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New Research Study Inventory Survey

Please complete the survey linked below about the use of VA data, data systems, and the electronic health record (EHR) for your approved VA research project.

The more details you can provide, the better we can mitigate any potential gaps in data or functionality. The survey is important for determining which Oracle Health/EHR applications your project needs in order to conduct research in the Federal EHR.

Needs

Notes

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The questions on this survey are only about

______

Please complete this survey with information about your study

This survey is for studies occurring at Minneapolis VAMC. If you are trying to complete this survey for another site, please reach out to ORDResearchApplicationAnalyst@va.gov

Study Title:

IRBnet (VAIRRS)/IRB Study Identifier:

Study Title:

* must provide value

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IRBnet (VAIRRS)/IRB Study Identifier:

* must provide value

Principal Investigator:

* must provide value

Investigator VA e-mail address:

* must provide value

Investigator second email address

Lead Research Coordinator:

Lead Coordinator VA e-mail address:

Lead Coordinator second e-mail address:

Lead Coordinator third e-mail address:

Facility

* must provide value

1. Will this project need to use the medical record after May 2027?

This can include things like:

Entering progress notes
Collecting data from the medical record
Writing research or clinical notes, placing orders, such as labs, medications, procedures, imaging, etc.

* must provide value

Yes

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2. Is the project conducted in conjunction with:
(check all that apply)

* must provide value

None (no affiliation)

Centers of Excellence (COEs)/Systems of Excellence (SOEs)

Center of Innovation (COIN)

Cooperative Studies Program (CSP)

Geriatric Research Education and Clinical Center (GRECC)

Health Systems Research (HSR)

Mental Illness Research, Education and Clinical Center (MIRECC)

Network of Dedicated Enrollment Sites (NODES)

Other, please specify

Other affiliated centers/programs:

3. Will this study be conducted at more than one VA facility (e.g. national or multi-site study)?

* must provide value

Yes

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3a. Please list the email for the National study coordinator and PI for the study

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4. What is the anticipated start date for your project?

* must provide value

M-D-Y

4a. Has the study been approved by IRB?

* must provide value

Yes

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5. What is the anticipated end date for your project?

Leave blank if unknown.

M-D-Y

6. What is your project's study design?

* must provide value

Randomized controlled trial (study assigns participants to an arm/intervention)

Cohort or longitudinal study

Cross-sectional

Quasi-experimental

QI/Operations

Repository or registry

Other

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6a. Describe your project's other study design:

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6b. Will this study need a flag or an alert in the participant's chart to notify providers that the patient is enrolled on the research study? This is separate from writing an enrollment note into the patient's chart.

* must provide value

Yes

Not Sure

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7. Will your project be recruiting participants using the EHR after May 2027?

* must provide value

Yes

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7a. Are you recruiting non-veterans?

* must provide value

Yes

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7b. The Oracle PowerTrials solution has the capability to screen patients currently in the FEHR for potential participants fitting discrete inclusion/exclusion criteria such as age, weight, ICD-10 codes, etc. Would your study be interested in learning more about this function?

* must provide value

Yes

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8. Will this project need to enter orders? This may include labs, diagnostics, medications, investigational drugs, scans, pregnancy tests, imaging, etc.

* must provide value

Yes

Not sure

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8a. Is your project using chemotherapy (IV or Oral), anti-cancer treatment, or radiation therapy? (Any cancer/anti-cancer treatments that require a regimen should be a "Yes").

* must provide value

Yes

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8b. What type of orders will your project need?

* must provide value

Usual care orders only (orders placed as part of regular clinical practice; research project is NOT billed)

Research-specific orders only (orders placed solely for the research project; patient is not billed; research project, Sponsor, or University IS billed OR Medical Center absorbs the cost)

Both usual care and research-specific orders

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8c. Select the types of orders you will place:

Lab

Radiology

INV Medications

Non-INV Medications

9. Will your project utilize pharmacy services? What other pharmacy services will you use?

* must provide value

No, my study does not use any pharmacy services

On-site (facility) Pharmacy services

VA, non-facility Pharmacy services (e.g.- CSP Clinical Research Pharmacy Coordinating Center for mailing medications)

Sponsor-supplied medication

Non-sponsor provided medication (purchased by local research pharmacy using study funds)

Other (Please specify):

Error: You checked "No, project does not use pharmacy" and another answer indication pharmacy usage. Please review your response before moving forward.

9a. Please specify:

10. Does your study use an investigational device?

* must provide value

Yes

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10a. Please tell us more about your investigational device:

11. Will your project schedule participants' visits? This includes informal scheduling currently not done through CPRS, VistA, or Cerner Millennium

* must provide value

Yes

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12. Will your project use any of these VA healthcare technologies?

E-consults

Interfacility consults (IFC)

Referrals

Clinical Resource Hub

13. Does your project have any unique workarounds or processes? Leave blank if not applicable.

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14. What are your biggest concerns about conducting this project in the new Federal EHR? Leave blank if not
applicable.

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Name:

* must provide value

Preferred Email:

* must provide value

Please provide additional names/emails for any individuals who need to be included on future communications about this study and its EHR build needs (Leave blank if not applicable):

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SCORE: Data Score

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SCORE: Research Alert

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SCORE: Study is interested in Pre-screening function

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SCORE: Study will need research orders

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Study Total Score

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You have selected an option that triggers this survey to end right now.

To save your responses and end the survey, click the 'End Survey' button below. If you have selected the wrong option by accident and/or wish to return to the survey, click the 'Return and Edit Response' button.