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NEW HEALTH COMMUNITY ADVISORY BOARD (CAB) APPLICATION
Do you have ideas to help improve care for patients at NEWHealth? Apply for the NEWHealth Community Advisory Board (CAB) by completing the application below!
Please read the following information and take a moment to answer the questions below. Your responses will support us in gathering diverse representation from our neighborhoods in our effort to assemble a NEWHealth CAB.
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1.
What is a Community Advisory Board (CAB)? A Community Advisory Board is a group of patients, family members, community members and community health center staff dedicated to improving the care experience of patients and family members.
What does it mean to be a CAB member? Through CAB participation, you will partner with the healthcare system to provide insights based on your care experiences. CABs provide a voice that advocates for providing health care services centered on patient and family-identified needs, including feedback and ideas to help us improve the quality and safety of the care we provide.
Who can be a CAB member? Our goal is for our CAB membership to be as diverse as the communities we serve. You can be a CAB member if you are a current patient or have received care at a NEWHealth in the last 3 years, if you are a family member or caregiver of a patient, or if you are a community member/partner. You do not need any special qualifications to be a CAB member. What’s most important is your experience as a patient or family member and your willingness to participate in CAB opportunities to collaborate and provide feedback. Our goal is for our CAB membership to be as diverse as the communities we serve.
What do CABs do? CABs are unique opportunities to inform and consult on community health center initiatives. Some ways in which CAB members help to shape the patient experience at NEWHealth include:- Sharing their stories and experiences with clinicians, staff, and other patients.- Serving on key committees with clinic staff and clinicians.- Lending patient expertise and voice to discussion groups, educational sessions, and other health center initiatives.- Reviewing educational and other materials for patients and families.- Contributing to future design and service possibilities.
(Required.)
After reading the above, I remain interested in applying for the NEWHealth CAB.
After reading the above, I have questions I need answered before continuing my application.
After reading the above, I am no longer interested in applying for the NEWHealth CAB.
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2.
Full Name
(Required.)
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3.
Contact Information
(Required.)
Email
Phone Number
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4.
What is your race/ethnicity? (Check all that apply)
(Required.)
Asian
Native Hawaiian/Pacific Islander
Black/African American
Hispanic/Latino(x)(e)
Indigenous/Native American
Middle Eastern/North African
White
Biracial/Multiracial
Other
Prefer not to answer
5.
What is your gender? (Choose one of the following options)
Woman
Man
Transgender Woman
Transgender Man
Non-Binary
Prefer Not to Answer
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6.
What is your age group? (Choose one of the following options)
(Required.)
18-24
25-34
35-44
45-54
55-70
70+
Prefer Not to Answer
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7.
In terms of sexual identity, how do you identify?
(Required.)
Bisexual
Gay
Lesbian
Queer
Heterosexual (Straight)
Prefer not to answer
Other
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8.
My role within the NEWHealth Community is (select all that apply):
(Required.)
Patient
Family Member/Caregiver of Patient
Community Resident
Employee/volunteer at community agency, program, school
Other
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9.
Which neighborhood do you live in primarily? (Choose one of the following)
(Required.)
Charlestown
North End
Other neighborhood in Boston
Other neighborhood outside of Boston
Prefer Not to Answer
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10.
Are you a parent or caregiver of a minor child?
(Required.)
Yes
No
Other
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11.
If selected for the CAB, are you able to dedicate 1-2 hours per month to the CAB?
(Required.)
Yes
No
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12.
What specific needs do you have in order to be able to participate in the CAB? (ex: language interpreter, accessible meeting time/location, support from a caregiver, etc)
(Required.)
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13.
Please briefly share why you are interested in applying for the CAB.
(Required.)
Thank you for your interest in applying for NEWHealth's CAB! If you have any questions or concerns, please email NEWHCommunityAdvisoryBoard@mgb.org or call 617-643-8061. Thank you!
