REALD Presented by Marjorie McGee PhD Equity and Inclusion Division of OHA Objectives Overview history and purpose of REALD Relevance of REALD to Health Equity Metrics 2 What is REALD ID: 1044663
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1. Race, Ethnicity, Language and Disability (REALD)Presented byMarjorie McGee, Ph.D.Equity and Inclusion Division of OHA
2. ObjectivesOverview, history and purpose of REALD Relevance of REALD to Health Equity Metrics2
3. What is REALD?Acronym: Race, Ethnicity, Language and DisabilityStandardized questions to collect dataA tool for uncovering health disparities among diverse populations and subpopulations 3 Race/Ethnicity Questions6 Language Questions7 Disability Questions3
4. Big Picture2000: Oregon Governor identifies data collection of race/ethnicity as priority (Racial & Ethnic Health Task Force Final Report)2011: Department of Health and Human Services (DHHS) establishes data collection standards for race/ethnicity, primary language and disability status (Affordable Care Act, Section 4302) 2013: With leadership from Asian Pacific American Network of Oregon and Oregon Health Equity Alliance, House Bill 2134 signed into law2013/14: Rulemaking Advisory Committee (RAC) developed REALD standards; OARs 943-070-0000 thru 943-070-0072015: Funding allocated for REALD standards implementation (OHP/ONE; ICS/OFRA, staffing) 2016: OHA and DHS hire REALD staff2017: ONE becomes REALD compliant4
5. Relevance of REALD to Health Equity Metrics / MeasurementsSome examples focusing on Disability with respect to two metrics: 1) ED utilization, and 2) Effective contraceptive use5
6. Ambulatory Care: ED utilization 6Study with 400 randomly selected charts (200 deaf ASL users and 200 hearing English speakers) from an outpatient primary care health center with a high volume of deaf patients.Ref:McKee, M. M., Winters, P. C., Sen, A., Zazove, P., & Fiscella, K. (2015). Emergency Department utilization among Deaf American Sign Language users. Disability and Health Journal, 8(4), 573-578.
7. Effective contraceptive use among women at risk of unintended pregnancy 7Braun, M. (2017). Oregon teens with disabilities: Addressing health and safety needs. CD Summary, 66(10), 1-2.
8. Intercourse Intercourse Before Age 158Horner-Johnson, W., Higgins, T. C., & Braun, M. (2018). Sexual health behaviors among high school students with disabilities. PowerPoint. OHSU. Portland.
9. Condom Use at Last Intercourse9Horner-Johnson, W., Higgins, T. C., & Braun, M. (2018). Sexual health behaviors among high school students with disabilities. PowerPoint. OHSU. Portland.