

2.67%

2.68%

2.69%2.55%

2.72%

1.61%

2.79%

2.46%

2.81%3.23%

2.62%2.43%

1.42%

2.71%

4.20%

1.68%

3.98%

2.33%

3.36%

3.92%3.68%

2.55%

3.23%

1.60%

3.02%

1.91%

3.49%

2.35%

3.51%

3.31%

3.76%

3.55%3.37%

3.44%3.66%3.40%

2.04% 2.15%

3.28%

1.87%

2.26%

3.37%

1.94%

Very Preterm Birth (%) - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - Very Preterm Birth (%)Trends by Quarter | CY 2012-2018

County VPTB Aggregate RateQ1 2012 - Q2 2018

Butler

Stark

Mahoning 2.93%

2.63%

2.87%

VPTB Current RateQ3 2017 - Q2 2018

3.61%

2.95%

2.88%


From 69 to 56 VPTB Infants




Select a MeasureVPTB

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetVPTB


Stark


Summit3.24%

Stark2.63%

Montgomery3.29%

Mahoning2.93%

Lucas2.85%

Hamilton3.64%

Franklin3.22%

Cuyahoga4.05%

Butler2.87%

Brown2.96%

Adams3.36%



Stark, Butler, Mahoning Counes - Very Preterm Birth (%)OEI County Quinles | CY 2012-2018


Stark County - Very Preterm Birth (%)OEI Quinles | CY 2012-2018

Summit3.24%

Stark2.63%

Montgomery3.29%

Mahoning2.93%

Lucas2.85%

Hamilton3.64%

Franklin3.22%

Cuyahoga4.05%

Butler2.87%

Brown2.96%

Adams3.36%

Stark2.63%







Stark County - Very Preterm Birth (%)OEI Quinles | CY 2012-2018 Yearly Comparison

2012 2013 2014 2015 2016 2017 2018



Wyandot1.27%

Wood2.00%

Williams2.28%

Wayne2.85%


2.23%Vinton1.95%

VanWert3.85%

Union2.21%

Tuscarawas2.53%

Trumbull2.46%

Summit3.24%

Stark2.63%

Shelby2.45%

Seneca2.88%

Scioto2.88%

Sandusky1.93%

Ross2.75%

Richland2.87%

Putnam4.41%

Preble3.36%

Portage2.28%

Pike3.96%

Pickaway2.36%

Perry1.45%

Paulding2.99%

Ottawa2.26%

Noble1.72%

Muskingum2.89%

Morrow2.24%

Morgan1.46%

Montgomery3.29%

Monroe1.15%

Miami1.97%

Mercer2.03%

Meigs2.31%

Medina2.27%

Marion3.01%

Mahoning2.93%

Madison3.67%

Lucas2.85%

Lorain2.92%

Logan2.45%

Licking2.78%

Lawrence1.11%

Lake2.11%

Knox3.08%

Jefferson3.03%

Jackson1.88%

Huron2.00%

Holmes2.00%

Hocking1.53%

Highland2.32%

Henry2.01%

Harrison3.37%

Hardin4.61%

Hancock2.09%

Hamilton3.64%

Guernsey3.50%

Greene3.04%

Geauga2.54%

Gallia1.86%

Fulton2.73%

Franklin3.22%

Fayette2.68%

Fairfield2.21%

Erie2.33%

Delaware2.51%

Defiance1.97%

Darke2.47%

Cuyahoga4.05%

Crawford2.81%

Coshocton2.09%

Columbiana2.63%

Clinton2.58%

Clermont3.00%

Clark2.83%

Champaign2.50%

Carroll1.79%

Butler2.87%

Brown2.96%

Belmont4.71%

Auglaize5.42%

Athens2.65%

Ashtabula2.39%

Ashland2.77%Allen

6.36%

Adams3.36%

Statewide - Very Preterm Birth (%)Overall Quinles by County | CY 2012 - 2018

2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

1%

2%

3%

4%

5%

6%

7%

2.86%

2.63% 2.56%

2.69%

2.52%

2.61%

2.61%

2.94% 2.91%2.77%

2.27%

2.82%

2.62% 2.57%

2.76%

2.40%

2.79%2.99%

2.19%

2.51%

2.51%

2.84%

2.15%

2.70%

2.62%

2.93%

4.86%

4.43%

4.13%

5.18%

4.08%

4.29% 4.29%

4.25%4.36%

5.04%

4.20% 4.26%

4.50%4.35%

3.80%3.70%

4.27% 4.21%

3.81%

4.28%

4.22%

4.89%

3.62%3.53%

3.89%

3.71%

Quarterly Trends by Race - Very Preterm Birth (%)All OEI Counes | CY 2012-2018




2012 2013 2014 2015 2016 2017 2018

0%

1%

2%

3%

4%

5%

6%

2.54%

3.74%

2.87%

1.74%

2.50%

2.87%

3.50%

2.24%

2.64%

3.42%

2.75%2.66%

2.23%

2.92%

1.95%1.95%

3.01%

3.27%

2.45%

Yearly Trends by MCP - Very Preterm Birth (%)All OEI Counes | CY 2012-2018




2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

1%

2%

3%

4%

Stark County Quarterly Control Chart - Very Preterm Birth (%)CY 2012-2018




Low Birthweight (%)


2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

5%

10%

15%

5.90% 6.09%

11.14% 11.20%

11.24%

11.25%

10.48%11.34%

11.39% 11.41% 11.43%

11.44%

10.35%

5.80%

8.42%

11.56%

11.63%

8.29%8.55%

8.23%

8.60%

11.75%

10.05%

8.12%

8.71%

6.19%

11.88%

11.88%

13.66%

8.00%

10.51%

13.61%

8.90%

7.90%

7.76%

13.55%

10.40%

7.81%

6.32% 6.48%

9.38%

8.30%9.35%

9.19%

6.52%7.43% 7.40%

6.63%

9.32%9.33%

8.47%

12.46%

8.48%

6.69%7.39%7.37%

9.46%

7.20%6.84%

9.13%

7.10%

8.72%

8.76%8.87%

7.09%

8.85%

Low Birthweight (%) - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - Low Birthweight (%)Trends by Quarter | CY 2012-2018

County LBW Aggregate RateQ1 2012 - Q2 2018

Butler

Stark

Mahoning 10.91%

8.44%

7.90%

LBW Current RateQ3 2017 - Q2 2018

12.91%

8.69%

8.53%


From 197 to 175 LBW Infants




Select a MeasureLBW

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetLBW


Stark


Summit10.13%

Stark8.44%

Montgomery9.64%

Mahoning10.91%

Lucas9.52%

Hamilton10.14%

Franklin9.16%

Cuyahoga11.35%

Butler7.90%

Brown8.21%

Adams9.82%



Stark, Butler, Mahoning Counes - Low Birthweight (%)OEI County Quinles | CY 2012-2018


