Ohio Department of Medicaid’s Maternaland Infant Health Measures

Franklin County

Ohio Department of MedicaidBureau of Health Innovaon and QualityFall 2018

Preterm Birth (%)

Quarterly Data 2012 - 2017

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q3 2018 Q1

0%

5%

10%

15%

20%18.35%

15.09%

18.23% 17.89%

16.60%16.59%15.85%

13.46%15.30%

14.37%

16.37% 16.48%

15.35%

13.58%

16.74%16.75% 16.37%

14.79%

16.49%

15.51%

16.88%

16.31%15.55%15.54%

14.62%15.59%

16.96% 16.96%17.45%

13.83%14.59%

15.66%

13.88%

14.76%15.36%

17.32% 17.30%17.65%

15.81%

16.88%17.23%

14.34%

16.12%

14.31%

16.10%

14.24%

17.03%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Preterm Birth (%)Trends by Quarter | CY 2012-2017

County PTB Aggregate RateQ1 2012 - Q4 2017

Cuyahoga

Franklin

Hamilton 16.07%

15.10%

16.59%

PTB Current RateQ1 2017 - Q4 2017

16.40%

14.43%

16.14%

Annual Target for Real Impact*

From 1447 to 1389 PTB Infants

From 1372 to 1316 PTB Infants

From 912 to 866 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 from Q12012 – Q4 2017) 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 Q4 2017. 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

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetPTB

Quarter of Time Period (Quar..All values

Franklin

HamiltonFranklin Cuyahoga

Summit15.51%

Stark13.56%

Montgomery15.96%

Mahoning14.41%

Lucas14.24%

Hamilton16.07%

Franklin15.10%

Cuyahoga16.59%

Butler13.61%

Brown13.24%

Adams15.52%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Preterm Birth (%)OEI County Quinles | CY 2012-2017

Map Measure Ranges>=0 < 13.622%>= 13.622% < 14.419%>= 14.419% < 15.516%>= 15.516% < 16.055%>= 16.055%

Franklin County - Preterm Birth (%)OEI Quinles | CY 2012-2017

Summit15.51%

Stark13.56%

Montgomery15.96%

Mahoning14.41%

Lucas14.24%

Hamilton16.07%

Franklin15.10%

Cuyahoga16.59%

Butler13.61%

Brown13.24%

Adams15.52%

Franklin15.10%

Map Measure Ranges>=0 < 13.622%>= 13.622% < 14.419%>= 14.419% < 15.516%>= 15.516% < 16.055%>= 16.055%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 13.622%>= 13.622% < 14.419%>= 14.419% < 15.516%>= 15.516% < 16.055%>= 16.055%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin County - Preterm Birth (%)OEI Quinles | CY 2012-2017 Yearly Comparison

2012 2013 2014 2015 2016 2017

Map Measure Ranges>=0 < 11.574%>= 11.574% < 12.429%>= 12.429% < 13.407%>= 13.407% < 14.235%>= 14.235%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot12.99%

Wood11.85%

Williams11.76%

Wayne12.20%

Washington12.04%Warren

12.58%Vinton12.65%

VanWert13.29%

Union12.43%

Tuscarawas13.68%

Trumbull12.53%

Summit15.51%

Stark13.56%

Shelby13.01%

Seneca14.26%

Scioto12.76%

Sandusky12.30%

Ross13.66%

Richland12.53%

Putnam13.96%

Preble13.74%

Portage12.40%

Pike15.45%

Pickaway13.54%

Perry10.99%

Paulding10.92%

Ottawa10.13%

Noble11.44%

Muskingum13.70%

Morrow14.23%

Morgan11.92%

Montgomery15.96%

Monroe15.23%

Miami11.64%

Mercer11.61%

Meigs10.83%

Medina12.42%

Marion14.65%

Mahoning14.41%

Madison14.42%

Lucas14.24%

Lorain13.67%

Logan14.34%

Licking13.95%

Lawrence7.41%

Lake11.84%

Knox13.61%

Jefferson11.51%

Jackson11.52%

Huron12.25%

Holmes12.15%

Hocking11.50%

Highland11.84%

Henry10.94%

Harrison13.46%

Hardin15.13%

Hancock13.38%

Hamilton16.07%

Guernsey14.70%

Greene14.07%

Geauga11.52%

Gallia8.89%

Fulton11.08%

Franklin15.10%

Fayette13.16%

Fairfield13.43%

Erie13.55%

Delaware11.57%

Defiance10.57%

Darke10.94%

Cuyahoga16.59%

Crawford11.58%

Coshocton11.14%

Columbiana13.37%

Clinton12.46%

Clermont12.48%

Clark13.70%

Champaign12.89%

Carroll11.60%

Butler13.61%

Brown13.24%

Belmont20.49%

Auglaize15.74%

Athens12.23%

Ashtabula12.96%

Ashland13.00%Allen

17.52%

Adams15.52%

Statewide - Preterm Birth (%)Overall Quinles by County | 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 2017 Q3 2018 Q1

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%

13.32%

14.17%

13.41%12.96%

14.02% 13.82%

12.80%

13.58%

13.54%

13.99%

12.99%

13.80%

17.67%

17.99%

16.99%

19.01%

16.81%

18.13%

17.36%

17.73%

17.52%

19.12%

17.46%

17.58%

17.34%

18.86%

16.80%

17.86%

17.77%

18.31%

17.85%

17.70%

17.38%

18.99%

16.57%16.46%

Quarterly Trends by Race - Preterm Birth (%)All OEI Counes | CY 2012-2017

RaceAfrican AmericanCaucasianMissingOther

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

2012 2013 2014 2015 2016 2017

10%

11%

12%

13%

14%

15%

16%

17%

18%

19%

14.58%

10.58%

15.24%15.32%

13.54%

16.08%

15.00%

16.83%

12.40%

14.62%

13.49%

16.02%

14.30%

11.90%

14.43%14.13%

13.96%

Yearly Trends by MCP - Preterm Birth (%)All OEI Counes | CY 2012-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q32018 Q1

0%

2%

4%

6%

8%

10%

12%

14%

16%

18%

Franklin County Quarterly Control Chart - Preterm Birth (%)CY 2012-2017

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).

Data are limited to Medicaid as the payer.

Very Preterm Birth (%)

Quarterly Data 2012 - 2017

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q3 2018 Q1

0%

2%

4%

6%

8%

4.74%

3.07%

2.44%

4.15%

3.56%3.50% 3.69%4.06%

4.09% 4.08% 4.06%

3.20%

4.20%

4.93%

4.20%4.47%

3.30%

4.02%

3.79%

4.26%4.26%

3.83%

4.40%

4.29%

2.56%

3.32%3.38%3.38%3.09% 3.05%

3.90%

3.42%

4.77%

3.23%

3.01%3.47%

4.40%

2.68%

2.90%

4.41%

2.98% 2.96%

3.81%4.23%

2.91%

4.50%

3.58%

4.62%

2.78%

4.52%

2.84%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Very Preterm Birth (%)Trends by Quarter | CY 2012-2017

County VPTB Aggregate RateQ1 2012 - Q4 2017

Cuyahoga

Franklin

Hamilton 3.58%

3.23%

4.12%

VPTB Current RateQ1 2017 - Q4 2017

3.53%

3.12%

3.87%

Annual Target for Real Impact*

From 341 to 311 VPTB Infants

From 310 to 281 VPTB Infants

From 203 to 180 VPTB 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 from Q12012 – Q4 2017) 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 Q4 2017. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasureVPTB

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetVPTB

Quarter of Time Period (Quar..All values

Franklin

HamiltonFranklin Cuyahoga

Summit3.27%

Stark2.62%

Montgomery3.34%

Mahoning2.84%

Lucas2.84%

Hamilton3.58%

Franklin3.23%

Cuyahoga4.12%

Butler2.81%

Brown2.96%

Adams3.45%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Very Preterm Birth (%)OEI County Quinles | CY 2012-2017

Map Measure Ranges>=0 < 2.839%>= 2.839% < 2.966%>= 2.966% < 3.333%>= 3.333% < 3.573%>= 3.573%

Franklin County - Very Preterm Birth (%)OEI Quinles | CY 2012-2017

Summit3.27%

Stark2.62%

Montgomery3.34%

Mahoning2.84%

Lucas2.84%

Hamilton3.58%

Franklin3.23%

Cuyahoga4.12%

Butler2.81%

Brown2.96%

Adams3.45%

Franklin3.23%

Map Measure Ranges>=0 < 2.839%>= 2.839% < 2.966%>= 2.966% < 3.333%>= 3.333% < 3.573%>= 3.573%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 2.839%>= 2.839% < 2.966%>= 2.966% < 3.333%>= 3.333% < 3.573%>= 3.573%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin County - Very Preterm Birth (%)OEI Quinles | CY 2012-2017 Yearly Comparison

