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Quality Improvement Determination
Research
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Select Publications
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Innovation Grant Program
Nursing Solutions Research Grant
Travel Grant Program
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Medical Students
Fellowships
Events
Calendar
Special Lectures
Outcomes Research Workshop
Quality & Safety Symposium
Quality & Safety Symposium Poster Submission
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Practice-Based Research Network
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Polsky I-Corps
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Analytic Interventions Unit Intake Form
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Analytic Interventions Unit Intake Form
Analytic Interventions Unit Intake Form
Kathryn Reget
2021-08-27T15:26:43-05:00
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*
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Please complete the Intake Form below to begin a conversation with the AIU about your model. Whether you have an existing model or just an idea for one, this form is the first step for the AIU to evaluate its safety and feasibility. We look forward to working with you to improve patient care here at UChicago Medicine. If you have any questions, please email
Kimisha.Cassidy@uchicagomedicine.org
Thank you!
Stakeholder
*
Email
*
Model or Project Title
*
Has the model already been built?
*
Yes
No
Who built the model? (Please list external vendor or internal department)
*
Is this an update to an existing model that is already in production at UChicago Medicine?
Are you requesting help to build the model from the AIU?
*
Yes
No
Unsure
Has this project gone through IRB or QI Determination?
Click here for IRB
Click here for QI Determination
IRB approved
IRB submitted
IRB not yet submitted
QI Determination approved
QI Determination submitted
QI Determination not yet submitted
No, not planning to submit to either IRB or QI Determination
Explain the medical context, rationale, and objectives for using this model to improve patient care or clinical operations
*
Please do not include PHI or any other sensitive information.
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