Stark County - Low Birthweight (%)OEI Quinles | CY 2012-2018

Summit10.13%

Stark8.44%

Montgomery9.64%

Mahoning10.91%

Lucas9.52%

Hamilton10.14%

Franklin9.16%

Cuyahoga11.35%

Butler7.90%

Brown8.21%

Adams9.82%

Stark8.44%







Stark County - Low Birthweight (%)OEI Quinles | CY 2012-2018 Yearly Comparison

2012 2013 2014 2015 2016 2017 2018



Wyandot7.37%

Wood6.84%

Williams4.17%

Wayne6.65%


6.66%Vinton7.10%

VanWert6.80%

Union7.10%

Tuscarawas7.29%

Trumbull8.55%

Summit10.13%

Stark8.44%

Shelby6.76%

Seneca8.49%

Scioto6.91%

Sandusky7.16%

Ross9.28%

Richland8.18%

Putnam7.02%

Preble7.68%

Portage7.83%

Pike9.88%

Pickaway9.12%

Perry7.06%

Paulding6.65%

Ottawa7.38%

Noble6.20%

Muskingum7.36%

Morrow6.75%

Morgan8.35%

Montgomery9.64%

Monroe8.88%

Miami7.28%

Mercer6.21%

Meigs7.61%

Medina7.40%

Marion9.10%

Mahoning10.91%

Madison7.67%

Lucas9.52%

Lorain7.86%

Logan7.88%

Licking8.50%

Lawrence7.78%

Lake6.88%

Knox6.94%

Jefferson7.87%

Jackson7.42%

Huron6.59%

Holmes4.51%

Hocking6.05%

Highland7.99%

Henry6.36%

Harrison7.07%

Hardin9.27%

Hancock7.95%

Hamilton10.14%

Guernsey8.67%

Greene7.56%

Geauga7.88%

Gallia8.04%

Fulton5.90%

Franklin9.16%

Fayette8.10%

Fairfield7.83%

Erie7.78%

Delaware7.10%

Defiance5.85%

Darke6.19%

Cuyahoga11.35%

Crawford6.86%

Coshocton7.68%

Columbiana7.54%

Clinton7.59%

Clermont6.97%

Clark8.47%

Champaign7.61%

Carroll7.21%

Butler7.90%

Brown8.21%

Belmont10.66%

Auglaize6.86%

Athens7.74%

Ashtabula8.11%

Ashland7.26%Allen

9.24%

Adams9.82%

Statewide - Low Birthweight (%)Overall Quinles by County | CY 2012 - 2018

2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

2%

4%

6%

8%

10%

12%

14%

7.50%

8.15%

7.49%

8.19%

7.14%7.50%

8.30%

8.03%

8.04%

7.45% 7.63%

8.19% 8.07%

7.39%

7.60%7.80%

7.89%

8.32%

8.04%

8.76% 8.82%

8.09%

7.18%

8.71%

7.90%

8.67%

11.89%12.07%

12.37%

13.43%

11.53%

11.75%

11.70%

12.09%

11.12%

11.92%

12.88%

11.08%

12.12%

12.92%

11.59% 11.64%

12.17%

12.77%12.72%

11.92%

12.57% 12.75%

12.13%

12.11%

11.08%

12.17%

Quarterly Trends by Race - Low Birthweight (%)All OEI Counes | CY 2012-2018




2012 2013 2014 2015 2016 2017 2018

5%

6%

7%

8%

9%

10%

11%

12%

13%

8.72%

9.40%

6.68%

7.69%

9.52%

9.08%

9.45%

9.03%

9.69%

9.29%

8.28%

9.75%

7.95%

9.23%

11.11%

10.57%10.38%

8.04%

10.03%

9.08%

8.73%

Yearly Trends by MCP - Low Birthweight (%)All OEI Counes | CY 2012-2018




Very Low Birthweight (%)


2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

1%

2%

3%

4%

3.15%3.05%

0.35%

2.60%

1.73% 1.73%

1.51%1.55%1.48%

1.66%

0.70%

1.39%

2.44%

1.65%1.96%

1.34%

1.97%1.69%

1.30%1.48%

1.27%

1.47%

2.32%

0.72%

1.53%

2.04%

0.78%

2.13%

1.18%

1.36%

1.17%1.15%

0.79%

1.16%

2.21%2.20%

1.34%

1.62%

0.81%1.15%

2.17%2.18%

2.46%

1.11%

1.30%

1.09%

1.93%

0.88%

1.69%

2.07%

0.97%0.98%

Very Low Birthweight (%) - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - Very Low Birthweight (%)Trends by Quarter | CY 2012-2018

County VLBW Aggregate RateQ1 2012 - Q2 2018

Butler

Stark

Mahoning 1.75%

1.52%

1.38%

VLBW Current RateQ3 2017 - Q2 2018

1.84%

1.29%

1.49%


From 36 to 26 VLBW Infants




Select a MeasureVLBW

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetVLBW


Stark


Summit1.86%

Stark1.52%

Montgomery1.77%

Mahoning1.75%

Lucas1.60%

Hamilton1.91%

Franklin1.71%

Cuyahoga2.39%

Butler1.38%

Brown1.28%

Adams1.75%



Stark, Butler, Mahoning Counes - Very Low Birthweight (%)OEI County Quinles | CY 2012-2018


Stark County - Very Low Birthweight (%)OEI Quinles | CY 2012-2018

Summit1.86%

Stark1.52%

Montgomery1.77%

Mahoning1.75%

Lucas1.60%

Hamilton1.91%

Franklin1.71%

Cuyahoga2.39%

Butler1.38%

Brown1.28%

Adams1.75%

Stark1.52%







Stark County - Very Low Birthweight (%)OEI Quinles | CY 2012-2018 Yearly Comparison

