The Oregon State Legislature passed House Bill 4212 (2020 Special Session) sections 40-43, which requires licensees of the Oregon Medial Board to collect race, ethnicity, language, and disability (REALD) data from patients during a COVID-19 encounter. This data must be reported to the Oregon Health Authority (OHA) in accordance with the state's disease reporting rules. In the bill, a COVID-19 encounter is defined as “an interaction between a patient, or the patient's legal representative, and a health care provider, whether that interaction is in person or through telemedicine, for the purpose of providing health care services related to COVID-19, including but not limited to ordering or performing a COVID-19 test."
At the time of a COVID-19 encounter, or as soon as possible thereafter, health care providers must collect data on race, ethnicity, preferred spoken and written language, English proficiency, interpreter needs and disability status in accordance with OAR 943-070.
Providers are not required to collect and report this data if they:
- Previously collected and reported the data within the last year;
- Know that another health care provider has collected and reported the data within the last year; or
- Know that the patient has provided this data directly to OHA within the last year.
As required in OAR 333-018-0016, health care providers must report the following to the OHA within 24 hours (including weekends and holidays):
- COVID-19 cases
- COVID-19 hospitalizations
- COVID-19 deaths
- MIS-C (multisystem inflammatory syndrome in children)
Health care providers must report all negative COVID-19 test results within one working day.
Until October 1, 2021, providers must report REALD data to OHA at the time a COVID-19 test is ordered or when reporting COVID-19 information as required in OAR 333-018-0016:
- Through online reporting at www.healthoregon.org/howtoreport;
- By facsimile (only if online reporting is not operable);
- Through direct electronic case reporting, or another means, if approved by OHA; or
- To a clinical laboratory that can submit the data at the time COVID-19 test results are reported.
More information and specific requirements for disease reporting and appropriate timelines can be found in OAR 333-018-0011 and 333-018-0016, or the state's Disease Reporting website.
REALD data collection phased implementation timeline:
- As of October 1, 2020
- Hospitals (excluding psychiatric hospitals)
- Health care providers within a health system
- This includes any organization that delivers health care through at least one hospital in Oregon and through other facilities, clinics, medical groups, and other entities, all under common control or ownership.
- Health care providers working in a federally qualified health center
- Beginning March 1, 2021
- Health care facilities
- Health care providers working in or with individuals in a congregate setting
- Beginning October 1, 2021
- All health care providers
REALD data plays an important role in addressing health disparities in Oregon by:
- Helping to ensure access and equity in services, processes, and outcomes;
- Providing consistency in data collection;
- Identifying inequities and determining which groups are most impacted;
- Improving client/patient/member services;
- Addressing inequities through policy and legislative efforts;
- Reallocating resources and funds needed to effectively address inequities; and
- Designing culturally appropriate and accessible interventions.
- OHA's data collection, reporting requirements, and phased implementation timeline fact sheet, available here.
- Recordings of OHA's REALD learning series, available here.
- REALD website
Question regarding REALD data and reporting may be directed to the OHA's Office of Equity and Inclusion, firstname.lastname@example.org.