Ohio Press Release

Embargoed For Release at 11 am (ET)
January 16, 2014

Media Contact:
Mike Baldyga, 202-370-9288 
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WASHINGTON — Ohio moved from 18th place in 2009 to 7th in the 2014 American College of Emergency Physicians’ (ACEP) state-by-state report card on America’s emergency care environment (“Report Card”). It received an overall grade of C+.

“Ohio has made improvements to people’s access to emergency care, but the state still has a high proportion of adults without health insurance, and Medicaid reimbursement levels have decreased, which poses significant challenges for Medicaid patients getting access to primary care, said Dr. John Lyman, president of the Ohio Chapter of ACEP.  “The proportion of adults with unmet needs for substance abuse treatment has increased in Ohio since the last Report Card, and the state has a high rate of poisoning-related deaths.  These are areas we need to work on.”

Ohio ranked 5th  in the nation in the category of Access to Emergency Care with a B- grade .  This is an improvement over the 2009 rank of 14 th and C+ grade, and reflects an increase in the number of emergency physicians and other medical specialists in the state. The B- grade  in the category of Quality and Patient Safety was unchanged from 2009.  Ohio’s rank improved from 21st to 15th in part because it now has a funded emergency medical services medical director and because 96.7 percent of the state’s hospitals have adopted electronic medical records.

Ohio lacks key traffic safety provisions, such as helmet laws for motorcycle riders and a ban on handheld cellphone use for all drivers, which is one reason the grade for Public Health and Injury Prevention of C- remains unchanged. The state improved from 18th place to sixth place and earned a B+ for Medical Liability Environment, having implemented expert witness rules and a cap on non-economic damages.

“America’s Emergency Care Environment:  A State-by-State Report Card – 2014” evaluates conditions under which emergency care is being delivered, not the quality of care provided by hospitals and emergency providers. It has 136 measures in five categories:  access to emergency care (30 percent of the grade), quality and patient safety (20 percent), medical liability environment (20 percent), public health and injury prevention (15 percent) and disaster preparedness (15 percent). While America earned an overall mediocre grade of C- on the Report Card issued in 2009, this year the country received a near-failing grade of D+.

NOTE: Ohio’s grade in the Disaster Preparedness category is based largely on survey responses provided by the state that were discovered to be inaccurate just prior to release of the Report Card. Those original survey responses were used to calculate the state’s grade of F and are also used in the compilation of the summary statistics for all states. While too late for inclusion in the Report Card’s calculations or the printed version of the Report Card, the following data page has been amended to reflect Ohio’s revised responses. The revisions would have likely improved the state’s Disaster Preparedness grade to a C or C- and the overall state grade would likely remain the same or improve to a B-.

ACEP is the national medical specialty society representing emergency medicine. ACEP is committed to advancing emergency care through continuing education, research and public education. Headquartered in Dallas, Texas, ACEP has 53 chapters representing each state, as well as Puerto Rico and the District of Columbia. A Government Services Chapter represents emergency physicians employed by military branches and other government agencies.


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