2012 2013 2014 2015 2016 2017 2018



Wyandot0.59%

Wood0.73%

Williams0.66%

Wayne1.04%


1.02%Vinton0.85%

VanWert0.71%

Union1.44%

Tuscarawas1.21%

Trumbull1.36%

Summit1.86%

Stark1.52%

Shelby1.46%

Seneca1.42%

Scioto1.18%

Sandusky1.05%

Ross1.36%

Richland1.39%

Putnam0.91%

Preble1.33%

Portage1.24%

Pike1.48%

Pickaway1.44%

Perry0.71%

Paulding0.87%

Ottawa0.91%

Noble0.00%

Muskingum1.32%

Morrow0.70%

Morgan0.83%

Montgomery1.77%

Monroe0.39%

Miami1.07%

Mercer0.59%

Meigs1.29%

Medina1.07%

Marion1.21%

Mahoning1.75%

Madison1.26%

Lucas1.60%

Lorain1.37%

Logan1.41%

Licking1.50%

Lawrence0.00%

Lake1.25%

Knox1.20%

Jefferson0.77%

Jackson0.94%

Huron1.08%

Holmes0.77%

Hocking0.71%

Highland0.96%

Henry1.02%

Harrison1.57%

Hardin1.13%

Hancock1.07%

Hamilton1.91%

Guernsey1.41%

Greene1.33%

Geauga1.55%

Gallia0.99%

Fulton1.09%

Franklin1.71%

Fayette1.32%

Fairfield1.16%

Erie1.39%

Delaware1.37%

Defiance0.91%

Darke0.98%

Cuyahoga2.39%

Crawford1.03%

Coshocton1.08%

Columbiana1.07%

Clinton1.27%

Clermont1.41%

Clark1.05%

Champaign1.33%

Carroll0.93%

Butler1.38%

Brown1.28%

Belmont1.94%

Auglaize1.34%

Athens0.97%

Ashtabula1.00%

Ashland1.04%Allen

1.29%

Adams1.75%

Statewide - Very Low Birthweight (%)Overall Quinles by County | CY 2012 - 2018

2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

1%

2%

3%

4%

5%

1.48%

1.38% 1.31%

1.46%

1.32%

1.38% 1.43%

1.36%

1.47%

1.26%

1.05%

1.48%

1.32%

1.29%

1.13%

1.19% 1.24% 1.24%

1.13%

1.45%

1.39%

1.46%

1.19% 1.22% 1.24%

1.37%

2.94%

2.71%

2.46%

3.24%

2.30%2.16%

2.46% 2.51%

2.22%

2.82%2.72%

2.17%

2.52%

2.79%

2.35% 2.28%

2.49% 2.54% 2.54%

2.22%

2.51%

3.18%

2.23%

2.36%

2.15%

2.34%

Quarterly Trends by Race - Very Low Birthweight (%)All OEI Counes | CY 2012-2018




2012 2013 2014 2015 2016 2017 2018

0%

1%

2%

1.20%1.26%

0.63%

1.47%

1.35%

1.72%

1.05%

1.45%

1.88%

1.14%

1.53%

2.03%

1.63%

1.53%1.58% 1.59%

1.67%

1.45%

1.84%

1.33%1.37%

1.81%

1.26%

1.37% 1.37%

1.92%

Yearly Trends by MCP - Very Low Birthweight (%)All OEI Counes | CY 2012-2018




Infant Mortality Rate(ODM Cohort Method Using ODM Data)


2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1

0

5

10

15

20 19.89

8.45 8.388.11

0.00

18.62

7.59

10.75

0.000.00

7.187.18

7.51

14.98

7.957.21 7.05

7.09

11.66

8.21 8.90 8.94

14.49

9.24

6.61

1.711.89

8.90

16.71

8.98

13.04

2.09

13.46

5.59

10.14

5.50 5.62

12.37

5.36 5.33

15.71

5.08

13.48

10.12 10.17

2.912.93 3.57

3.47

11.35

3.88

3.78

10.95

10.99

ODM Infant Mortality Rate - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - ODM Infant Mortality RateTrends by Quarter | CY 2012-2017

County Infant Mortality Aggregate RateQ1 2012 - Q1 2017

Butler

Stark

Mahoning 9.02

7.67

7.87

Infant Mortality Current RateQ2 2016 - Q1 2017

7.47

8.13

7.53


From 19 to 12 Deaths


From 15 to 9 Deaths


Select a MeasureODM IMR

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetODMIMR

Quarter of Time Period (Quar..2012 Q1 to 2017 Q2and Null values

Stark


Summit8.30

Stark7.67

Montgomery8.09

Mahoning9.02

Lucas7.53

Hamilton9.72

Franklin8.27

Cuyahoga10.26

Butler7.87

Brown9.01

Adams13.99



Stark, Butler, Mahoning Counes - ODM Infant Mortality RateOEI County Quinles | CY 2012-2017

Map Measure Ranges>=0 < 7.875>= 7.875 < 8.283>= 8.283 < 9.010>= 9.010 < 10.246>= 10.246

None County zipcodes by quintile

Stark County - ODM Infant Mortality RateOEI Quinles | CY 2012-2017

Summit8.30

Stark7.67

Montgomery8.09

Mahoning9.02

Lucas7.53

Hamilton9.72

Franklin8.27

Cuyahoga10.26

Butler7.87

Brown9.01

Adams13.99

Stark7.67






Data are through Q1 2017Data are limited to Medicaid asthe payer.

Stark County - ODM Infant Mortality RateOEI Quinles | CY 2012-2017 Yearly Comparison

2012 2013 2014 2015 2016 2017

Wyandot1.68

Wood6.31

Williams3.45

Wayne9.36

Washington3.44Warren

3.25Vinton11.95

VanWert0.00

Union9.88

Tuscarawas6.39

Trumbull8.43

Summit8.30

Stark7.67

Shelby5.97

Seneca8.49

Scioto6.36

Sandusky6.47

Ross7.35

Richland5.39

Putnam9.20

Preble5.76

Portage7.24

Pike10.79

Pickaway7.40

Perry2.87

Paulding7.05

Ottawa4.83

Noble0.00

Muskingum8.78

Morrow1.00

Morgan1.99

Montgomery8.09

Monroe4.57

Miami5.03

Mercer5.90

Meigs6.51

Medina4.61

Marion8.18

Mahoning9.02

Madison10.29

Lucas7.53

Lorain5.95

Logan6.52

Licking8.35

Lawrence0.00

Lake6.10

Knox5.30

Jefferson14.38

Jackson7.47

Huron8.47

Holmes6.05

Hocking4.68

Highland7.60

Henry8.12

Harrison5.99

Hardin6.77

Hancock5.30

Hamilton9.72

Guernsey6.57

Greene6.19

Geauga2.68

Gallia7.69

Fulton10.40

Franklin8.27

Fayette7.98

Fairfield7.70

Erie10.29

Delaware7.84

Defiance8.41

Darke8.34

Cuyahoga10.26

Crawford6.18

Coshocton8.42

Columbiana4.19

Clinton8.43

Clermont8.05

Clark7.75

Champaign8.10

Carroll11.30

Butler7.87

Brown9.01

Belmont5.12

Auglaize6.54

Athens7.23

Ashtabula6.54

Ashland4.34Allen

7.10

Adams13.99

Statewide - ODM Infant Mortality RateOverall Quinles by County | CY 2012 - 2017



2012 Q12012 Q22012 Q32012 Q42013 Q12013 Q22013 Q32013 Q42014 Q12014 Q22014 Q32014 Q42015 Q12015 Q22015 Q32015 Q42016 Q12016 Q22016 Q32016 Q42017 Q1

0

2

4

6

8

10

12

14

16

4.85

8.08

6.79

5.17

7.40 7.39

5.535.21

7.84

6.92

5.15

7.51

6.666.31

7.527.11

6.10

6.86

6.22

7.06 7.53

12.26 11.89

8.38

10.05

6.63

10.55

11.5612.00

7.93

15.86

11.94

12.42 12.47

12.1911.92

14.00

12.26

14.56

9.30

13.68

11.14

Quarterly Trends by Race - ODM Infant Mortality RateAll OEI Counes | CY 2012-2017




2012 2013 2014 2015 2016 2017

1

2

3

4

5

6

7

8

9

10

11

12

13

6.83

1.24

6.32 6.46

9.06

7.52

9.47 9.43

10.72

9.26

8.02

13.31

5.55

7.76

9.628.65

8.85

7.06

8.87

11.50

9.10

10.549.87

8.54

7.88

10.34

4.32

4.71

Yearly Trends by MCP - ODM Infant Mortality RateAll OEI Counes | CY 2012-2017




2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1

0

2

4

6

8

10

12

14

16

18

20

Stark County Quarterly Control Chart - ODM Infant Mortality RateCY 2012-2017




Infant Mortality Rate(ODH Raw Deaths/Births Method)


