Cov ntaub ntawv thov kev thov nkag mus rau cov ntaub ntawv tiv thaiv
Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv (DHCS) muaj cov txheej txheem thov rau cov ntaub ntawv tiv thaiv rau kev tshawb fawb lossis kev noj qab haus huv rau pej xeem.
Feem ntau, DHCS DRC yuav tsis txhawb kev tshawb fawb uas yuav ua rau kev tsim cov khoom lossis cov cuab yeej uas tus kws tshawb fawb lossis tus neeg nrhiav nyiaj npaj yuav ua lag luam. Piv txwv li, DHCS DRC yuav tsis kam lees cov ntaub ntawv thov los ntawm cov neeg thov uas xav ntsuas qhov cuam tshuam ntawm cov tshuaj noj yog tias lub tuam txhab kws kho mob tau txais nyiaj ncaj qha los yog tsis ncaj ncees lawm.
Thov nco ntsoov tias DHCS tau txais cov ntaub ntawv tiv thaiv kev noj qab haus huv los ntawm cov phiaj xwm kev noj qab haus huv ntawm lub sijhawm sib txawv. Nyob ntawm seb hom ntaub ntawv tau thov, tej zaum yuav muaj ncua sij hawm ntawm rau mus rau kaum yim lub hlis tom qab hnub ua haujlwm ua ntej DHCS ntsib cov ntaub ntawv raug txiav txim siab ua tiav. Piv txwv li, cov ntaub ntawv ntsib tus neeg mob hauv tsev kho mob feem ntau siv sijhawm ntev dua kom ua tiav dua li cov ntaub ntawv ntsib tus neeg mob sab nraud.
DHCS cov ntaub ntawv tam sim no muaj nyob deb rov qab rau lub Kaum Hlis 2004.
DHCS adheres to releasing minimally necessary datasets when fulfilling data requests in accordance with Federal Laws and California Laws, as well as CHHS agency data sharing guidelines.
Tshwj xeeb, Tshooj 1902 (a) ntawm Tsoom Fwv Teb Chaws Social Security Act (42 USC § 1396a (7)) txwv DHCS los ntawm kev nthuav tawm cov ntaub ntawv tiv thaiv uas tsis yog rau lub hom phiaj uas txuas ncaj qha nrog kev tswj hwm ntawm Medi-Cal Program.
Note: Section 1798.24 (t)(1) of the California Civil Code statute states that DHCS can only grant data requests for Principal Investigators conducting scientific research for a nonprofit educational institution or for a non-profit research institution: “To the University of California, a nonprofit educational institution, an established nonprofit research institution performing health or social services research.”
Raws li ib feem ntawm kev nkag mus thiab tswj xyuas cov ntaub ntawv DHCS tiv thaiv, DHCS xav kom cov kws tshawb fawb los qhia txog lawv qhov kev tshawb pom rau DHCS cov neeg ua haujlwm. Cov hnub nthuav qhia muaj peev xwm yuav raug xa mus rau cov kws tshawb fawb raws li ib feem ntawm DUA cov txheej txheem txuas ntxiv txhua xyoo.
Thov nco ntsoov tias Daim Ntawv Pom Zoo Siv Cov Ntaub Ntawv (DUAs) tam sim no yuav raug kos npe hauv hluav taws xob ntawm DocuSign (pib hauv 2018).
Requestors must submit a complete application packet via e-mail to DHCSDRC@dhcs.ca.gov composed of the following:
Rau Kev Tshawb Fawb:
- New Application
- Research Renewal Application
- Thov rau Daim Ntawv Thov Kev Hloov Kho Cov Ntaub Ntawv
- Cov ntaub ntawv
- Daim Ntawv Pom Zoo Siv Cov Ntaub Ntawv (Email DHCS DRC ntawm DHCSDRC@dhcs.ca.gov rau cov ntawv tsis ntev los no)
- Thov tsuas yog sau rau hauv cov cheeb tsam grey hauv DUAs (Ceeb toom: Thov TSIS TXHOB kos npe lossis pib yog tias koj npaj siab kos npe ntawm DocuSign).
