If you need assistance completing the survey, please reach out to members of the Community Membership Workgroup at ohpb.committeerecruitment@oha.oregon.gov or call 541-640-2994.

Everyone has a right to know about and participate in Oregon Health Authority (OHA) Committees. You can get this document in other languages, large print, braille or a format you prefer free of charge. Contact the team at ohpb.committeerecruitment@oha.oregon.gov or 541-640-2994, 711 TTY (voice/text). We accept all relay calls.
Oregon Health Policy Board Committee Membership Recruitment Survey
 
The Oregon Health Authority (OHA) and Oregon Health Policy Board (OHPB) request that all applicants and members of the OHPB and its committees complete the following about their race, ethnicity, language, disability, sexual orientation and gender identity. This information helps OHA and OHPB to recruit a more diverse membership at the committee level and across the agency. A diverse membership will bring health equity expertise, lived experience and cross-cultural experience to advance health equity in Oregon. 

The information from this survey will be reported to the OHPB to help ensure that committee membership is representative of the diverse population in Oregon. Information submitted by you to OHA is confidential and not subject to disclosure under Oregon’s public records law. OHA may release data that is in aggregate and not individually identifiable.
 

Why collecting this information is important

Achieving health equity is a priority of the OHA, OHPB, and the Governor. The OHA has set a strategic goal to eliminate health inequities in Oregon by 2030. OHA and OHPB have adopted the following definition of health equity:
 
 
 
Oregon will have established a health system that creates health equity when all people can reach their full health potential and well-being and are not disadvantaged by their race, ethnicity, language, disability, age, gender, gender identity, sexual orientation, social class, intersections among these communities or identities, or other socially determined circumstances.
Achieving health equity requires the ongoing collaboration of all regions and sectors of the state, including tribal governments to address:
  • The equitable distribution or redistribution of resources and power; and
  • Recognizing, reconciling and rectifying historical and contemporary injustices.


One important step towards achieving health equity and antiracism is improving representation across members of OHPB and its committees. It is important that these groups reflect the demographic diversity of Oregonians served by OHA programs and impacted by OHA policies.

Your response to each question is voluntary and optional. Your unique responses are shared directly with the Oregon Health Authority (OHA) and are confidential. Person level information will not be shared with any entity outside of OHA. The information will only be used in aggregate form, for general program reporting.

Please help us advance health equity in Oregon by responding to the following questions about your race, ethnicity, language, disability, sexual orientation and gender identity so that we can ensure equity for committee members now and in the future. It is intended that each applicant complete this form themselves to preserve privacy and confidentiality of this information.

The estimated time needed for most people to complete this survey is 15 minutes or less.
PLEASE READ CAREFULLY. IMPORTANT INFORMATION ABOUT THE ANSWERS YOU SUBMIT
 
Which questions do I have to answer? You are not required to answer all of the questions in this survey. You can choose "Don't want to answer" to answer any of the questions. Responding to all other questions is completely optional, though OHA hopes that you will answer them.

Is the information I submit confidential? Information submitted by you to OHA is confidential and not subject to disclosure under Oregon’s public records law. OHA may release data that is in aggregate and not individually identifiable. OHA will not release or disclose any identifiable information.

How will my information be used? Limited OHA staff supporting Committee recruitment will have access to applicants’ information and may share this information with Committee chairs or OHPB liaisons when nominating individuals for Committee membership or reviewing the make up of a committee or committees. However, only aggregated information will be shared out with others. If you have any particular concerns about the confidentiality of the answers to these questions, please contact either the committee lead or the Committee Membership Workgroup staff at OHPB.committeerecruitment@oha.oregon.gov

For more information about the Race, Ethnicity, Language, and Disability (REALD) information that is being requested please visit:
https://www.oregon.gov/oha/EI/Pages/Demographics.aspx https://sharedsystems.dhsoha.state.or.us/DHSForms/Served/le7721a.pdf

You can learn more about REALD by watching this video, visiting OHA's website, and reading this FactSheet. For suggestions related to survey questionnaire, questions verbatim, please email OHAREALD.Questions@odhsoha.oregon.gov