2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0

5

10

15

18.6218.87

14.98

0.00 0.00

8.38

8.38

8.108.06

8.06

8.06 9.12

7.68

9.54

9.56

7.487.33 7.12

15.96

10.47

7.78

10.5510.58

7.958.05

7.56

10.81

1.90

6.61

15.12

7.27

8.45

7.14

10.89

7.05

11.36

3.393.42

5.92

2.62

5.87

2.823.72

9.07

5.62

2.91

9.28

14.35

5.395.355.32

11.80

13.89

11.86

6.01

13.93

3.553.604.78

12.37

5.55

10.73

10.68

ODH Infant Mortality Rate - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - ODH Infant Mortality RateTrends by Quarter | CY 2012-2018

County ODH Infant Mortality Aggregate RateQ2 2012 - Q2 2018

Butler

Stark

Mahoning 8.72

8.57

7.77

ODH Infant Mortality Current RateQ3 2017 - Q2 2018

8.68

10.59

7.08




From 14 to 8 Deaths


Select a MeasureODH IMR

Medicaid PlanAll

OEI/Non OEI CountyAll

County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetODHIMR


Stark


Summit8.47

Stark8.57

Montgomery8.16

Mahoning8.72

Lucas7.25

Hamilton10.34

Franklin8.22

Cuyahoga10.06

Butler7.77

Brown8.31

Adams13.54



Stark, Butler, Mahoning Counes - ODH Infant Mortality RateOEI County Quinles | CY 2012-2018


None County zipcodes by quintile

Stark County - ODH Infant Mortality RateOEI Quinles | CY 2012-2018

Summit8.47

Stark8.57

Montgomery8.16

Mahoning8.72

Lucas7.25

Hamilton10.34

Franklin8.22

Cuyahoga10.06

Butler7.77

Brown8.31

Adams13.54

Stark8.57






Data are through Q2 2018.Data are limited to Medicaid asthe payer.

Stark County - ODH Infant Mortality RateOEI Quinles | CY 2012-2018 Yearly Comparison

2012 2013 2014 2015 2016 2017 2018

Statewide - ODH Infant Mortality RateOverall Quinles by County | CY 2012 - 2018

Wyandot1.47

Wood6.34

Williams2.98

Wayne9.55

Washington2.89Warren

3.51Vinton10.26

VanWert0.00

Union9.39

Tuscarawas6.10

Trumbull8.74

Summit8.47

Stark8.57

Shelby5.09

Seneca9.05

Scioto8.50

Sandusky5.55

Ross7.41

Richland5.36

Putnam6.54

Preble4.20

Portage7.87

Pike10.46

Pickaway7.28

Perry2.98

Paulding5.98

Ottawa5.10

Noble0.00

Muskingum8.08

Morrow0.86

Morgan3.37

Montgomery8.16

Monroe7.81

Miami6.01

Mercer5.97

Meigs6.46

Medina4.28

Marion8.45

Mahoning8.72

Madison10.36

Lucas7.25

Lorain6.32

Logan6.23

Licking7.17

Lawrence0.00

Lake6.46

Knox5.49

Jefferson12.74

Jackson6.86

Huron6.41

Holmes7.84

Hocking5.47

Highland7.38

Henry8.14

Harrison8.22

Hardin5.63

Hancock5.44

Hamilton10.34

Guernsey9.66

Greene7.10

Geauga1.56

Gallia8.23

Fulton7.95

Franklin8.22

Fayette7.64

Fairfield8.22

Erie9.83

Delaware7.96

Defiance7.77

Darke9.95

Cuyahoga10.06

Crawford6.25

Coshocton8.87

Columbiana4.04

Clinton7.75

Clermont7.55

Clark7.25

Champaign8.11

Carroll9.26

Butler7.77

Brown8.31

Belmont4.99

Auglaize7.00

Athens7.86

Ashtabula5.97

Ashland4.26Allen

6.68

Adams13.54



2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0

2

4

6

8

10

12

14

5.71

6.62

4.40

7.81

7.19

6.45 6.56

7.63

6.50

5.34

7.92 7.91

4.63

7.33

5.89

7.73

6.056.41

7.06

7.11

8.27

5.91

7.35

5.67

5.03

9.38

8.59

10.48

8.61

9.43

11.14

12.84

7.48

14.73

11.50

10.07

14.83

12.4112.78

13.56

12.04

13.17

10.95

13.04

11.81

14.64

13.85

11.80

13.78

10.40

Quarterly Trends by Race - ODH Infant Mortality RateAll OEI Counes | CY 2012-2018




Prenatal Care (%)


2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

10%

20%

30%

40%

50%

60%

70%

80%

68.13%69.16%

74.92%

74.84%

69.11% 73.95%

71.99%

74.19%74.24%76.00%

76.28% 76.28% 75.95%76.54% 77.71% 79.39%

74.87%71.07% 70.31%

76.77%

72.78%

75.46%79.07%

73.27% 72.56%

77.05%

70.64%

78.91% 77.10%75.15%

70.89% 71.68%

75.69%75.70%77.41%77.96%

74.06%72.51%

78.14%

Prenatal Care (%) - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - Prenatal Care (%)Trends by Quarter | CY 2012-2018

County Prenatal Aggregate RateQ1 2012 - Q2 2018

Butler

Stark

Mahoning 74.94%

76.10%

73.97%

Prenatal Current RateQ3 2017 - Q2 2018

75.81%

77.35%

74.96%


From 1608 to 1641 Women




Select a MeasurePrenatal

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetPrenatal


Stark


Summit76.22%

Stark76.10%

Montgomery72.98%

Mahoning74.94%

Lucas69.90%

Hamilton72.82%

Franklin69.45%

Cuyahoga73.42%

Butler73.97%

Brown78.91%

Adams78.75%



Stark, Butler, Mahoning Counes - Prenatal Care (%)OEI County Quinles | CY 2012-2018