2012 2013 2014 2015 2016 2017

Map Measure Ranges>=0 < 2.066%>= 2.066% < 2.346%>= 2.346% < 2.756%>= 2.756% < 3.115%>= 3.115%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot1.21%

Wood2.11%

Williams2.37%

Wayne2.66%

Washington2.11%Warren

2.17%Vinton2.06%

VanWert3.90%

Union2.10%

Tuscarawas2.54%

Trumbull2.41%

Summit3.27%

Stark2.62%

Shelby2.52%

Seneca2.99%

Scioto2.88%

Sandusky1.84%

Ross2.74%

Richland2.91%

Putnam4.34%

Preble3.33%

Portage2.34%

Pike4.07%

Pickaway2.44%

Perry1.43%

Paulding2.77%

Ottawa2.03%

Noble1.33%

Muskingum2.97%

Morrow2.15%

Morgan1.55%

Montgomery3.34%

Monroe1.23%

Miami1.92%

Mercer2.09%

Meigs2.34%

Medina2.34%

Marion3.19%

Mahoning2.84%

Madison3.79%

Lucas2.84%

Lorain2.88%

Logan2.32%

Licking2.73%

Lawrence1.23%

Lake2.06%

Knox3.18%

Jefferson3.05%

Jackson1.83%

Huron2.16%

Holmes2.16%

Hocking1.63%

Highland2.35%

Henry2.04%

Harrison3.30%

Hardin4.10%

Hancock2.15%

Hamilton3.58%

Guernsey3.27%

Greene2.93%

Geauga2.34%

Gallia1.72%

Fulton2.94%

Franklin3.23%

Fayette2.84%

Fairfield2.17%

Erie2.36%

Delaware2.49%

Defiance1.90%

Darke2.37%

Cuyahoga4.12%

Crawford2.87%

Coshocton2.07%

Columbiana2.73%

Clinton2.62%

Clermont2.81%

Clark2.92%

Champaign2.48%

Carroll1.98%

Butler2.81%

Brown2.96%

Belmont4.72%

Auglaize5.25%

Athens2.63%

Ashtabula2.32%

Ashland2.66%Allen

6.31%

Adams3.45%

Statewide - Very Preterm Birth (%)Overall Quinles by County | 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 2017 Q3 2018 Q1

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%

2.64%2.53%

2.81%

2.42%

2.79%2.98%

2.19%

2.52%

2.53%

2.87%

2.18%

2.77%

4.86%

4.43%

4.13%

5.18%

4.08%

4.29% 4.29%

4.25%4.36%

5.04%

4.20% 4.26%

4.51%4.36%

3.79% 3.70%

4.27% 4.22%

3.82%

4.29%

4.20%

4.89%

3.57%3.56%

Quarterly Trends by Race - Very Preterm Birth (%)All OEI Counes | CY 2012-2017

RaceAfrican AmericanCaucasianMissingOther

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

2012 2013 2014 2015 2016 2017

0%

1%

2%

3%

4%

5%

6%

2.54%

3.74%

2.87% 2.84%

2.27%

1.74%

2.61%2.63%

2.23%

3.51%

2.74%

3.43%

2.45%

3.25%

1.95%

3.01%

1.95%

2.92%

Yearly Trends by MCP - Very Preterm Birth (%)All OEI Counes | CY 2012-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q32018 Q1

0%

1%

2%

3%

4%

Franklin County Quarterly Control Chart - Very Preterm Birth (%)CY 2012-2017

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).

Data are limited to Medicaid as the payer.

Low Birthweight (%)

Quarterly Data 2012 - 2017

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q3 2018 Q1

0%

5%

10%

15%

8.43%

10.10%10.45%

11.55%

10.32%

8.72%

9.88%

11.46%

9.20%

11.36%

9.81%

9.16% 9.15%

9.13%9.76%

11.55%

9.75% 9.73%

9.08%

11.25%

10.53%

9.07%

11.60%

8.28%

9.06%

10.55%10.58%

12.34%11.66%

12.33%

8.99%8.35%

10.53%

8.98%9.41%

8.96%

12.29%

10.64%

11.71%

10.57%

12.27%

8.94% 8.92%

12.20%

11.05%11.04%

8.86%

11.03% 11.02% 11.10%

9.55%

8.51%

10.99%11.03%9.40%

10.76%

9.78%

12.04%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Low Birthweight (%)Trends by Quarter | CY 2012-2017

County LBW Rate AggregateQ1 2012 - Q4 2017

Cuyahoga

Franklin

Hamilton 10.12%

9.19%

11.42%

LBW Current RateQ1 2017 - Q4 2017

10.46%

9.51%

11.58%

Annual Target for Real Impact*

From 911 to 865 LBW Infants

From 855 to 809 LBW Infants

From 556 to 519 LBW 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 from Q12012 – Q4 2017) 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 Q4 2017. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasureLBW

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetLBW

Quarter of Time Period (Quar..All values

Franklin

HamiltonFranklin Cuyahoga

Summit10.15%

Stark8.37%

Montgomery9.64%

Mahoning10.75%

Lucas9.46%

Hamilton10.12%

Franklin9.19%

Cuyahoga11.42%

Butler7.82%

Brown7.82%

Adams10.06%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Low Birthweight (%)OEI County Quinles | CY 2012-2017

Map Measure Ranges>=0 < 8.377%>= 8.377% < 9.467%>= 9.467% < 10.113%>= 10.113% < 10.740%>= 10.740%

Franklin County - Low Birthweight (%)OEI Quinles | CY 2012-2017

Summit10.15%

Stark8.37%

Montgomery9.64%

Mahoning10.75%

Lucas9.46%

Hamilton10.12%

Franklin9.19%

Cuyahoga11.42%

Butler7.82%

Brown7.82%

Adams10.06%

Franklin9.19%

Map Measure Ranges>=0 < 8.377%>= 8.377% < 9.467%>= 9.467% < 10.113%>= 10.113% < 10.740%>= 10.740%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 8.377%>= 8.377% < 9.467%>= 9.467% < 10.113%>= 10.113% < 10.740%>= 10.740%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin County - Low Birthweight (%)OEI Quinles | CY 2012-2017 Yearly Comparison

2012 2013 2014 2015 2016 2017

Map Measure Ranges>=0 < 6.765%>= 6.765% < 7.370%>= 7.370% < 7.821%>= 7.821% < 8.448%>= 8.448%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot7.40%

Wood6.60%

Williams4.31%

Wayne6.40%

Washington6.16%Warren

6.61%Vinton7.47%

VanWert6.74%

Union6.99%

Tuscarawas7.31%

Trumbull8.53%

Summit10.15%

Stark8.37%

Shelby6.84%

Seneca8.12%

Scioto6.83%

Sandusky7.34%

Ross9.25%

Richland8.18%

Putnam7.43%

Preble7.89%

Portage7.86%

Pike9.70%

Pickaway9.07%

Perry7.20%

Paulding7.02%

Ottawa7.36%

Noble6.15%

Muskingum7.25%

Morrow6.81%

Morgan8.02%

Montgomery9.64%

Monroe9.13%

Miami7.18%

Mercer5.77%

Meigs8.11%

Medina7.39%

Marion9.34%

Mahoning10.75%

Madison7.76%

Lucas9.46%

Lorain7.87%

Logan7.69%

Licking8.38%

Lawrence6.17%

Lake6.85%

Knox7.08%

Jefferson7.85%

Jackson7.15%

Huron6.63%

Holmes4.48%

Hocking6.22%

Highland7.77%

Henry6.36%

Harrison7.22%

Hardin9.20%

Hancock7.97%

Hamilton10.12%

Guernsey8.71%

Greene7.52%

Geauga8.06%

Gallia7.89%

Fulton5.79%

Franklin9.19%

Fayette8.08%

Fairfield7.65%

Erie7.65%

Delaware6.64%

Defiance5.96%

Darke6.32%

Cuyahoga11.42%

Crawford6.78%

Coshocton7.55%

Columbiana7.53%

Clinton7.51%

Clermont7.07%

Clark8.51%

Champaign7.38%

Carroll7.66%

Butler7.82%

Brown7.82%

Belmont10.72%

Auglaize6.75%

Athens7.77%

Ashtabula8.16%

Ashland7.41%Allen

9.31%

Adams10.06%

Statewide - Low Birthweight (%)Overall Quinles by County | 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 2017 Q3 2018 Q1

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% 8.06%

7.42%

7.69%7.93%

7.91%

8.33%

8.10%

8.73% 8.89%

8.06%

7.16%

8.66%

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%

12.91%

11.58% 11.65%

12.14%

12.79%12.70%

11.94%

12.51%12.73%

12.02%12.13%

Quarterly Trends by Race - Low Birthweight (%)All OEI Counes | CY 2012-2017

RaceAfrican AmericanCaucasianMissingOther

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

2012 2013 2014 2015 2016 2017

5%

6%

7%

8%

9%

10%

11%

12%

13%

9.40%

8.76%9.04%9.03%

9.55%

6.68%

7.69%

9.29%

9.69%

11.13%

9.23%

8.28%

10.17%

10.54%

9.09%

7.95% 8.04%

8.73%

9.96%

Yearly Trends by MCP - Low Birthweight (%)All OEI Counes | CY 2012-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

