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Request Material Tool

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Tool Instructions

The Request Material Tool is designed to guide you to the documents you need to submit your request for research identifiable data.

Not sure of the type of requester that you are? Visit this page to learn about each type.
Do you have questions about using the tool? Contact ResDAC at 888-973-7322 or resdac@umn.edu.

What type of requester are you?

This is the organization that you are requesting data on behalf of.

Are you submitting a request for a new study or making changes to an existing one?

Are you submitting a request for a new study or making changes to an existing one?

Are you submitting a request for a new study or making changes to an existing one?

Are you submitting a request for a new study or making changes to an existing one?

Are you requesting access to new data or to data already held at your organization (reuse)?

Are you requesting access to new data or to data already held at your organization (reuse)?

Are you requesting access to new data or to data already held at your organization (reuse)?

Are you requesting access to new data or to data already held at your organization (reuse)?

On the original study, did the state opt-in or opt-out of data sharing?

The state signed Attachment A to the CMS Data Use Agreement if opting in to data sharing.

Which of the following statements is true about the data already held at your organization?

Which of the following statements is true about the data already held at your organization?

Which of the following statements is true about the data already held at your organization?

Which of the following statements is true about the data already held at your organization?

Through which source would you like to access the data?

Through which source would you like to access the data?

How is this study funded?

How is this study funded?

Some files require additional documentation. Does your study include any of the following data files?

IRF-PAI

MDS Nursing Homes 2.0

MDS Swing Bed 2.0

MDS and/or Swing Bed 3.0

NDI Segment of the MBSF or MESF

OASIS

Part D Event File

Select all that apply.

Some files require additional documentation. Does your study include any of the following data files?

Consumer Assessment of Healthcare Provider and Systems (CAHPS)

Health and Retirement Study (HRS)

Health Outcomes Survey (HOS)

Healthcare Effectiveness Data and Information Set (HEDIS)

IRF-PAI

Long Term Care Hospital (LTCH)

MDS Nursing Homes 2.0

MDS Swing Bed 2.0

MDS and/or Swing Bed 3.0

National Health and Aging Trends Study (NHATS)

NDI Segment of the MBSF or MESF

OASIS

Part D Event File

Select all that apply.

Scroll down to get your results. If you need to change your response after clicking "Get Results", click "Reset" to begin again. To begin the request process, email a draft (no signatures) of the documents in their original format (.xls, .pdf, .doc) to resdac@umn.edu.

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This work was performed under CMS contract number: HHSM-500-2015-00558G

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