Stark County - Prenatal Care (%)OEI Quinles | CY 2012-2018

Summit76.22%

Stark76.10%

Montgomery72.98%

Mahoning74.94%

Lucas69.90%

Hamilton72.82%

Franklin69.45%

Cuyahoga73.42%

Butler73.97%

Brown78.91%

Adams78.75%

Stark76.10%







Stark County - Prenatal Care (%)OEI Quinles | CY 2012-2018 Yearly Comparison

2012 2013 2014 2015 2016 2017 2018



Wyandot76.98%

Wood74.96%

Williams72.65%

Wayne75.64%


74.36%Vinton75.69%

VanWert76.12%

Union73.97%

Tuscarawas77.55%

Trumbull78.53%

Summit76.22%

Stark76.10%

Shelby78.25%

Seneca75.03%

Scioto79.62%

Sandusky73.36%

Ross75.14%

Richland79.18%

Putnam82.16%

Preble75.07%

Portage76.79%

Pike80.84%

Pickaway75.27%

Perry78.27%

Paulding73.23%

Ottawa75.03%

Noble73.31%

Muskingum80.31%

Morrow77.08%

Morgan77.66%

Montgomery72.98%

Monroe77.49%

Miami77.50%

Mercer71.73%

Meigs78.58%

Medina74.66%

Marion79.66%

Mahoning74.94%

Madison77.21%

Lucas69.90%

Lorain74.47%

Logan79.17%

Licking75.80%

Lawrence79.44%

Lake77.58%

Knox77.12%

Jefferson71.22%

Jackson78.76%

Huron77.20%

Holmes78.30%

Hocking77.14%

Highland76.29%

Henry74.94%

Harrison75.20%

Hardin78.99%

Hancock78.75%

Hamilton72.82%

Guernsey78.65%

Greene72.37%

Geauga77.86%

Gallia81.44%

Fulton72.24%

Franklin69.45%

Fayette73.83%

Fairfield74.06%

Erie73.55%

Delaware75.22%

Defiance74.69%

Darke79.62%

Cuyahoga73.42%

Crawford77.68%

Coshocton80.66%

Columbiana76.76%

Clinton74.27%

Clermont77.60%

Clark71.65%

Champaign73.37%

Carroll78.46%

Butler73.97%

Brown78.91%

Belmont76.71%

Auglaize79.57%

Athens79.27%

Ashtabula75.02%

Ashland76.27%Allen

82.42%

Adams78.75%

Statewide - Prenatal Care (%)Overall Quinles by County | CY 2012 - 2018

2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

10%

20%

30%

40%

50%

60%

70%

80%

71.94%

74.65%

69.77%

70.20%72.22% 72.43%

74.57%73.88%

74.93%

74.36%

75.50%76.03%75.61%

73.89%

73.27%75.61%

73.99%

71.61%

71.39%

74.40%74.79%73.88%75.20%

73.32%74.76%74.42%74.50%

72.48%74.55%

75.46%

74.00%73.31%

69.64%

67.67%

69.16% 70.04%69.42%

68.12%

70.85%

73.45%

69.42%

66.77%68.42%

69.74%70.96%72.54%

70.46% 71.10%72.32%73.42%71.65% 70.62%

Quarterly Trends by Race - Prenatal Care (%)All OEI Counes | CY 2012-2018




2012 2013 2014 2015 2016 2017 2018

69%

70%

71%

72%

73%

74%

75%

76%

77%

78%

79%

80%

75.83% 75.97%

73.13%

76.23%

73.61%

78.27%

71.60%

75.14%

77.32%

73.15%73.14%

76.23%

77.59%77.53%

68.91%

74.02%

77.06%77.06%

77.77%

74.10%

75.08%

69.98%

78.59%

77.90%

76.78%

69.28%

78.40% 78.48%

75.29%75.31%

Yearly Trends by MCP - Prenatal Care (%)All OEI Counes | CY 2012-2018




Postpartum Visits (%)


2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

10%

20%

30%

40%

50%

60%61.59%

43.44%

54.80%

53.32%

52.64%52.63%

46.58%

52.35%

39.07%

45.99%

48.65%

52.24%

48.64% 48.60%

60.42%

45.74%

51.95%

54.11%

60.16%

47.99%

47.59%

54.60%

47.80%

46.34% 45.02%

51.21%

44.90%46.55% 44.78%48.08%

44.54%

55.25%

44.42%

51.94%50.39%54.39%

46.68%

41.16%

51.50%

41.23% 41.53%

58.19%56.20%

49.34%

58.02%

49.47%

43.27%

56.58%56.73%

44.79%

42.16%

49.20%

45.21%

Postpartum Visits (%) - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - Postpartum Visits (%)Trends by Quarter | CY 2012-2018

County Postpartum Aggregate RateQ1 2012 - Q2 2018

Butler

Stark

Mahoning 48.97%

52.97%

46.35%

Postpartum Current RateQ3 2017 - Q2 2018

47.08%

55.77%

43.66%






Select a MeasurePostpartum

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetPost


Stark


Summit56.65%

Stark52.97%

Montgomery51.14%

Mahoning48.97%

Lucas56.37%

Hamilton53.30%

Franklin47.58%

Cuyahoga56.34%

Butler46.35%

Brown63.15%

Adams58.12%



Stark, Butler, Mahoning Counes - Postpartum Visits (%)OEI County Quinles | CY 2012-2018


Stark County - Postpartum Visits (%)OEI Quinles | CY 2012-2018

Summit56.65%

Stark52.97%

Montgomery51.14%

Mahoning48.97%

Lucas56.37%

Hamilton53.30%

Franklin47.58%

Cuyahoga56.34%

Butler46.35%

Brown63.15%

Adams58.12%

Stark52.97%







Stark County - Postpartum Visits (%)OEI Quinles | CY 2012-2018 Yearly Comparison

2012 2013 2014 2015 2016 2017 2018



Wyandot40.38%

Wood60.61%

Williams48.41%

Wayne56.87%


45.53%Vinton41.44%

VanWert47.76%

Union41.91%

Tuscarawas54.44%

Trumbull53.27%

Summit56.65%

Stark52.97%

Shelby60.97%

Seneca50.36%

Scioto35.98%

Sandusky53.27%

Ross49.95%

Richland57.13%

Putnam50.86%

Preble54.63%

Portage46.84%

Pike45.64%

Pickaway40.89%

Perry47.69%

Paulding41.65%

Ottawa52.71%

Noble48.60%

Muskingum56.76%

Morrow56.09%

Morgan46.70%

Montgomery51.14%

Monroe40.15%

Miami57.56%

Mercer50.89%

Meigs44.14%

Medina53.50%

Marion58.41%

Mahoning48.97%

Madison45.14%

Lucas56.37%

Lorain52.27%

Logan54.37%

Licking42.57%

Lawrence41.33%

Lake54.37%

Knox49.94%

Jefferson45.38%

Jackson49.69%

Huron52.91%

Holmes54.63%

Hocking40.76%

Highland55.24%

Henry58.66%

Harrison47.34%

Hardin47.64%

Hancock37.58%

Hamilton53.30%

Guernsey63.11%

Greene52.37%

Geauga54.10%

Gallia53.84%

Fulton51.54%

Franklin47.58%

Fayette47.36%

Fairfield51.21%

Erie42.69%

Delaware47.73%

Defiance54.14%

Darke53.37%

Cuyahoga56.34%

Crawford51.63%

Coshocton57.25%

Columbiana47.40%

Clinton47.52%

Clermont57.78%

Clark44.59%

Champaign48.02%

Carroll52.52%

Butler46.35%

Brown63.15%

Belmont54.54%

Auglaize54.30%

Athens32.30%

Ashtabula38.31%

Ashland60.67%Allen

60.04%

Adams58.12%

Statewide - Postpartum Visits (%)Overall Quinles by County | CY 2012 - 2018

2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

55%

60%

46.47% 47.20%

51.47%51.45%51.59%51.67% 49.71%

55.14%

51.04%

52.86%

50.86%52.13%

52.90%

55.62%55.60%

52.32% 50.20%

53.10%

50.63%

52.56%

52.54%52.39%50.58%50.55% 50.52%

54.56%

52.41%

54.51%52.37%

54.46%

50.16%

52.10%

50.13%

53.61% 53.62%53.62%

53.68%51.97%

53.71%

51.00%51.75%

53.94%54.62%

54.51%

51.56%

51.55%

49.35%

Quarterly Trends by Race - Postpartum Visits (%)All OEI Counes | CY 2012-2018




2012 2013 2014 2015 2016 2017 2018

46%

48%

50%

52%

54%

56%

58%

60%

62%

64%

66%

64.97%

59.39%

58.66%

49.64%

50.43%

60.16%

45.47%

48.92%

57.47%57.56%

52.52%

54.74%

56.61%

54.67%55.33%

54.92%

48.05%

56.67%

52.00%

46.77%

54.41%

52.91%

55.88% 55.91%

54.07%

Yearly Trends by MCP - Postpartum Visits (%)All OEI Counes | CY 2012-2018




Progesterone Use in High Risk Women (%)