Very Low Birthweight (%)

Quarterly Data 2012 - 2017

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q3 2018 Q1

0%

1%

2%

3%

4%

3.38%

2.33%

1.68%

2.46%

2.37%

2.48%2.57%

2.49%

1.86%1.86%

2.54%

1.85%

2.23%2.29%

1.71%

2.57%2.48%

2.26%

1.74%

2.02%

1.36%

2.25% 2.60%

2.05%1.77%

1.66% 1.64%

2.65%

1.62%

2.10%

1.62%

2.67%

1.72%1.61%

2.10%2.10%

1.60%

2.37%

1.92%1.86%

1.57% 1.57% 1.49%

2.12%1.88%2.16%

1.55%

1.65%

1.54%

1.54%

1.41%

2.87%

2.08%

1.50%

2.84% 2.83%

1.57%2.05%

2.80%

2.24%

1.47%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Very Low Birthweight (%)Trends by Quarter | CY 2012-2017

County VLBW Aggregate RateQ1 2012 - Q4 2017

Cuyahoga

Franklin

Hamilton 1.92%

1.72%

2.42%

VLBW Current RateQ1 2017 - Q4 2017

1.84%

1.72%

2.63%

Annual Target for Real Impact*

From 193 to 170 VLBW Infants

From 160 to 139 VLBW Infants

From 105 to 88 VLBW 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 from Q12012 – Q4 2017) 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 Q4 2017. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasureVLBW

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetVLBW

Quarter of Time Period (Quar..All values

Franklin

HamiltonFranklin Cuyahoga

Summit1.86%

Stark1.49%

Montgomery1.81%

Mahoning1.73%

Lucas1.59%

Hamilton1.92%

Franklin1.72%

Cuyahoga2.42%

Butler1.35%

Brown1.20%

Adams1.91%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Very Low Birthweight (%)OEI County Quinles | CY 2012-2017

Map Measure Ranges>=0 < 1.505%>= 1.505% < 1.726%>= 1.726% < 1.849%>= 1.849% < 1.915%>= 1.915%

Franklin County - Very Low Birthweight (%)OEI Quinles | CY 2012-2017

Summit1.86%

Stark1.49%

Montgomery1.81%

Mahoning1.73%

Lucas1.59%

Hamilton1.92%

Franklin1.72%

Cuyahoga2.42%

Butler1.35%

Brown1.20%

Adams1.91%

Franklin1.72%

Map Measure Ranges>=0 < 1.505%>= 1.505% < 1.726%>= 1.726% < 1.849%>= 1.849% < 1.915%>= 1.915%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 1.505%>= 1.505% < 1.726%>= 1.726% < 1.849%>= 1.849% < 1.915%>= 1.915%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin County - Very Low Birthweight (%)OEI Quinles | CY 2012-2017 Yearly Comparison

2012 2013 2014 2015 2016 2017

Map Measure Ranges>=0 < 0.910%>= 0.910% < 1.065%>= 1.065% < 1.279%>= 1.279% < 1.409%>= 1.409%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot0.47%

Wood0.75%

Williams0.70%

Wayne0.92%

Washington0.99%Warren

1.02%Vinton0.90%

VanWert0.76%

Union1.45%

Tuscarawas1.28%

Trumbull1.35%

Summit1.86%

Stark1.49%

Shelby1.45%

Seneca1.39%

Scioto1.17%

Sandusky1.08%

Ross1.37%

Richland1.40%

Putnam0.98%

Preble1.43%

Portage1.21%

Pike1.52%

Pickaway1.39%

Perry0.64%

Paulding0.94%

Ottawa0.88%

Noble0.00%

Muskingum1.32%

Morrow0.57%

Morgan0.71%

Montgomery1.81%

Monroe0.41%

Miami0.97%

Mercer0.64%

Meigs1.37%

Medina1.02%

Marion1.34%

Mahoning1.73%

Madison1.37%

Lucas1.59%

Lorain1.33%

Logan1.26%

Licking1.50%

Lawrence0.00%

Lake1.19%

Knox1.19%

Jefferson0.76%

Jackson0.88%

Huron1.12%

Holmes0.70%

Hocking0.76%

Highland0.99%

Henry0.86%

Harrison1.67%

Hardin1.03%

Hancock1.14%

Hamilton1.92%

Guernsey1.20%

Greene1.28%

Geauga1.58%

Gallia0.97%

Fulton1.17%

Franklin1.72%

Fayette1.42%

Fairfield1.14%

Erie1.43%

Delaware1.35%

Defiance0.97%

Darke1.00%

Cuyahoga2.42%

Crawford1.11%

Coshocton1.10%

Columbiana1.08%

Clinton1.32%

Clermont1.39%

Clark1.05%

Champaign1.28%

Carroll1.02%

Butler1.35%

Brown1.20%

Belmont2.01%

Auglaize1.21%

Athens0.94%

Ashtabula0.96%

Ashland1.05%Allen

1.34%

Adams1.91%

Statewide - Very Low Birthweight (%)Overall Quinles by County | 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 2017 Q3 2018 Q1

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%

1.34%1.23% 1.16% 1.21%

1.26% 1.26%

1.13%

1.46%

1.40%

1.48%

1.21%1.27%

2.94%

2.71%

2.46%

3.24%

2.30%2.16%

2.46% 2.51%

2.22%

2.82%2.72%

2.17%

2.50%

2.79%

2.33% 2.27%

2.50% 2.55% 2.54%

2.22%

2.50%

3.16%

2.20%

2.37%

Quarterly Trends by Race - Very Low Birthweight (%)All OEI Counes | CY 2012-2017

RaceAfrican AmericanCaucasianMissingOther

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

2012 2013 2014 2015 2016 2017

0%

1%

2%

1.20%1.26%

1.09%

1.78%

1.45% 1.44%

0.63%

1.63%

1.83%

1.67%

1.92%

1.53%

1.91%

1.53%1.58% 1.59%

1.33%

1.71%

1.14%

1.34%1.37% 1.37%

1.26%

Yearly Trends by MCP - Very Low Birthweight (%)All OEI Counes | CY 2012-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

Infant Mortality Rate(ODM Cohort Method Using ODM Data)

Quarterly Data 2012 - 2016

2012 Q1 2012 Q2 2012 Q3 2012 Q4 2013 Q1 2013 Q2 2013 Q3 2013 Q4 2014 Q1 2014 Q2 2014 Q3 2014 Q4 2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2 2016 Q3

0

5

10

15 14.21

3.92

16.09

9.69

14.39

9.56

5.04

8.44

9.24

9.20

9.18

8.63

8.72

14.74

7.67

8.828.91

11.2710.32

8.62

11.90

10.65 10.65

7.18 7.15

4.75

11.77

7.08

11.81

8.23

9.52

6.926.30

6.83

9.668.01

12.20

11.22

7.89

12.34

7.80

12.51 11.44

6.70

11.48

6.31

12.29

10.82

7.39

7.35

7.34

5.82

5.91

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - ODM Infant Mortality RateTrends by Quarter | CY 2012-2016

County Infant Mortality Aggregate RateQ1 2012 - Q3 2016

Cuyahoga

Franklin

Hamilton 9.59

8.22

10.06

Infant Mortality Current RateQ4 2015 - Q3 2016

9.73

8.83

9.84

Annual Target for Real Impact*

From 84 to 69 Deaths

From 79 to 64 Deaths

From 55 to 43 Deaths

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 from Q12012 – Q3 2016) 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 Q3 2016. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasureODM IMR

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetODMIMR

Quarter of Time Period (Quar..2012 Q1 to 2016 Q3and Null values

Franklin

HamiltonFranklin Cuyahoga

Summit8.26

Stark7.95

Montgomery8.10

Mahoning9.63

Lucas7.22

Hamilton9.59

Franklin8.22

Cuyahoga10.06

Butler7.74

Brown8.55

Adams13.00

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 Q3 2016.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - ODM Infant Mortality RateOEI County Quinles | CY 2012-2016

Map Measure Ranges>=0 < 7.959>= 7.959 < 8.234>= 8.234 < 9.582>= 9.582 < 10.047>= 10.047

None County zipcodes by quintile

Franklin County - ODM Infant Mortality RateOEI Quinles | CY 2012-2016

Summit8.26

Stark7.95

Montgomery8.10

Mahoning9.63

Lucas7.22

Hamilton9.59

Franklin8.22

Cuyahoga10.06

Butler7.74

Brown8.55

Adams13.00

Franklin8.22

Map Measure Ranges>=0 < 7.959>= 7.959 < 8.234>= 8.234 < 9.582>= 9.582 < 10.047>= 10.047

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 Q3 2016.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 7.959>= 7.959 < 8.234>= 8.234 < 9.582>= 9.582 < 10.047>= 10.047

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 Q3 2016Data are limited to Medicaid asthe payer.

