Get Ma Application For Massachusetts Case Mix And Charge Data (non-government) 2021-2025

This guide provides clear and supportive instructions for filling out the MA Application for Massachusetts Case Mix and Charge Data (Non-Government) online. The application is essential for organizations seeking access to protected health information, ensuring that your submission meets all necessary requirements.

Follow the steps to complete your application accurately.

1. Press the ‘Get Form’ button to access the MA Application and open it in your digital document editor.
2. Fill in your project title and IRBNet number at the top of the form, ensuring all information is accurate.
3. Complete the Organization and Investigator Information section by providing details such as the organization requesting data, authorized signatory information, and contact details for the data custodian and primary investigator.
4. In the Project Information section, clearly articulate the intended use of the CHIA data by selecting all applicable options, and provide a summary of your research objectives.
5. Indicate whether your project has undergone Institutional Review Board (IRB) review and attach the necessary documentation if applicable.
6. State the datasets you are requesting, including specifying whether it is a one-time request or subscription, and justify your dataset choices.
7. Detail any data enhancements requested, ensuring to provide justification for more specific data elements necessary for your research.
8. If applicable, outline any data linkage you propose with CHIA data, including the methods used and the types of data involved.
9. Complete the publication and dissemination section by indicating how you plan to share the results of your research and addressing any privacy concerns.
10. Provide qualifications and experience related to hospital data by the primary investigator and co-investigators, attaching resumes or CVs as needed.
11. Fill out the Use of Agents and/or Contractors section, including the information related to any agents or contractors that may access the data.
12. Review the attestation section carefully, signing and dating it to confirm compliance with all data security and privacy obligations.
13. Finalize your application by attaching necessary documents, such as the IRB approval letter and Data Management Plan, then save, download, and share your completed application as needed.

Submit your MA Application For Massachusetts Case Mix And Charge Data (Non-Government) online to gain access to essential data.