2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

10%

20%

30%

40%

46.59%43.28%

6.90%

10.26%

28.13%

43.48%

26.98%

22.39%

13.16%

41.67%

24.53%

28.24%

22.86%24.39%

33.85%

24.24%24.07%

21.21%21.05%

29.03%31.25%

23.46% 29.33%

23.33%22.86%

22.73%

32.56%

25.61%

13.51%

38.64%

33.33%

33.33%

33.33%

25.86%

30.88%

14.29%

17.05%17.24%

30.00%

17.50%17.46%17.65%20.00%20.00%

17.24%

34.48%

28.81%

16.33%

18.97%

33.93%35.90%

18.87%

Progesterone Use in High Risk Women (%) - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - Progesterone Use in High Risk Women (%)Trends by Quarter | CY 2012-2018

County Progesterone Aggregate RateQ1 2012 - Q2 2018

Butler

Stark

Mahoning 22.75%

26.67%

27.49%

Progesterone Current RateQ3 2017 - Q2 2018

29.83%

34.40%

30.81%


From 83 to 96 Women

From 61 to 72 Women

From 53 to 64 Women


Select a MeasureProgesterone

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetProgesterone


Stark


Summit33.49%

Stark26.67%

Montgomery29.13%

Mahoning22.75%

Lucas29.47%

Hamilton28.15%

Franklin33.26%

Cuyahoga29.65%

Butler27.49%

Brown21.32%

Adams25.33%



Stark, Butler, Mahoning Counes - Progesterone Use in High Risk Women (%)OEI County Quinles | CY 2012-2018


Stark County - Progesterone Use in High Risk Women (%)OEI Quinles | CY 2012-2018

Summit33.49%

Stark26.67%

Montgomery29.13%

Mahoning22.75%

Lucas29.47%

Hamilton28.15%

Franklin33.26%

Cuyahoga29.65%

Butler27.49%

Brown21.32%

Adams25.33%

Stark26.67%







2015 2016 2017 2018

Stark County - Progesterone Use in High Risk Women (%)OEI Quinles | CY 2012-2018 Yearly Comparison

2012 2013 2014



Wyandot31.25%

Wood30.07%

Williams36.05%

Wayne27.69%


34.05%Vinton24.32%

VanWert28.71%

Union25.47%

Tuscarawas25.48%

Trumbull16.67%

Summit33.49%

Stark26.67%

Shelby42.86%

Seneca33.60%

Scioto30.62%

Sandusky33.98%

Ross24.66%

Richland30.60%

Putnam29.82%

Preble28.38%

Portage34.67%

Pike24.27%

Pickaway27.75%

Perry30.14%

Paulding34.33%

Ottawa23.15%

Noble18.75%

Muskingum29.30%

Morrow28.81%

Morgan21.05%

Montgomery29.13%

Monroe19.44%

Miami29.45%

Mercer29.07%

Meigs27.17%

Medina34.27%

Marion24.34%

Mahoning22.75%

Madison28.43%

Lucas29.47%

Lorain23.23%

Logan39.89%

Licking32.10%

Lawrence21.21%

Lake31.41%

Knox22.58%

Jefferson27.31%

Jackson29.20%

Huron34.36%

Holmes19.15%

Hocking29.66%

Highland17.99%

Henry26.42%

Harrison22.92%

Hardin17.92%

Hancock32.92%

Hamilton28.15%

Guernsey29.71%

Greene28.90%

Geauga22.58%

Gallia26.53%

Fulton27.87%

Franklin33.26%

Fayette32.34%

Fairfield34.68%

Erie28.90%

Delaware26.46%

Defiance31.78%

Darke25.00%

Cuyahoga29.65%

Crawford34.25%

Coshocton17.07%

Columbiana24.64%

Clinton14.65%

Clermont26.02%

Clark26.76%

Champaign31.25%

Carroll21.35%

Butler27.49%

Brown21.32%

Belmont30.64%

Auglaize28.57%

Athens31.12%

Ashtabula22.31%

Ashland25.38%Allen

40.67%

Adams25.33%

Statewide - Progesterone Use in High Risk Women (%)Overall Quinles by County | CY 2012 - 2018

2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

5%

10%

15%

20%

25%

30%

35%

40%

27.67%

37.45%

27.75%

21.34%

31.19%

26.60%

28.35%

30.01%29.99%

28.76%

32.01%

29.63%

18.86% 18.88%

38.80%

29.12%

25.22%25.00%

28.67%28.64%

33.14% 35.09%

28.50%

37.90%

30.43%

37.76%

23.96%

37.63%

30.64% 30.77%

24.15%

34.39%

30.86%

20.68%

34.12%

23.84%24.70%

34.41%

31.66%

34.76% 34.78%

26.93%

22.88% 22.85%

36.11%

26.40%

32.28%

22.57%

25.91%25.96%

22.31%

Quarterly Trends by Race - Progesterone Use in High Risk Women (%)All OEI Counes | CY 2012-2018




2012 2013 2014 2015 2016 2017 2018

15%

20%

25%

30%

35%

40%

45%

28.37%27.65%

48.03%

14.17%

32.58%

36.52%

31.78%

37.23%

23.86%

44.80%

24.45%

35.04%

22.78%

31.39%

36.64%

33.78%

30.55%29.60%

34.81%

36.30%

33.04%

38.10%

41.09%40.98%

32.72%

28.54%

Yearly Trends by MCP - Progesterone Use in High Risk Women (%)All OEI Counes | CY 2012-2018




2012 Q2 2012 Q4 2013 Q2 2013 Q4 2014 Q2 2014 Q4 2015 Q2 2015 Q4 2016 Q2 2016 Q4 2017 Q2 2017 Q4 2018 Q2

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

Stark County Quarterly Control Chart - Progesterone Use in High Risk Women (%)CY 2012-2018




Tobacco Screening & Cessaon Counseling (%)


2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2 2016 Q3 2016 Q4 2017 Q1 2017 Q2 2017 Q3 2017 Q4 2018 Q1 2018 Q2

0%

5%

10%

15%

20%

25%24.27%

20.40%

11.25%

8.17%

9.95%

6.62% 6.48%

6.47%6.40% 6.38%8.71%6.30% 6.29%

6.22% 6.14%6.05%

9.23%

18.67%

9.16%

13.00%

3.72%

5.68%

8.63%

14.10%13.86%

17.56%

10.20%

14.00% 13.59%

2.66%

4.86%5.60%

7.50%

3.00%

10.87%

3.26%

14.51%

16.34%

12.34%

5.99%

4.34%

Tobacco Screening & Cessaon Counseling (%) - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - Tobacco Screening & Cessaon Counseling (%)Trends by Quarter | CY 2015-2018

