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Public Health Quality Indicators

The Ohio Department of Health and the Association of Ohio Health Commissioners are pleased to submit the 2018 public health quality indicators report. Find the 2015 report here.


Sec. 3701.98. Not later than July 1, 2014, the director of health shall establish both of the following by rule adopted under Chapter 119. of the Revised Code:

(A) A standardized process by which all general and city health districts shall collect and report to the director information regarding public health quality indicators.

(B) A policy and procedures for the sharing of health data reported under this section with payers, providers, general and city health districts, and public health professionals.

The rules shall identify the public health quality indicators that are to be a priority for general and city health districts and the information to be collected and reported regarding those indicators. The director of health shall work in conjunction with the association of county health commissioners in identifying the public health quality indicators.

Guidance and Resources for Local Health Departments

Rules for the public health quality indicators were adopted and became effective July 1, 2014. The Ohio Department of Health has developed further guidance for local health departments to assist with reporting requirements and sharing of the data.

In addition to the guidance document, local health departments can reference additional resources related to health promotion and prevention indicators which include "evidence based" strategies and interventions. If local health departments do not fund or lead these efforts, they may also report interventions for which they partner and promote such efforts in the community.

Tobacco Prevention and Control (Standard 10.1)

Interventions should be consistent with the following objectives in Ohio's Plan to Prevent and Reduce Chronic Disease:

  • Increase the number of K-12 school districts that are 100 percent tobacco-free.
  • Increase the number of universities, regional campuses and community colleges in Ohio that are 100 percent tobacco-free.
  • Increase the number of public multi-unit housing complexes that are smoke-free.
  • Increase the number of Ohio tobacco users who are eligible to receive telephonic tobacco cessation counseling through the Ohio Tobacco Quit Line.
  • Increase the percentage of adults who are asked by a health care professional if they smoke.

Healthy Eating and/or Active Living (Standard 10.1)

Interventions should be consistent with the following objectives in Ohio's Plan to Prevent and Reduce Chronic Disease:

  • Increase the number of schools with completed school travel plans.
  • Increase the number of Ohio communities that adopt Complete Streets policies.
  • Increase the number of Shared-Use Policies and Agreements (SUPAs) between schools, communities, parks and recreation, and other groups to increase physical activity opportunities in the community.
  • Increase the number of licensed early child and school-aged child care providers that have adopted organizational healthy eating/active living (HEAL) policies.
  • Increase the number of middle and high schools that provide physical activity breaks throughout the school day outside of physical education
  • Increase the percent of Ohio farmers’ markets that accept nutrition assistance benefits, including electronic benefit transfers (EBT), or vouchers for Supplemental Nutrition Assistance Program (SNAP) and Women, Infants and Children (WIC) Farmers’ Market Nutrition Program (WIC FMNP).
  • Increase the percentage of census tracts that have at least one healthy retail option located within the tract or within half a mile of tract boundaries.
  • Increase the number of Ohio school districts participating in a comprehensive Farm to School (F2S) Program.
  • Increase the percent of babies who are breastfed while in the hospital.

Injury Prevention (Standard 3.1)

Interventions should be consistent with the state's five injury prevention priority areas as identified by the Ohio Injury Prevention Partnership. Evidence-based injury prevention strategies go beyond educating individuals to adopting policy, system and environmental –level changes that lead to safer communities.  Additional information on evidence-based approaches to injury prevention is available on the Healthy Ohio website.

Falls among Older Adults Best Practices

CDC EB- guidance to prevent older adults falls is based on a multi-faceted approach including the 3 strategies listed below. Refer to the CDC compendium of fall prevention programs that work.

  • Falls risk assessment screenings  (e.g., STEADI tool kit)  (STEADI tool kits are available upon request)
  • Home modification;  and
  • Strength balance programs.
  • Specific evidence-based fall prevention programs that are ongoing in Ohio include: 
    • Matter of Balance -
    • Community-based Tai Chi Program for older adults meeting CDC criteria for length and duration of sessions. 
    • Stepping-On

Prescription Drug Overdose Promising Practices:   

  • Implementation of prescribing policies within health care systems 
  • Increase use of Ohio Automated Rx Reporting System (OARRS) administered by the Ohio Board of Pharmacy  
  • Increase access to naloxone (e.g., Project DAWN

Motor Vehicle, Pedestrian and Bicycle Safety Best Practices

  • Child Passenger Safety - Distribution of child safety seats combined with education and demonstration about child passenger safety best practice (e.g., fitting stations/check-up events)   
  • Bicycle Helmets - Distribution of bicycle helmets and education about bicycle helmet safety combined with implementation of bicycle helmet policies (see helmet ordinance toolkit)
  • Teen Driving:  Implementation of Ohio’s Graduated Driver Licensing (GDL) law for teen drivers combined with efforts to engage parents in enforcing rules   
  • Other Motor Vehicle Traffic – multi-faceted efforts to reduce speeding, increase seat belt use and decrease impaired driving by selecting strategies listed in the CDC Community Guide.

Infant Safe Sleep Promising Practices

  • Distribute safe sleep environments for infants combined with education around safe sleep (e.g., Cribs for Kids Model). 
  • Integrate infant safe sleep education into existing LHD programs including WIC, Help Me Grow, etc. and distribute safety supplies (education materials, sleep sacks, portable cribs, etc.) as needed.

TBI Prevention Promising Practices

  • Provide training and education materials to schools, recreation centers and youth sports leagues about concussion signs/symptoms and Ohio’s return to play law and its requirements.   
  • Encourage implementation of complimentary return to learn policies with local schools.
  • Raise awareness of and implement of a multi-disciplinary community concussion management model for student athletes with a concussion

Infant Mortality

The Ohio Collaborative to Prevent Infant Mortality is a diverse group of public health officials, policy makers, researchers, health advocates, health care providers, and other stakeholders. Annual regional infant mortality rates by race have been posted on the state of Ohio public health module of Network of Care

Immunization- Kindergarten readiness

The Ohio Department of Health offers online continuing nursing education opportunities through a monthly webcast series Public Health Nurses: Successful Partnerships with Ohio Schools.

Rules Advisory Workgroup Meetings: 

August 27, 2013

September 6, 2013 1:00 PM

September 16, 2013 1:00 PM

September 23, 2013 1:00 PM

October 2, 2013 1:00 PM

October 9, 2013 1:00 PM

October 15, 2013 1:00 PM

October 22, 2013 1:00 PM

October 30, 2013 1:00 PM

November 5, 2013 1:00 PM

November 13, 2013 12:00- 2:00 PM

November 21, 2013 1:00- 3:00 PM

November 26, 2013 1:00- 3:00 PM

December 11, 2013 1:00-3:00 PM

February 20, 2014 1:00-3:00 PM

  • Summary

March 14, 2014 8:00-9:00 AM

  • Summary

Quality Indicator Template

Reference Documents and Resources

  • HEIDS 2013 Measures
  • State Health Assessment
  • State Health Improvement Plan
  • IOM Quality Measures and Leading Health Indicators Report
  • Indiana INdicators
  • Health People 2020
  • National Quality Measures Clearinghouse
  • Consensus Statement on Quality in the Public Health System


    Page Updated: 9/18/2018