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Healthier Together Oregon: 2020-2024 State Health Improvement Plan

The purpose of Healthier Together Oregon (HTO) is to advance health equity.

HTO identifies population-wide priorities and strategies for improving the health of people in Oregon. HTO serves as the basis for taking collective action on key health issues in Oregon.

Download the Full Plan  En Español  Learn more at


Oregon will be a place where health and wellbeing are achieved across the lifespan for people of all races, ethnicities, disabilities, genders, sexual orientations, socioeconomic status, nationalities and geographic locations.


  • Equity and social justice
  • Empowerment
  • Strengths-based
  • Authentic community input
  • Accountability 


In early 2019, the PartnerSHIP identified five priorities because they are significant health issues that impact a lot of people, are upstream determinants of downstream health outcomes, and because they affect some communities more than others.

Institutional bias

Institutional bias is defined as the tendency for resources, policies and practices of institutions to operate in ways which advantage white, heterosexual, cis-gendered, able-bodied individuals and communities. This discrimination results in adverse health consequences for minority groups, such as people of color, people with low income, people with disabilities and people who identify as LGBTQ+.

Adversity, trauma and toxic stress

Adversity, trauma and toxic stress include abuse and neglect, living in poverty, incarceration, family separation, and exposure to racism and discrimination. These events have a lifelong effect on health and are correlated with things like substance use, suicide and even some cancers.

Economic drivers of health

Economic drivers of health include housing, living wage, food insecurity and transportation. Poverty is a strong predictor of poor health. Although Oregon's economy is growing, many are struggling to get out of poverty despite having a job due to the high cost of living or raising a family. People living in poverty experience higher rates of premature death and increased rates of homelessness, mental distress and food insecurity.

Access to equitable preventive health care

Despite an increasing number of people with health insurance, many are challenged to get to a health care provider or see a dentist due to provider shortages, transportation barriers, health care costs, or because they don't feel comfortable with their provider due to language or other cultural difference.

Behavioral health

Behavioral health includes mental health and substance use. Oregon has one of the highest rates of mental illness in the country. Tobacco and substance use are the first and third leading causes of death, respectively, in Oregon. Mental distress can lead to lower quality of life, unemployment and increased rates of suicide. Use of alcohol, opioids, methamphetamine and other substances have a significant impact on many families.

Learn about our process for developing our 2020-2024 plan.

Oregon PartnerSHIP

The Public Health Division convenes the PartnerSHIP to develop and oversee implementation of Healthier Together Oregon. The PartnerSHIP is made up of representatives of priority populations and implementers of the plan. The PartnerSHIP is currently being reformed to support implementation. If your agency is interested in being involved, please contact

Meeting Archives 2019-2020 Roster and Bios

Resources and Contacts

Community Health Assessments & Plans

Coordinated Care Organizations (CCOs), local health departments and hospitals also develop and implement Community Health Improvement Plans (CHIPs) and Assessments (CHAs). 

View Oregon Community Health Needs Assessments & Improvement Plans Map.

Success Stories

Do your local health priorities align with the SHIP?
 Share your stories of success and inspire other communities to address the leading causes of death and disability in Oregon.

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