CountyTobacco Screening & CessaonCounseling Aggregate RateQ1 2015 - Q2 2018

Butler

Stark

Mahoning 10.91%

8.55%

11.71%

Tobacco Screening & Cessaon CounselingCurrent Rate

Q3 2017 - Q2 2018

24.27%

14.10%

18.67%






Select a MeasureTSC

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetTSC

Quarter of Time Period (Quar..From 2015 Q1

Stark


Summit10.30%

Stark8.55%

Montgomery7.85%

Mahoning10.91%

Lucas11.10%

Hamilton7.34%

Franklin4.98%

Cuyahoga4.96%

Butler11.71%

Brown16.20%

Adams12.73%



Stark, Butler, Mahoning Counes - Tobacco Screening & Cessaon Counseling (%)OEI County Quinles | CY 2015-2018


Stark County - Tobacco Screening & Cessaon Counseling (%)OEI Quinles | CY 2015-2018

Summit10.30%

Stark8.55%

Montgomery7.85%

Mahoning10.91%

Lucas11.10%

Hamilton7.34%

Franklin4.98%

Cuyahoga4.96%

Butler11.71%

Brown16.20%

Adams12.73%

Stark8.55%





A zip code (ZCA) must have anumerator of at least 5 and adenominator of at least 30 otherwisethe ZCA is blank on map for privacy.


CY 2015 CY 2016 CY 2017 Q2 2018

Stark County - Tobacco Screening & Cessaon Counseling (%)OEI Quinles | CY 2015-2018 Yearly Comparison



Wyandot5.38%

Wood8.96%

Williams7.79%

Wayne5.91%


8.91%Vinton3.68%

VanWert6.76%

Union4.15%

Tuscarawas6.48%

Trumbull7.67%

Summit10.30%

Stark8.55%

Shelby13.51%

Seneca10.91%

Scioto11.38%

Sandusky8.34%

Ross5.65%

Richland6.80%

Putnam8.96%

Preble5.09%

Portage3.90%

Pike6.65%

Pickaway6.07%

Perry16.67%

Paulding5.89%

Ottawa7.52%

Noble13.26%

Muskingum17.37%

Morrow12.50%

Morgan13.75%

Montgomery7.85%

Monroe6.14%

Miami7.89%

Mercer4.59%

Meigs4.25%

Medina5.55%

Marion11.75%

Mahoning10.91%

Madison6.45%

Lucas11.10%

Lorain11.69%

Logan5.89%

Licking13.25%

Lawrence8.59%

Lake11.70%

Knox5.32%

Jefferson3.90%

Jackson3.71%

Huron7.56%

Holmes10.44%

Hocking4.99%

Highland6.97%

Henry9.00%

Harrison3.07%

Hardin14.30%

Hancock4.68%

Hamilton7.34%

Guernsey16.15%

Greene6.07%

Geauga7.57%

Gallia5.27%

Fulton9.15%

Franklin4.98%

Fayette13.13%

Fairfield9.05%

Erie8.41%

Delaware5.01%

Defiance9.93%

Darke2.73%

Cuyahoga4.96%

Crawford3.66%

Coshocton8.05%

Columbiana7.54%

Clinton9.04%

Clermont14.84%

Clark9.47%

Champaign8.39%

Carroll8.34%

Butler11.71%

Brown16.20%

Belmont6.45%

Auglaize6.50%

Athens6.90%

Ashtabula5.80%

Ashland3.49%Allen

14.81%

Adams12.73%

Statewide - Tobacco Screening & Cessaon Counseling (%)Overall Quinles by County | CY 2015 - 2018

2015 Q2 2016 Q2 2017 Q2 2018 Q2

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

20%

22%

24%

5.87%5.10%

7.17%

23.89%

19.89%

18.36%

3.50%2.69%

15.01%

3.99%

11.05%

Yearly Trends by MCP - Tobacco Screening & Cessaon Counseling (%)All OEI Counes | CY 2015-2018




Contracepve Care Including LARCs (%)


2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2 2016 Q3 2016 Q4 2017 Q1 2017 Q2 2017 Q3 2017 Q4 2018 Q1 2018 Q2

0%

5%

10%

15%

20%

25%

30%

22.31%22.19% 22.66%

27.31% 27.34%

21.82%24.08%

21.75% 24.04%

27.46%26.81% 28.48%26.78%

23.93%

20.76%

25.92%

28.35%

25.46%25.46%

21.48%

25.45% 26.12%

21.45%

25.54%

25.39%26.56%26.51%

24.93%

25.97%

28.14%

23.61%

21.29%

26.21%

25.06%

25.74%

25.07% 25.75%

26.25%28.05%

21.16%

Contracepve Care Including LARCs (%) - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - Contracepve Care Including LARCs (%)Trends by Quarter | CY 2015-2018

CountyContracepve Care Including LARCs

Aggregate RateQ1 2015 - Q2 2018

Butler

Stark

Mahoning 25.45%

27.05%

22.32%

Contracepve Care Including LARCs CurrentRate

Q3 2017 - Q2 2018

25.39%

28.48%

24.08%





Note: Stascal significance test is based off of a 95% confidence level using the binomial test of proporons. The baseline rate (a rate for the enre me period fromQ1 2015 – Q2 2018) is compared to the annual target numerator, denominator, and rate for future data to determine a change that would result in p- value less than 0.05,resulng in stascal significance at a 95% confidence level. In order to normalize and account for any quarterly variaon, the size of the denominator for the target measureis based off of an average quarterly calculaon of the denominators from Q1 2015 through Q2 2018. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data. This measure includes moderate to most effecve forms of contracepon, including Long-AcngReversible Contracepves (LARCs).

Select a MeasureLARC

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetLARC


Stark


Summit26.63%

Stark27.05%

Montgomery24.84%

Mahoning25.45%

Lucas23.69%

Hamilton25.49%

Franklin21.13%

Cuyahoga25.79%

Butler22.32%

Brown23.26%

Adams22.62%



Stark, Butler, Mahoning Counes - Contracepve Care Including LARCs (%)OEI County Quinles | CY 2015-2018


Stark County - Contracepve Care Including LARCs (%)OEI Quinles | CY 2015-2018

Summit26.63%

Stark27.05%

Montgomery24.84%

Mahoning25.45%

Lucas23.69%

Hamilton25.49%

Franklin21.13%

Cuyahoga25.79%

Butler22.32%

Brown23.26%

Adams22.62%

Stark27.05%







CY 2015 CY 2016 CY 2017 Q2 2018

Stark County - Contracepve Care Including LARCs (%)OEI Quinles | CY 2015-2018 Yearly Comparison



