Get Or Request For Public Use Discharge Data Files

Filling out the OR Request For Public Use Discharge Data Files is an important process for acquiring valuable healthcare data. This guide provides clear, step-by-step instructions to help users complete the form accurately and efficiently.

Follow the steps to successfully complete the form.

1. Click ‘Get Form’ button to obtain the form and open it in your designated editor.
2. Provide your contact information in the specified fields. Include your requestor name, organization, mailing address, city, state, ZIP code, phone number, and email address.
3. Select the available data files you wish to request. Options include inpatient discharge data (years available 2008-2015) and outpatient & ambulatory surgery center discharge data (years available 2008-2014).
4. Specify the year(s) for the selected data files. Note that there is a fee of $250 per year for inpatient data.
5. Check all applicable boxes under planned data uses, which include options like public safety, disease surveillance, public health planning, and quality assessment.
6. Ensure that you have completed Form D-1 and the Data Use Agreement, as these are required for submission.
7. Prepare your payment to the Oregon Health Authority. Check that it meets the required amount based on the number of years of data requested.
8. Send the completed forms and payment to the address specified: Attn: Data Fulfillment Officer, Office of Health Analytics, Oregon Health Authority, 500 Summer St. NE, E-64, Salem, OR 97301.
9. Before finalizing, ensure all information is accurate and complete, then save changes. You may choose to download or print the completed form for your records.

Complete your documents online to access needed health data efficiently.