Franklin County - ODM Infant Mortality RateOEI Quinles | CY 2012-2016 Yearly Comparison

2012 2013 2014 2015 2016

Wyandot1.82

Wood6.55

Williams3.74

Wayne9.84

Washington3.03Warren

3.26Vinton13.11

VanWert0.00

Union9.67

Tuscarawas6.73

Trumbull8.22

Summit8.26

Stark7.95

Shelby6.61

Seneca9.32

Scioto6.27

Sandusky6.52

Ross7.73

Richland4.90

Putnam10.02

Preble5.52

Portage7.28

Pike12.06

Pickaway8.20

Perry3.15

Paulding7.89

Ottawa3.98

Noble0.00

Muskingum8.41

Morrow1.09

Morgan2.23

Montgomery8.10

Monroe4.90

Miami5.16

Mercer1.30

Meigs7.28

Medina5.04

Marion8.20

Mahoning9.63

Madison11.59

Lucas7.22

Lorain5.95

Logan7.16

Licking8.31

Lawrence0.00

Lake6.25

Knox5.87

Jefferson12.67

Jackson7.34

Huron8.29

Holmes6.57

Hocking5.20

Highland7.21

Henry7.51

Harrison6.54

Hardin7.41

Hancock5.40

Hamilton9.59

Guernsey7.16

Greene6.50

Geauga2.96

Gallia8.37

Fulton10.32

Franklin8.22

Fayette7.92

Fairfield7.99

Erie10.82

Delaware5.46

Defiance7.41

Darke8.43

Cuyahoga10.06

Crawford6.14

Coshocton9.20

Columbiana3.65

Clinton9.22

Clermont8.36

Clark7.36

Champaign8.84

Carroll10.85

Butler7.74

Brown8.55

Belmont5.25

Auglaize6.35

Athens7.28

Ashtabula6.63

Ashland4.82Allen

7.52

Adams13.00

Statewide - ODM Infant Mortality RateOverall Quinles by County | CY 2012 - 2016

Map Measure Ranges>=0 < 5.101>= 5.101 < 6.590>= 6.590 < 7.814>= 7.814 < 8.694>= 8.694

Data are through Q3 2016.Data are limited to Medicaid as thepayer.

2012 Q1 2012 Q2 2012 Q3 2012 Q4 2013 Q1 2013 Q2 2013 Q3 2013 Q4 2014 Q1 2014 Q2 2014 Q3 2014 Q4 2015 Q1 2015 Q2 2015 Q3 2015 Q4 2016 Q1 2016 Q2 2016 Q3

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

6.556.16

7.597.19

6.19

6.94

6.05

12.26 11.89

8.38

10.05

6.63

10.55

11.5612.00

7.93

15.86

11.94

12.42 12.49

12.2211.94

13.85

12.28

14.58

9.32

Quarterly Trends by Race - ODM Infant Mortality RateAll OEI Counes | CY 2012-2016

RaceAfrican AmericanCaucasianMissingOther

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

2012 2013 2014 2015 2016

1

2

3

4

5

6

7

8

9

10

11

12

13

6.32

8.02

6.46

1.24

9.47 9.43

8.74

7.98

9.06

7.76

10.77

12.85

8.60

9.58

5.55

11.16

8.54

4.71

10.34

9.108.35

9.78

7.06

7.88

4.32

Yearly Trends by MCP - ODM Infant Mortality RateAll OEI Counes | CY 2012-2016

Buckeye CareSource Molina Paramount United

Data are through Q3 2016.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

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

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

Franklin County Quarterly Control Chart - ODM Infant Mortality RateCY 2012-2016

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).

Data are limited to Medicaid as the payer.

Infant Mortality Rate(ODH Raw Deaths/Births Method)

Quarterly Data 2012 - 2017

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

0

5

10

15

17.59

10.1810.79

9.429.98

9.9610.29

5.39

9.20

9.17

11.19

8.259.08

11.90

8.41

10.58

8.55

11.69

5.75

11.62

8.789.36 10.79

8.628.84

6.666.68

11.85

7.56

5.38

9.07

11.22 11.24

5.49

6.417.097.27

13.02

9.35

7.15 7.17

13.73

7.16 8.00

13.66

5.81

12.83

9.52

6.896.83

13.3512.68

6.33

12.2812.20

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - ODH Infant Mortality RateTrends by Quarter | CY 2012-2017

County ODH Infant Mortality Aggregate RateQ2 2012 - Q4 2017

Cuyahoga

Franklin

Hamilton 10.06

8.30

10.13

ODH Infant Mortality Current RateQ1 2017 - Q4 2017

11.58

9.05

10.00

Annual Target for Real Impact*

From 84 to 69 Deaths

From 80 to 65 Deaths

From 57 to 45 Deaths

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 from Q22012 – Q4 2017) 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 Q2 2012 through Q4 2017. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasureODH IMR

Medicaid PlanAll

OEI/Non OEI CountyAll

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetODHIMR

Quarter of Time Period (Quar..2012 Q1 to 2017 Q4and Null values

Franklin

HamiltonFranklin Cuyahoga

Summit8.53

Stark8.51

Montgomery8.31

Mahoning8.75

Lucas7.40

Hamilton10.06

Franklin8.30

Cuyahoga10.13

Butler7.89

Brown9.03

Adams14.77

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - ODH Infant Mortality RateOEI County Quinles | CY 2012-2017

Map Measure Ranges>=0 < 8.307>= 8.307 < 8.521>= 8.521 < 9.016>= 9.016 < 10.122>= 10.122

None County zipcodes by quintile

Franklin County - ODH Infant Mortality RateOEI Quinles | CY 2012-2017

Summit8.53

Stark8.51

Montgomery8.31

Mahoning8.75

Lucas7.40

Hamilton10.06

Franklin8.30

Cuyahoga10.13

Butler7.89

Brown9.03

Adams14.77

Franklin8.30

Map Measure Ranges>=0 < 8.307>= 8.307 < 8.521>= 8.521 < 9.016>= 9.016 < 10.122>= 10.122

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 8.307>= 8.307 < 8.521>= 8.521 < 9.016>= 9.016 < 10.122>= 10.122

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 Q4 2017.Data are limited to Medicaid asthe payer.

Franklin County - ODH Infant Mortality RateOEI Quinles | CY 2012-2017 Yearly Comparison

2012 2013 2014 2015 2016 2017

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

Wyandot1.58

Wood6.10

Williams3.19

Wayne9.31

Washington3.11Warren

3.53Vinton10.85

VanWert0.00

Union9.17

Tuscarawas6.33

Trumbull9.06

Summit8.53

Stark8.51

Shelby5.48

Seneca8.85

Scioto7.00

Sandusky5.50

Ross7.06

Richland5.37

Putnam7.06

Preble4.53

Portage7.72

Pike10.59

Pickaway7.87

Perry3.20

Paulding6.49

Ottawa4.45

Noble0.00

Muskingum8.74

Morrow0.93

Morgan3.60

Montgomery8.31

Monroe4.20

Miami5.24

Mercer6.48

Meigs6.89

Medina4.62

Marion9.16

Mahoning8.75

Madison10.35

Lucas7.40

Lorain6.53

Logan6.05

Licking7.46

Lawrence0.00

Lake6.19

Knox5.42

Jefferson13.67

Jackson6.74

Huron7.34

Holmes5.68

Hocking5.86

Highland7.96

Henry8.78

Harrison8.75

Hardin6.04

Hancock4.93

Hamilton10.06

Guernsey7.90

Greene6.09

Geauga1.69

Gallia8.91

Fulton8.60

Franklin8.30

Fayette7.55

Fairfield6.93

Erie10.59

Delaware8.17

Defiance8.37

Darke10.16

Cuyahoga10.13

Crawford6.75

Coshocton8.94

Columbiana4.10

Clinton7.82

Clermont7.68

Clark7.37

Champaign8.03

Carroll10.23

Butler7.89

Brown9.03

Belmont5.18

Auglaize6.05

Athens8.46

Ashtabula5.98

Ashland3.94Allen

6.98

Adams14.77

Map Measure Ranges>=0 < 5.057>= 5.057 < 6.405>= 6.405 < 7.768>= 7.768 < 8.767>= 8.767

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

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

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 7.82

4.46

7.39

5.95

7.84

6.12 6.24

7.09

7.18

8.62

5.78

7.55

9.38

8.59

10.48

8.61

9.43

11.14

12.84

7.48

14.73

11.50

10.07

14.86

12.4412.81

13.41

12.06

13.19

10.98

13.07

11.90

14.4814.19

11.98

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

RaceAfrican AmericanCaucasianMissingOther

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

Prenatal Care (%)