- Ib daim qauv ntawm tus kws tshawb fawb cov ntaub ntawv kawm vitae
- A one-page Excecutive Summary that includes the following information on the research institution’s letterhead:
- PI npe:
- Title of Research Project:
- Hnub Xa Ntawv Thov:
- Hypothesis:
- Lub hom phiaj tseem ceeb ntawm kev tshawb fawb:
- Keeb kwm:
- Cov txiaj ntsig rau Medi-Cal cov pej xeem:
- Txoj kev:
- Kwv yees li cas muaj pes tsawg yam kev kawm yuav yog ib feem ntawm txoj kev kawm?
- A copy of the Committee for the Protection of Human Subjects (CPHS) approval and research protocol (Please note that CPHS application is reviewed by a separate State entity from DHCS. Annual renewal of CPHS approval is required for the renewal of DUA).
DRC Daim Ntawv Thov Kev Noj Qab Haus Huv rau Lub Nroog Thov:
- Public Health Application
- Public Health Renewal Application
- Thov rau Daim Ntawv Thov Kev Hloov Kho Cov Ntaub Ntawv
- Data Table
- Daim Ntawv Pom Zoo Siv Cov Ntaub Ntawv (Email DHCS DRC ntawm DHCSDRC@dhcs.ca.gov rau cov ntawv tsis ntev los no)
- Thov tsuas yog sau rau hauv cov cheeb tsam grey hauv DUAs (Ceeb toom: Thov TSIS TXHOB kos npe lossis pib yog tias koj npaj siab kos npe ntawm DocuSign).
- A one-page Executive Summary that includes the following information on the research institution’s letterhead:
- PI npe:
- Title of Research Project:
- Hnub Xa Ntawv Thov:
- Hypothesis
- Lub hom phiaj tseem ceeb ntawm kev tshawb fawb:
- Keeb kwm:
- Nyiaj pab rau Medi-Cal cov pej xeem
- Txoj kev:
- Kwv yees li cas muaj pes tsawg yam kev kawm yuav yog ib feem ntawm txoj kev kawm?
- Ib daim qauv ntawm Pawg Neeg Saib Xyuas Kev Tiv Thaiv Tib Neeg (CPHS) kev pom zoo thiab kev tshawb fawb raws tu qauv lossis ib daim qauv ntawm CPHS tsab ntawv zam
DRC Daim Ntawv Thov Kev Noj Qab Haus Huv rau Lub Xeev Lub Tsev Haujlwm Thov (CalHHS Data Sharing Framework):
Data sharing at CalHHS is governed by the CalHHS data exchange agreement and the associated business use case proposal process. The CalHHS Data Exchange Agreement is bifurcated into two parts—one master agreement, Interagency Data Exchange (IDEA) Guidebook, with general legal boilerplate language and subordinate “Business Use Case Proposals” containing the specific business case to document each data exchange under the master agreement. The Business Use Case Proposal includes information such as data type, intended use, etc. The master agreement, when coupled with the Business Use Case Proposal, forms the complete, standardized, legally-compliant data sharing agreement.
Hu rau koj Lub Chaw Haujlwm tus neeg saib xyuas cov ntaub ntawv kom paub txog yuav ua li cas nrhiav thiab pauv CalHHS cov ntaub ntawv.
Download tau cov ntaub ntawv sib koom:
- Interagency Data Exchange (IDEA) Phau Ntawv Qhia
- CalHHS Data Sharing – Process Flow
- CalHHS Data Sharing – Legal Agreement
- CalHHS Data Sharing – Frequently Asked Questions (FAQs)
- Business Use Case Proposal – Form
- Business Use Case Proposal – Instructions
- Cov ntaub ntawv tiav
Cov khoom pov thawj uas nrog Daim Ntawv Pom Zoo Siv Cov Ntaub Ntawv (rau koj cov ntaub ntawv thiab cov ntaub ntawv):
Thov xa email rau DRC Cov ntaub ntawv thov:
Electronically rau DHCSDRC@dhcs.ca.gov.
Note that all incomplete forms will be returned for completion. Confirmation of receipt of the application packet by DHCS will be sent to the researcher via e-mail.
Tiv tauj peb
If you have any questions, please contact the DRC coordinator at DHCSDRC@dhcs.ca.gov.