Basic information

Please be prepared to upload a CV or resume. This survey has multiple pages of questions. To view a list of questions requiring extra consideration, please review this summary. 

The Health Evidence Review Commission's (HERC) primary work is to prioritize health services which determine whether services are covered benefits for over 1 million people who are members of the Oregon Health Plan. HERC's work is also available for other health plans to reference. Decisions are made base on the best available evidence as well as other factors including values and preferences or patients and communities, health equity considerations and delivery system factors.

HERC is supported by staff from the Oregon Health Authority (OHA). OHA's definition of health equity is "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."

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* 1. The information you submit in this survey will be used by staff and HERC leadership to evaluate candidates' applications for membership, and to promote diverse representation on HERC and its subcommittees. In addition, aggregate summary data for all those who respond may be reported publicly. Because of the small size of the HERC and subcommittee applicant pool, it may be possible to identify how individual applicants have answered the survey from this aggregate information.

While you are not required to answer any questions about personal identities or health conditions, we encourage you to share any information you are comfortable sharing to aid in our efforts to improve representation, with the understanding that this information may be disclosed (with personal information redacted according to the law) in the event of a public records request. 

If you require additional information about the confidentiality of this information, please email us at herc.info@OHA.oregon.gov so we can address any questions before you fill out the survey.

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* 2. Please upload your resume or curriculum vitae. Acceptable formats include PDF, DOC, and DOCX. 

If you are having trouble, please email herc.info@OHA.oregon.gov for help.

PDF, DOC, DOCX file types only.
Choose File

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* 3. To apply for a Commission vacancy, please visit the Governor's Boards & Commission page. To apply, please use these instruc​tions if you don't have a State of Oregon Workday account. If you already have a State of Oregon Workday account, use these alternate instructions.

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* 4. Which subcommittee(s) would you be interested in joining? (Check all you would be willing to serve on, but each person would only serve on one subcommittee.)

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* 5. Full Name

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* 6. Pronouns (optional)

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* 7. Email Address

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* 8. Phone Number

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* 9. Principal occupation or advocacy role (if any)

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* 10. Professional license type (enter NA if you are not a licensed healthcare provider)

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* 11. Other relevant memberships/affiliations (for example, board memberships, professional or service organizations)

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* 12. Please briefly explain why you are interested in serving on HERC or a subcommittee, and why you would be a good candidate for membership.

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* 13. Please describe your experience making decisions about provision of health services (especially services for people with low incomes), including evaluating evidence, treatment planning, assisting patients in making choices and developing policy. How would this experience inform your work on HERC or a subcommittee?

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