Quarterly Data 2012 - 2017

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q3 2018 Q1

0%

20%

40%

60%

80% 77.74%72.79%

63.63%68.03%68.06%68.14%

63.80%68.28%68.31%

72.47% 72.81%72.90%

67.08%68.99% 68.99%68.99%

66.97%69.15%

73.55%75.38% 70.63%

66.62%

73.75%73.48%75.30%

70.58%69.47%

73.81%74.92% 73.87%75.18%75.15%70.82%70.42%

74.77%

65.52%

69.57%66.10%

74.80% 74.50%

66.06% 66.05%70.40%

74.09%

69.18%70.31%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Prenatal Care (%)Trends by Quarter | CY 2012-2017

County Prenatal Aggregate RateQ1 2012 - Q4 2017

Cuyahoga

Franklin

Hamilton 71.78%

67.98%

72.18%

Prenatal Current RateQ1 2017 - Q4 2017

69.53%

69.54%

72.07%

Annual Target for Real Impact*

From 5256 to 5323 Women

From 5248 to 5311 Women

From 3379 to 3430 Women

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 from Q12012 – Q4 2017) 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 Q4 2017. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasurePrenatal

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetPrenatal

Quarter of Time Period (Quar..All values

Franklin

HamiltonFranklin Cuyahoga

Summit74.75%

Stark74.30%

Montgomery71.61%

Mahoning73.62%

Lucas68.62%

Hamilton71.78%

Franklin67.98%

Cuyahoga72.18%

Butler72.38%

Brown77.85%

Adams78.26%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Prenatal Care (%)OEI County Quinles | CY 2012-2017

Map Measure Ranges>=0 < 71.621%>= 71.621% < 72.192%>= 72.192% < 74.292%>= 74.292% < 77.835%>= 77.835%

Franklin County - Prenatal Care (%)OEI Quinles | CY 2012-2017

Summit74.75%

Stark74.30%

Montgomery71.61%

Mahoning73.62%

Lucas68.62%

Hamilton71.78%

Franklin67.98%

Cuyahoga72.18%

Butler72.38%

Brown77.85%

Adams78.26%

Franklin67.98%

Map Measure Ranges>=0 < 71.621%>= 71.621% < 72.192%>= 72.192% < 74.292%>= 74.292% < 77.835%>= 77.835%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 71.621%>= 71.621% < 72.192%>= 72.192% < 74.292%>= 74.292% < 77.835%>= 77.835%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin County - Prenatal Care (%)OEI Quinles | CY 2012-2017 Yearly Comparison

2012 2013 2014 2015 2016 2017

Map Measure Ranges>=0 < 72.251%>= 72.251% < 74.255%>= 74.255% < 75.899%>= 75.899% < 77.284%>= 77.284%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot75.87%

Wood74.21%

Williams72.32%

Wayne74.35%

Washington76.42%Warren

72.35%Vinton75.16%

VanWert74.80%

Union72.35%

Tuscarawas75.75%

Trumbull77.46%

Summit74.75%

Stark74.30%

Shelby76.31%

Seneca74.72%

Scioto77.93%

Sandusky71.60%

Ross73.69%

Richland78.42%

Putnam82.06%

Preble73.52%

Portage75.86%

Pike79.16%

Pickaway75.22%

Perry75.99%

Paulding71.96%

Ottawa72.17%

Noble68.98%

Muskingum78.79%

Morrow75.81%

Morgan76.52%

Montgomery71.61%

Monroe75.20%

Miami76.16%

Mercer70.00%

Meigs77.14%

Medina73.73%

Marion78.84%

Mahoning73.62%

Madison75.92%

Lucas68.62%

Lorain72.51%

Logan78.87%

Licking74.01%

Lawrence77.81%

Lake76.75%

Knox74.14%

Jefferson67.19%

Jackson78.15%

Huron76.38%

Holmes77.25%

Hocking76.10%

Highland75.06%

Henry74.31%

Harrison73.68%

Hardin77.22%

Hancock77.06%

Hamilton71.78%

Guernsey77.12%

Greene70.61%

Geauga77.32%

Gallia80.24%

Fulton71.83%

Franklin67.98%

Fayette72.08%

Fairfield72.48%

Erie72.10%

Delaware74.31%

Defiance73.11%

Darke79.08%

Cuyahoga72.18%

Crawford77.23%

Coshocton79.04%

Columbiana74.54%

Clinton73.31%

Clermont75.93%

Clark69.11%

Champaign71.40%

Carroll76.63%

Butler72.38%

Brown77.85%

Belmont75.46%

Auglaize79.31%

Athens77.84%

Ashtabula73.72%

Ashland74.91%Allen

81.78%

Adams78.26%

Statewide - Prenatal Care (%)Overall Quinles by County | 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 2017 Q3 2018 Q1

0%

10%

20%

30%

40%

50%

60%

70%

80%

74.93%74.36%

75.50%76.03%75.61%

73.89%

73.27%75.61%

73.99%

71.61%

71.39%71.94%

72.08%

72.40%

71.44%

72.88%70.54%

72.77%72.64%72.97%70.64%71.52%

72.86%72.04%

69.64%

67.67%

69.16% 70.04% 69.42%

68.12%

70.85%

73.45%

69.42%

66.77%

68.42%69.77%

67.48%67.59%68.34%69.93%

67.11%68.87%

70.33%70.98%68.98%

67.95%69.05%

69.94%

Quarterly Trends by Race - Prenatal Care (%)All OEI Counes | CY 2012-2017

RaceAfrican AmericanCaucasianMissingOther

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

2012 2013 2014 2015 2016 2017

69%

70%

71%

72%

73%

74%

75%

76%

77%

78%

79%

80%

78.27%

70.94%

72.95%

73.46%

76.23%

73.13%

75.31%

72.59%

77.06%

75.83%

73.71%74.10%

77.32%

68.91%

78.40%

73.40%

71.60%

73.14%

69.70%

71.45%

75.23%

77.53%

75.20%

71.32%

72.17%

Yearly Trends by MCP - Prenatal Care (%)All OEI Counes | CY 2012-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

Postpartum Visits (%)

Quarterly Data 2012 - 2017

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q3 2018 Q1

0%

10%

20%

30%

40%

50%

60%

52.63%52.99% 51.91%

51.41%52.62%

50.98%

56.03%55.93%

56.07%

58.82%60.63%

47.60%51.38%

43.04%

47.23%

58.51%

47.17%

54.57%

55.47%51.71%

46.98%

48.00%

48.03%48.06%

56.74%

46.81%

55.10%

55.06%56.98%

46.55%

49.70%

57.57%

48.84%

54.45%54.40%

46.02%45.97%

59.16% 59.12%

47.82%

55.94%

45.73%

58.05%

53.93%

45.55%

58.09% 56.87%58.11%

44.86%

49.54%

53.37%

45.01%45.25%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Postpartum Visits (%)Trends by Quarter | CY 2012-2017

County Postpartum Aggregate RateQ1 2012 - Q4 2017

Cuyahoga

Franklin

Hamilton 52.52%

47.42%

56.01%

Postpartum Current RateQ1 2017 - Q4 2017

56.45%

46.04%

56.41%

Annual Target for Real Impact*

From 4072 to 4141 Women

From 3666 to 3739 Women

From 2473 to 2529 Women

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 from Q12012 – Q4 2017) 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 Q4 2017. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasurePostpartum

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetPost

Quarter of Time Period (Quar..All values

Franklin

HamiltonFranklin Cuyahoga

Summit56.49%

Stark52.78%

Montgomery50.68%

Mahoning48.97%

Lucas56.31%

Hamilton52.52%

Franklin47.42%

Cuyahoga56.01%

Butler46.31%

Brown62.99%

Adams58.09%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Postpartum Visits (%)OEI County Quinles | CY 2012-2017

Map Measure Ranges>=0 < 48.984%>= 48.984% < 52.531%>= 52.531% < 56.298%>= 56.298% < 58.081%>= 58.081%

Franklin County - Postpartum Visits (%)OEI Quinles | CY 2012-2017

Summit56.49%

Stark52.78%

Montgomery50.68%

Mahoning48.97%

Lucas56.31%

Hamilton52.52%

Franklin47.42%

Cuyahoga56.01%

Butler46.31%

Brown62.99%

Adams58.09%

Franklin47.42%

Map Measure Ranges>=0 < 48.984%>= 48.984% < 52.531%>= 52.531% < 56.298%>= 56.298% < 58.081%>= 58.081%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 48.984%>= 48.984% < 52.531%>= 52.531% < 56.298%>= 56.298% < 58.081%>= 58.081%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin County - Postpartum Visits (%)OEI Quinles | CY 2012-2017 Yearly Comparison