Wyandot25.66%

Wood24.17%

Williams24.81%

Wayne24.44%


21.28%Vinton25.54%

VanWert22.67%

Union23.43%

Tuscarawas23.74%

Trumbull26.51%

Summit26.63%

Stark27.05%

Shelby21.42%

Seneca24.77%

Scioto21.64%

Sandusky24.08%

Ross25.79%

Richland23.44%

Putnam26.71%

Preble23.92%

Portage25.51%

Pike20.97%

Pickaway22.59%

Perry25.00%

Paulding25.09%

Ottawa25.95%

Noble22.46%

Muskingum29.03%

Morrow23.08%

Morgan28.96%

Montgomery24.84%

Monroe23.19%

Miami22.66%

Mercer19.77%

Meigs24.23%

Medina24.35%

Marion26.14%

Mahoning25.45%

Madison21.57%

Lucas23.69%

Lorain25.29%

Logan23.98%

Licking24.16%

Lawrence23.01%

Lake25.68%

Knox23.63%

Jefferson25.20%

Jackson24.56%

Huron24.97%

Holmes19.83%

Hocking21.12%

Highland24.18%

Henry25.11%

Harrison23.35%

Hardin27.99%

Hancock25.91%

Hamilton25.49%

Guernsey24.51%

Greene24.46%

Geauga21.33%

Gallia25.71%

Fulton26.52%

Franklin21.13%

Fayette21.67%

Fairfield21.48%

Erie25.39%

Delaware20.09%

Defiance25.75%

Darke21.99%

Cuyahoga25.79%

Crawford23.56%

Coshocton29.17%

Columbiana27.00%

Clinton21.54%

Clermont21.61%

Clark23.13%

Champaign21.06%

Carroll25.52%

Butler22.32%

Brown23.26%

Belmont20.97%

Auglaize24.54%

Athens23.86%

Ashtabula21.45%

Ashland23.02%Allen

28.67%

Adams22.62%

Statewide - Contracepve Care Including LARCs (%)Overall Quinles by County | CY 2015 - 2018

2015 Q2 2016 Q2 2017 Q2 2018 Q2

20%

21%

22%

23%

24%

25%

26%

27%

28%

29%

30%

21.16%

23.66%

25.39%

24.45%

22.72%

23.23%

20.15%

25.47%

26.86%

24.80%

27.04%

19.89%

26.24%

23.58%

24.63%

22.24%

25.58%

27.42%

25.97%

Yearly Trends by MCP - Contracepve Care Including LARCs (%)All OEI Counes | CY 2015-2018




Adolescent Wellcare Visits (%)


2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2 2016 Q3 2016 Q4 2017 Q1 2017 Q2 2017 Q3 2017 Q4 2018 Q1 2018 Q2

0%

10%

20%

30%

40%

20.79%

34.40%

24.81%

35.10%36.85%

27.81%

36.93%

23.77%

36.41%

37.28%

36.20%38.42% 38.62%

37.78%

39.12%

37.32%

31.23%

39.27%

27.50%

29.60%

34.34%

43.92%41.00%

31.17%

43.07%

27.68%

40.69%40.17%

42.46%

40.63%

Adolescent Wellcare Visits (%) - Ohio Medicaid - OEI Counes by Quarter


Stark, Butler, Mahoning Counes - Adolescent Wellcare Visits (%)Trends by Quarter | CY 2015-2018

County Adolescent Wellcare Visits Aggregate RateQ1 2015 - Q2 2018

Butler

Stark

Mahoning 35.44%

37.15%

34.67%

Adolescent Wellcare Visits Current RateQ3 2017 - Q2 2018

40.63%

43.92%

42.20%






Select a MeasureAWC

Medicaid PlanAll


County1Stark

County2Butler

County3Mahoning

Measure Selector for Annual TargetAWC


Stark


Summit36.52%

Stark37.15%

Montgomery36.59%

Mahoning35.44%

Lucas37.89%

Hamilton42.50%

Franklin38.88%

Cuyahoga44.21%

Butler34.67%

Brown42.81%

Adams38.41%



Stark, Butler, Mahoning Counes - Adolescent Wellcare Visits (%)OEI County Quinles | CY 2015-2018


Stark County - Adolescent Wellcare Visits (%)OEI Quinles | CY 2015-2018

Summit36.52%

Stark37.15%

Montgomery36.59%

Mahoning35.44%

Lucas37.89%

Hamilton42.50%

Franklin38.88%

Cuyahoga44.21%

Butler34.67%

Brown42.81%

Adams38.41%

Stark37.15%







CY 2015 CY 2016 CY 2017 Q2 2018

Stark County - Adolescent Wellcare Visits (%)OEI Quinles | CY 2015-2018 Yearly Comparison



Wyandot31.22%

Wood32.45%

Williams37.10%

Wayne32.71%


33.03%Vinton27.20%

VanWert33.33%

Union35.30%

Tuscarawas33.55%

Trumbull38.25%

Summit36.52%

Stark37.15%

Shelby26.06%

Seneca37.30%

Scioto32.28%

Sandusky27.78%

Ross33.40%

Richland34.42%

Putnam29.36%

Preble33.46%

Portage36.31%

Pike32.60%

Pickaway33.93%

Perry32.09%

Paulding29.03%

Ottawa32.58%

Noble34.47%

Muskingum40.91%

Morrow36.57%

Morgan39.73%

Montgomery36.59%

Monroe32.95%

Miami28.52%

Mercer27.28%

Meigs32.79%

Medina36.67%

Marion34.49%

Mahoning35.44%

Madison31.14%

Lucas37.89%

Lorain38.10%

Logan30.88%

Licking28.92%

Lawrence33.79%

Lake43.55%

Knox33.11%

Jefferson40.85%

Jackson28.74%

Huron24.75%

Holmes26.27%

Hocking33.89%

Highland37.07%

Henry33.33%

Harrison35.54%

Hardin36.45%

Hancock29.19%

Hamilton42.50%

Guernsey38.14%

Greene29.70%

Geauga36.98%

Gallia29.22%

Fulton36.33%

Franklin38.88%

Fayette35.47%

Fairfield35.49%

Erie33.98%

Delaware36.12%

Defiance30.76%

Darke29.24%

Cuyahoga44.21%

Crawford30.83%

Coshocton33.52%

Columbiana38.00%

Clinton32.33%

Clermont39.67%

Clark35.79%

Champaign31.32%

Carroll30.13%

Butler34.67%

Brown42.81%

Belmont38.27%

Auglaize24.40%

Athens35.07%

Ashtabula35.13%

Ashland36.80%Allen

36.99%

Adams38.41%

Statewide - Adolescent Wellcare Visits (%)Overall Quinles by County | CY 2015 - 2018

2015 Q2 2016 Q2 2017 Q2 2018 Q2

30%

32%

34%

36%

38%

40%

42%

44%

46%

48%

50%

44.04%

37.09%

46.28%

39.45%

38.00%

32.78%

35.69%

39.41%

40.34%

38.90%

41.42%

31.95%

34.52%

48.48%

42.67%42.97%

36.66%

41.37%

Yearly Trends by MCP - Adolescent Wellcare Visits (%)All OEI Counes | CY 2015-2018




Documents

Ohio Department of Medicaid’s Maternal and Infant Health … · 2019. 4. 3. · Stark Butler Mahoning Summit 15.56% Stark 13.50% Montgomery 15.91% Mahoning 14.63% Lucas 14.41% Hamilton