2012 2013 2014 2015 2016 2017

Map Measure Ranges>=0 < 44.424%>= 44.424% < 48.444%>= 48.444% < 52.767%>= 52.767% < 55.443%>= 55.443%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot39.04%

Wood60.48%

Williams48.38%

Wayne56.71%

Washington36.72%Warren

45.14%Vinton40.75%

VanWert48.02%

Union42.44%

Tuscarawas54.07%

Trumbull52.82%

Summit56.49%

Stark52.78%

Shelby60.95%

Seneca49.38%

Scioto35.80%

Sandusky53.86%

Ross49.51%

Richland56.76%

Putnam51.95%

Preble54.74%

Portage46.71%

Pike44.83%

Pickaway40.42%

Perry47.11%

Paulding41.98%

Ottawa52.89%

Noble48.19%

Muskingum56.39%

Morrow56.83%

Morgan46.97%

Montgomery50.68%

Monroe40.16%

Miami57.82%

Mercer51.19%

Meigs44.02%

Medina53.88%

Marion58.42%

Mahoning48.97%

Madison44.36%

Lucas56.31%

Lorain52.08%

Logan54.68%

Licking41.71%

Lawrence40.70%

Lake53.88%

Knox49.45%

Jefferson44.58%

Jackson49.74%

Huron52.76%

Holmes53.36%

Hocking39.86%

Highland54.88%

Henry58.56%

Harrison46.71%

Hardin47.01%

Hancock37.21%

Hamilton52.52%

Guernsey62.27%

Greene52.62%

Geauga54.63%

Gallia53.26%

Fulton51.73%

Franklin47.42%

Fayette46.98%

Fairfield50.26%

Erie42.34%

Delaware48.84%

Defiance54.69%

Darke53.18%

Cuyahoga56.01%

Crawford51.79%

Coshocton57.48%

Columbiana46.94%

Clinton47.22%

Clermont56.95%

Clark44.49%

Champaign48.51%

Carroll52.29%

Butler46.31%

Brown62.99%

Belmont54.76%

Auglaize54.43%

Athens31.57%

Ashtabula38.66%

Ashland60.68%Allen

60.14%

Adams58.09%

Statewide - Postpartum Visits (%)Overall Quinles by County | 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 2017 Q3 2018 Q1

0%

5%

10%

15%

20%

25%

30%

35%

40%

45%

50%

55%

60%

46.47% 47.20%

51.04%

54.56%

50.97%51.30%

52.72%52.44% 52.40%

50.74%

55.62%55.60%

52.37%

51.56%51.59%50.62%

49.71%

52.96%

51.67%50.55% 50.52%

52.10%

49.92%51.84%

53.23%51.97%

50.08%50.16%

50.20%

53.43%

50.13%

53.48%

52.22%

53.57%53.61% 53.62%

51.60%52.32%

53.46%53.68%

54.51% 53.94%

49.35%

Quarterly Trends by Race - Postpartum Visits (%)All OEI Counes | CY 2012-2017

RaceAfrican AmericanCaucasianMissingOther

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

2012 2013 2014 2015 2016 2017

46%

48%

50%

52%

54%

56%

58%

60%

62%

64%

66%

59.39%

58.59%

49.38%

64.97%

60.16%

48.92%

50.21%

45.47%

57.56%

48.05%

54.67%55.33%

52.52%

54.74% 54.77%54.27%

56.67%

54.07% 53.84%

55.76%55.84%

46.77%

52.00%

Yearly Trends by MCP - Postpartum Visits (%)All OEI Counes | CY 2012-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

Progesterone Use in High Risk Women (%)

Quarterly Data 2012 - 2017

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q3 2018 Q1

0%

10%

20%

30%

40%40.83%

28.30%

15.83%17.05%

28.68%28.72%

31.15%

41.67%

30.84%30.80%

25.88%

31.95%

30.37%

21.70%

28.40%

25.12%

32.75%

28.57% 28.65%26.07%

29.64%

37.37%

25.76%

39.71%

18.18%

24.21%

39.10%

23.76%

30.17%

22.91%

32.44%

35.09%

30.91%

37.59%

21.46%

26.84%

21.97%

25.40%

35.99%

21.71%22.83%22.81%

20.86% 21.64%

22.77%

36.77%

25.82%26.14%25.89%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Progesterone Use in High Risk Women (%)Trends by Quarter | CY 2012-2017

County Progesterone Aggregate RateQ1 2012 - Q4 2017

Cuyahoga

Franklin

Hamilton 27.11%

31.64%

28.75%

Progesterone Current RateQ1 2017 - Q4 2017

28.64%

35.15%

36.62%

Annual Target for Real Impact*

From 328 to 352 Women

From 294 to 318 Women

From 192 to 211 Women

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 from Q12012 – Q4 2017) 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 Q4 2017. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasureProgesterone

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetProgesterone

Quarter of Time Period (Quar..All values

Franklin

HamiltonFranklin Cuyahoga

Summit33.13%

Stark24.93%

Montgomery27.89%

Mahoning22.10%

Lucas28.44%

Hamilton27.11%

Franklin31.64%

Cuyahoga28.75%

Butler26.80%

Brown20.79%

Adams24.64%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Progesterone Use in High Risk Women (%)OEI County Quinles | CY 2012-2017

Map Measure Ranges>=0 < 24.648%>= 24.648% < 26.814%>= 26.814% < 28.435%>= 28.435% < 31.629%>= 31.629%

Franklin County - Progesterone Use in High Risk Women (%)OEI Quinles | CY 2012-2017

Summit33.13%

Stark24.93%

Montgomery27.89%

Mahoning22.10%

Lucas28.44%

Hamilton27.11%

Franklin31.64%

Cuyahoga28.75%

Butler26.80%

Brown20.79%

Adams24.64%

Franklin31.64%

Map Measure Ranges>=0 < 24.648%>= 24.648% < 26.814%>= 26.814% < 28.435%>= 28.435% < 31.629%>= 31.629%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 24.648%>= 24.648% < 26.814%>= 26.814% < 28.435%>= 28.435% < 31.629%>= 31.629%

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 Q4 2017.Data are limited to Medicaidas the payer.

2015 2016 2017

Franklin County - Progesterone Use in High Risk Women (%)OEI Quinles | CY 2012-2017 Yearly Comparison

2012 2013 2014

Map Measure Ranges>=0 < 22.226%>= 22.226% < 25.705%>= 25.705% < 28.486%>= 28.486% < 30.909%>= 30.909%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot29.51%

Wood29.23%

Williams35.37%

Wayne28.75%

Washington18.43%Warren

32.05%Vinton23.19%

VanWert27.08%

Union27.55%

Tuscarawas21.63%

Trumbull15.19%

Summit33.13%

Stark24.93%

Shelby43.21%

Seneca33.05%

Scioto29.33%

Sandusky33.75%

Ross21.58%

Richland29.55%

Putnam30.61%

Preble28.17%

Portage33.21%

Pike24.35%

Pickaway25.86%

Perry31.30%

Paulding34.38%

Ottawa25.51%

Noble20.00%

Muskingum28.99%

Morrow28.97%

Morgan20.90%

Montgomery27.89%

Monroe19.44%

Miami29.08%

Mercer27.27%

Meigs23.86%

Medina33.76%

Marion24.13%

Mahoning22.10%

Madison26.60%

Lucas28.44%

Lorain22.90%

Logan38.27%

Licking30.13%

Lawrence20.80%

Lake31.01%

Knox23.57%

Jefferson25.68%

Jackson27.56%

Huron33.18%

Holmes20.00%

Hocking27.78%

Highland18.54%

Henry26.92%

Harrison22.92%

Hardin17.53%

Hancock32.59%

Hamilton27.11%

Guernsey29.92%

Greene27.93%

Geauga22.35%

Gallia22.62%

Fulton26.55%

Franklin31.64%

Fayette31.17%

Fairfield33.58%

Erie28.53%

Delaware25.00%

Defiance28.87%

Darke25.74%

Cuyahoga28.75%

Crawford33.13%

Coshocton18.03%

Columbiana23.40%

Clinton13.51%

Clermont26.10%

Clark25.62%

Champaign30.77%

Carroll20.99%

Butler26.80%

Brown20.79%

Belmont29.22%

Auglaize26.98%

Athens30.81%

Ashtabula22.02%

Ashland23.53%Allen

40.64%

Adams24.64%

Statewide - Progesterone Use in High Risk Women (%)Overall Quinles by County | 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 2017 Q3 2018 Q1

0%

5%

10%

15%

20%

25%

30%

35%

21.34%

26.46%

29.84%

30.01%

18.86%

29.20%

18.88%

25.22%

28.91%

25.00%

28.67%28.64%27.67%

28.50%

31.19%

27.88% 28.09%

32.70%

28.40%

24.15%

28.45%

23.96%

31.82%

28.76%

23.84%

32.02%

20.68%

35.14%

31.66%

24.70%

34.90%34.83%

32.64%

26.93%

34.64%

32.89%

31.21%

22.88% 22.85%

34.35%

26.40%

22.57%

34.11%

30.17%

22.31%

25.96%

30.44%

25.91%

Quarterly Trends by Race - Progesterone Use in High Risk Women (%)All OEI Counes | CY 2012-2017

RaceAfrican AmericanCaucasianMissingOther

RaceAfrican American Caucasian

Data are limited to Medicaid as the payer.

2012 2013 2014 2015 2016 2017

15%

20%

25%

30%

35%

40%

27.65%28.21%

14.17%

32.58%31.79%

35.03%

22.78%

30.55%

23.86%

31.39%

24.45%

31.77%

29.60%

25.38%

33.04%

38.48%

32.72%

36.36%

28.54%

40.66%

35.99%

40.46%

33.73%34.29%

Yearly Trends by MCP - Progesterone Use in High Risk Women (%)All OEI Counes | CY 2012-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

2012 Q1 2012 Q3 2013 Q1 2013 Q3 2014 Q1 2014 Q3 2015 Q1 2015 Q3 2016 Q1 2016 Q3 2017 Q1 2017 Q32018 Q1

0%

5%

10%

15%

20%

25%

30%

35%

40%

Franklin County Quarterly Control Chart - Progesterone Use in High Risk Women (%)CY 2012-2017

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).

Data are limited to Medicaid as the payer.

Tobacco Screening & Cessaon Counseling (%)

Quarterly Data 2015 - 2017

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

0%

2%

4%

6%

8%

10%

12%12.36%

7.97%

3.26% 3.14%

2.82%

1.60%1.58%

2.54%

1.57%

6.94%

1.54% 1.52% 1.51%

3.57%

1.39%

2.26% 2.26%2.10%

3.99%

8.86%

8.84%

1.94%1.85%1.73%

4.98%

4.60%

4.63%

4.64%4.56%

4.55%4.68%4.38% 4.52%4.51%

4.46%

4.77%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Tobacco Screening & Cessaon Counseling (%)Trends by Quarter | CY 2015-2017

CountyTobacco Screening & CessaonCounseling Aggregate RateQ1 2015 - Q4 2017

Cuyahoga

Franklin

Hamilton 5.66%

4.72%

4.31%

Tobacco Screening & Cessaon CounselingCurrent Rate

Q1 2017 - Q4 2017

12.36%

4.98%

7.97%

Annual Target for Real Impact*

From 2886 to 2973 Women

From 2657 to 2740 Women

From 2250 to 2326 Women

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 from Q12015 – Q4 2017) 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 Q4 2017. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasureTSC

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetTSC

Quarter of Time Period (Quar..From 2015 Q1

Franklin

HamiltonFranklin Cuyahoga

Summit7.56%

Stark8.42%

Montgomery6.40%

Mahoning8.99%

Lucas9.34%

Hamilton5.66%

Franklin4.72%

Cuyahoga4.31%

Butler11.54%

Brown10.53%

Adams10.85%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Tobacco Screening & Cessaon Counseling (%)OEI County Quinles | CY 2015-2017

Map Measure Ranges>=0 < 5.665%>= 5.665% < 7.570%>= 7.570% < 9.325%>= 9.325% < 10.839%>= 10.839%

Franklin County - Tobacco Screening & Cessaon Counseling (%)OEI Quinles | CY 2015-2017

Summit7.56%

Stark8.42%

Montgomery6.40%

Mahoning8.99%

Lucas9.34%

Hamilton5.66%

Franklin4.72%

Cuyahoga4.31%

Butler11.54%

Brown10.53%

Adams10.85%

Franklin4.72%

Map Measure Ranges>=0 < 5.665%>= 5.665% < 7.570%>= 7.570% < 9.325%>= 9.325% < 10.839%>= 10.839%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 5.665%>= 5.665% < 7.570%>= 7.570% < 9.325%>= 9.325% < 10.839%>= 10.839%

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.

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

CY 2015 CY 2016 CY 2017

Franklin County - Tobacco Screening & Cessaon Counseling (%)OEI Quinles | CY 2015-2017 Yearly Comparison

Map Measure Ranges>=0 < 4.660%>= 4.660% < 6.058%>= 6.058% < 7.709%>= 7.709% < 9.522%>= 9.522%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot5.27%

Wood7.18%

Williams7.39%

Wayne5.47%

Washington6.76%Warren

8.07%Vinton3.48%

VanWert4.83%

Union4.10%

Tuscarawas6.22%

Trumbull6.07%

Summit7.56%

Stark8.42%

Shelby14.84%

Seneca9.41%

Scioto11.38%

Sandusky7.77%

Ross4.84%

Richland6.47%

Putnam7.72%

Preble4.37%

Portage3.17%

Pike7.42%

Pickaway5.83%

Perry15.12%

Paulding4.55%

Ottawa5.73%

Noble8.88%

Muskingum15.64%

Morrow13.59%

Morgan11.30%

Montgomery6.40%

Monroe2.98%

Miami7.97%

Mercer4.50%

Meigs4.19%

Medina3.90%

Marion12.24%

Mahoning8.99%

Madison6.19%

Lucas9.34%

Lorain9.63%

Logan5.88%

Licking13.29%

Lawrence8.17%

Lake11.60%

Knox4.95%

Jefferson3.46%

Jackson3.59%

Huron6.35%

Holmes8.10%

Hocking4.85%

Highland5.69%

Henry7.99%

Harrison2.71%

Hardin13.18%

Hancock4.60%

Hamilton5.66%

Guernsey14.03%

Greene5.80%

Geauga7.18%

Gallia5.44%

Fulton7.90%

Franklin4.72%

Fayette12.58%

Fairfield8.86%

Erie6.29%

Delaware4.26%

Defiance8.84%

Darke2.64%

Cuyahoga4.31%

Crawford3.41%

Coshocton6.76%

Columbiana6.05%

Clinton7.82%

Clermont10.27%

Clark8.75%

Champaign7.70%

Carroll7.56%

Butler11.54%

Brown10.53%

Belmont6.30%

Auglaize5.93%

Athens6.70%

Ashtabula5.87%

Ashland3.35%Allen

13.35%

Adams10.85%

Statewide - Tobacco Screening & Cessaon Counseling (%)Overall Quinles by County | CY 2015 - 2017

2015 Q4 2016 Q4 2017 Q4

2%

4%

6%

8%

10%

12%

14%

4.72%4.43%

3.70%

14.04%

11.84%

11.02%

10.43%

6.81%

Yearly Trends by MCP - Tobacco Screening & Cessaon Counseling (%)All OEI Counes | CY 2015-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

Contracepve Care Including LARCs (%)

Quarterly Data 2015 - 2017

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

0%

5%

10%

15%

20%

25%25.55%

20.82%

25.37%

20.87%

20.89% 22.53%20.58%

25.93% 27.19%

20.50%19.42%

24.05% 21.37%

26.18%26.93%

21.42%

22.07%24.20%25.92% 25.47%

19.71%

24.27%

25.45% 25.45%25.44%

19.74%

26.43%25.57%

25.19% 25.21%

25.64%

25.29% 25.70%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Contracepve Care Including LARCs (%)Trends by Quarter | CY 2015-2017

CountyContracepve Care Including LARCs

Aggregate RateQ1 2015 - Q4 2017

Cuyahoga

Franklin

Hamilton 25.51%

21.30%

25.97%

Contracepve Care Including LARCs CurrentRate

Q1 2017 - Q4 2017

25.70%

22.53%

27.19%

Annual Target for Real Impact*

From 18647 to 18841 Women

From 13336 to 13505 Women

From 10990 to 11139 Women

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 from Q12015 – Q4 2017) 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 Q4 2017. 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

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetLARC

Quarter of Time Period (Quar..From 2015 Q1

Franklin

HamiltonFranklin Cuyahoga

Summit26.56%

Stark27.27%

Montgomery24.50%

Mahoning25.44%

Lucas23.73%

Hamilton25.51%

Franklin21.30%

Cuyahoga25.97%

Butler22.36%

Brown23.61%

Adams22.83%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Contracepve Care Including LARCs (%)OEI County Quinles | CY 2015-2017

Map Measure Ranges>=0 < 22.839%>= 22.839% < 23.744%>= 23.744% < 25.505%>= 25.505% < 26.550%>= 26.550%

Franklin County - Contracepve Care Including LARCs (%)OEI Quinles | CY 2015-2017

Summit26.56%

Stark27.27%

Montgomery24.50%

Mahoning25.44%

Lucas23.73%

Hamilton25.51%

Franklin21.30%

Cuyahoga25.97%

Butler22.36%

Brown23.61%

Adams22.83%

Franklin21.30%

Map Measure Ranges>=0 < 22.839%>= 22.839% < 23.744%>= 23.744% < 25.505%>= 25.505% < 26.550%>= 26.550%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 22.839%>= 22.839% < 23.744%>= 23.744% < 25.505%>= 25.505% < 26.550%>= 26.550%

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.

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

CY 2015 CY 2016 CY 2017

Franklin County - Contracepve Care Including LARCs (%)OEI Quinles | CY 2015-2017 Yearly Comparison

Map Measure Ranges>=0 < 21.659%>= 21.659% < 23.327%>= 23.327% < 24.519%>= 24.519% < 25.584%>= 25.584%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot26.19%

Wood23.36%

Williams24.92%

Wayne24.49%

Washington24.23%Warren

20.84%Vinton25.98%

VanWert22.53%

Union22.97%

Tuscarawas23.55%

Trumbull26.80%

Summit26.56%

Stark27.27%

Shelby21.24%

Seneca24.95%

Scioto21.68%

Sandusky23.71%

Ross25.77%

Richland23.58%

Putnam26.55%

Preble23.60%

Portage26.01%

Pike20.10%

Pickaway22.57%

Perry24.61%

Paulding25.85%

Ottawa25.56%

Noble22.09%

Muskingum28.85%

Morrow22.99%

Morgan29.91%

Montgomery24.50%

Monroe23.30%

Miami22.38%

Mercer19.55%

Meigs24.64%

Medina24.23%

Marion25.83%

Mahoning25.44%

Madison21.06%

Lucas23.73%

Lorain25.40%

Logan23.86%

Licking23.68%

Lawrence22.87%

Lake25.50%

Knox23.21%

Jefferson24.81%

Jackson24.36%

Huron25.05%

Holmes19.37%

Hocking21.53%

Highland23.21%

Henry25.88%

Harrison22.73%

Hardin28.53%

Hancock25.31%

Hamilton25.51%

Guernsey24.07%

Greene24.42%

Geauga21.64%

Gallia25.07%

Fulton25.61%

Franklin21.30%

Fayette21.56%

Fairfield21.36%

Erie25.20%

Delaware20.32%

Defiance25.51%

Darke22.28%

Cuyahoga25.97%

Crawford23.50%

Coshocton28.56%

Columbiana27.45%

Clinton21.63%

Clermont21.48%

Clark23.08%

Champaign20.65%

Carroll24.91%

Butler22.36%

Brown23.61%

Belmont21.03%

Auglaize24.27%

Athens24.53%

Ashtabula21.33%

Ashland22.99%Allen

28.94%

Adams22.83%

Statewide - Contracepve Care Including LARCs (%)Overall Quinles by County | CY 2015 - 2017

2015 Q4 2016 Q4 2017 Q4

21%

22%

23%

24%

25%

26%

27%

28%

29%

23.15%

24.93%

26.46%

20.57%

22.95%

20.50%

25.02%24.72%

24.85%

21.97%

26.18%26.02%

27.26%

Yearly Trends by MCP - Contracepve Care Including LARCs (%)All OEI Counes | CY 2015-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans

Adolescent Wellcare Visits (%)

Quarterly Data 2015 - 2017

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

0%

10%

20%

30%

40%

50%

32.72%

44.49% 44.60%41.87%

30.75%

42.77%

37.63%39.02%35.26% 39.42%

43.50%

46.80%

43.81%

46.89%

39.98%

43.90% 43.96%

46.97%

44.03%

40.26%

47.20%

40.43%

33.07%

40.76%

47.71%

44.76%

37.29%

33.92%

49.22%46.20%

41.75%42.06%

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

CounesCuyahoga Franklin Hamilton

Franklin, Cuyahoga, Hamilton Counes - Adolescent Wellcare Visits (%)Trends by Quarter | CY 2015-2017

County Adolescent Wellcare Visits Aggregate RateQ1 2015 - Q4 2017

Cuyahoga

Franklin

Hamilton 43.47%

39.97%

45.99%

Adolescent Wellcare Visits Current RateQ1 2017 - Q4 2017

46.20%

42.06%

49.22%

Annual Target for Real Impact*

From 14275 to 14419 Women

From 11257 to 11393 Women

From 8103 to 8215 Women

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 from Q12015 – Q4 2017) 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 Q4 2017. The calculaon to determine the annual target therefore assumes anaverage size in the denominator for upcoming four quarters of data.

Select a MeasureAWC

Medicaid PlanAll

OEI/Non OEI CountyOEI

County1Franklin

County2Cuyahoga

County3Hamilton

Measure Selector for Annual TargetAWC

Quarter of Time Period (Quar..From 2015 Q1

Franklin

HamiltonFranklin Cuyahoga

Summit37.18%

Stark38.44%

Montgomery39.07%

Mahoning36.92%

Lucas37.96%

Hamilton43.47%

Franklin39.97%

Cuyahoga45.99%

Butler36.45%

Brown45.49%

Adams42.55%

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 Q4 2017.Data are limited to Medicaidas the payer.

Franklin, Cuyahoga, Hamilton Counes - Adolescent Wellcare Visits (%)OEI County Quinles | CY 2015-2017

Map Measure Ranges>=0 < 37.188%>= 37.188% < 38.455%>= 38.455% < 42.543%>= 42.543% < 45.478%>= 45.478%

Franklin County - Adolescent Wellcare Visits (%)OEI Quinles | CY 2015-2017

Summit37.18%

Stark38.44%

Montgomery39.07%

Mahoning36.92%

Lucas37.96%

Hamilton43.47%

Franklin39.97%

Cuyahoga45.99%

Butler36.45%

Brown45.49%

Adams42.55%

Franklin39.97%

Map Measure Ranges>=0 < 37.188%>= 37.188% < 38.455%>= 38.455% < 42.543%>= 42.543% < 45.478%>= 45.478%

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 Q4 2017.Data are limited to Medicaid as thepayer.

Map Measure Ranges>=0 < 37.188%>= 37.188% < 38.455%>= 38.455% < 42.543%>= 42.543% < 45.478%>= 45.478%

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.

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

CY 2015 CY 2016 CY 2017

Franklin County - Adolescent Wellcare Visits (%)OEI Quinles | CY 2015-2017 Yearly Comparison

Map Measure Ranges>=0 < 31.945%>= 31.945% < 34.078%>= 34.078% < 36.642%>= 36.642% < 39.146%>= 39.146%

Data are through Q4 2017.Data are limited to Medicaid as thepayer.

Wyandot31.75%

Wood33.65%

Williams39.10%

Wayne33.87%

Washington39.71%Warren

34.87%Vinton27.72%

VanWert36.04%

Union37.87%

Tuscarawas33.57%

Trumbull40.27%

Summit37.18%

Stark38.44%

Shelby27.76%

Seneca41.37%

Scioto34.34%

Sandusky28.28%

Ross34.30%

Richland35.77%

Putnam32.43%

Preble36.11%

Portage37.71%

Pike33.71%

Pickaway34.03%

Perry33.78%

Paulding29.64%

Ottawa34.12%

Noble34.35%

Muskingum42.41%

Morrow37.39%

Morgan41.06%

Montgomery39.07%

Monroe33.37%

Miami30.50%

Mercer29.17%

Meigs33.11%

Medina38.53%

Marion36.13%

Mahoning36.92%

Madison33.35%

Lucas37.96%

Lorain40.19%

Logan33.05%

Licking29.65%

Lawrence35.41%

Lake46.41%

Knox34.93%

Jefferson42.54%

Jackson29.30%

Huron26.77%

Holmes29.10%

Hocking33.04%

Highland39.32%

Henry33.39%

Harrison36.37%

Hardin37.38%

Hancock29.97%

Hamilton43.47%

Guernsey39.20%

Greene32.14%

Geauga40.01%

Gallia29.33%

Fulton37.14%

Franklin39.97%

Fayette36.71%

Fairfield36.76%

Erie34.63%

Delaware37.82%

Defiance32.77%

Darke30.20%

Cuyahoga45.99%

Crawford30.59%

Coshocton34.17%

Columbiana40.42%

Clinton33.30%

Clermont41.06%

Clark36.58%

Champaign32.34%

Carroll31.42%

Butler36.45%

Brown45.49%

Belmont39.63%

Auglaize24.30%

Athens36.32%

Ashtabula36.42%

Ashland38.24%Allen

38.35%

Adams42.55%

Statewide - Adolescent Wellcare Visits (%)Overall Quinles by County | CY 2015 - 2017

2015 Q4 2016 Q4 2017 Q4

34%

36%

38%

40%

42%

44%

46%

48%

35.95%

45.62%

41.25%

34.31%

41.61%

47.36%

35.64%

41.53%

43.06%

38.44%38.11%

Yearly Trends by MCP - Adolescent Wellcare Visits (%)All OEI Counes | CY 2015-2017

Buckeye CareSource Molina Paramount United

Data are through Q4 2017.Data are limited to Medicaid as the payer.

Medicaid PlanAll Plans