Type of OnCore Access being requested
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New Change to existing account Insights Access Only
First Name
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Last Name
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What type of change is being requested?
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CU Denver/CU Anschutz Email Address
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If you do not have a CU Denver/CU Anschutz username, you may request one
here .
Please describe the change requested to your OnCore account.
Preferred Work Email Address
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Work Phone Number
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Title at the Institution
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Where is your primary institutional affiliation (which institution is your employer and pays your salary)?
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Children's Hospital Colorado Denver Health Other Rocky Mountain Regional VA Medical Center UCHealth - Metro Denver UCHealth - Northern Colorado UCHealth - Southern Colorado University of Colorado Denver/Anschutz Medical Campus
Please specify your primary institutional affiliation
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What is your research role?
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Will you see subjects at any of the following Locations?
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Childrens Hospital Colorado Computer ID Number
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Do you work with subjects or samples from other non-affiliate institutions?
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Yes No
With which non-affiliate institutions will you be working? (Ex: The Ohio State University, etc.)
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Do you do oncology related research which involves the UCHealth - Metro Denver location?
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Yes No
Department
* must provide value
Cancer Center - non CCTO Cancer Clinical Trial Office Children's Hospital Research Institute College - Nursing College of Engineering and Applied Science College of Liberal Arts and Sciences CTR - AdvancingProfessionalExcellence CTR - AlzheimersDisease CTR - AnschutzHealth - Wellness CTR - BarbaraDavis CTR - Bioethics - Humanities CTR - ColoradoHealthOutcomes CTR - CTRIC CTR - Depression CTR - Gait - Movement Analysis CTR - Gene - Environment - Health CTR - Hemophilia - Thrombosis CTR - HumanNutrition CTR - HumanSimulation CTR - InstructionalSupport CTR - Intellectual - Developmental - Disabilities CTR - LindaCrnic - DownSyndrome CTR - MarionDownsHearing CTR - NutritionObesityResearch CTR - PerinatalResearch CTR - RockyMtnTaste - Smell CTR - SickleCellTx - Research CTR - SurgicalInnovation CTR - SurgicalTx LungInfection CTR - TraumaResearch CTR - WebbWaring CTRC DHHA Public Health School - DentalMedicine School - Pharmacy School - PublicHealth SOM - Anesthesiology SOM - Biochemistry - MolecularGenetics SOM - Cell - DevelopmentalBiology SOM - Center for Health Artificial Intelligence SOM - Dermatology SOM - EmergencyMedicine SOM - FamilyMedicine SOM - Immunology SOM - Medicine SOM - Microbiology SOM - Neurology SOM - Neurosurgery SOM - ObstetricsGynecology SOM - Ophthalmology SOM - Orthopedics SOM - Otolaryngology SOM - Pathology SOM - Pediatrics SOM - Pharmacology SOM - Physiology - Biophysics SOM - PhysMedicine - Rehab SOM - Psychiatry SOM - RadiationOnc SOM - Radiology SOM - Surgery UCHealth - Metro Denver - Nursing UCHealth - Metro Denver - Pharmacy UCHealth - Metro Denver - Rehab Medicine UCHealth - Northern Colorado - Cardiology UCHealth - Northern Colorado - Dermatology UCHealth - Northern Colorado - Healthy Hearts UCHealth - Northern Colorado - Infectious Disease UCHealth - Northern Colorado - Neurosciences UCHealth - Northern Colorado - Oncology UCHealth - Northern Colorado - Orthopedics UCHealth - Northern Colorado - Pharmacy UCHealth - Northern Colorado - Pulmonology UCHealth - Northern Colorado - Trauma UCHealth - Southern Colorado - Acute Care Rehab UCHealth - Southern Colorado - Cardiology UCHealth - Southern Colorado - Infectious Disease UCHealth - Southern Colorado - Neurosciences UCHealth - Southern Colorado - Oncology UCHealth - Southern Colorado - Orthopedics UCHealth - Southern Colorado - Pharmacy UCHealth - Southern Colorado - Plastic Reconstructive Surgery UCHealth - Southern Colorado - Primary Care UCHealth - Southern Colorado - Pulmonary UCHealth - Southern Colorado - Trauma UCHealth Billing Specialist
Additional Departments (if applicable)
*If there are any additional departments you work for, list them here
Division/Research Groups
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Anesthesiology Anschutz Health and Wellness Center Barbara Davis Center CHCO - BMT CHCO - COG CHCO - ETP CHCO - Hematology CHCO - Neuro - Onc CHCO - Surge CTR - AltitudeResearch CTR - AmerIndian - AlaskanNativeHlth CTR - CharlesCGates CTR - Kempe - PreventionTx - Child Abuse CTR - Neuroscience CTR - WomensHealth CTRC Emergency Medicine HA - CTRC Med - Allergy - ClinImmunol Med - Cardiology Med - ClinPharm - Toxicol Med - Dermatology Med - EndocrineMetabDiabetes Med - EndocrineMetabDiabetes - CUDECT Med - Gastroenterology Med - GenInternalMed Med - Geriatrics Med - HealthCarePolicy - Res Med - Hematology Med - InfectDisease Med - PulmonSci - CritCare Med - RenalMed - Hypertension Med - Rheumatology Neuro - BehavNeurology Neuro - Epilepsy Neuro - GenNeurology Neuro - MovementDisorders Neuro - Neurohospital - Vascular Neuro - Neuroimmuno - MS Neuro - Neuromuscular Neuro - NeuroOphthalmology Neurosurgery OBGYN - Family Planning OBGYN - General Obstetrics and Gynecology OBGYN - Maternal Fetal Medicine OBGYN - OB Other (TBD) OBGYN - Reproductive Endocrinology OBGYN - Reproductive Sciences OBGYN - Urogynecology and Reconstructive Pelvic Surgery Oncology Ophthalmology Ortho - Basic Science Ortho - Denver Health Ortho - Foot and Ankle Ortho - Hand Ortho - Hip and Joint Ortho - Pediatrics Ortho - Shoulder and Elbow Ortho - Spine Ortho - Sports Medicine Ortho - Trauma Other Oto - Aerodigestive Oto - Airway Oto - Audiology/Otology Oto - Facial Plastics Oto - General ENT Oto - Head and Neck Oncology Oto - Laryngology Oto - Pediatrics Oto - Practice Patterns Oto - Residency Oto - Rhinology Oto - Sleep Peds - AdolescentMed Peds - Allergy - Immuno - Rheumatol Peds - Cardiology Peds - CCBD Peds - ChildAbuse Peds - CriticalCare Peds - DevelBehavPediatrics Peds - Emergency Peds - Endocrinology Peds - GastroHepatolNutrition Peds - GenAcademicPeds Peds - Genetics - Metabolims Peds - Hematology Peds - InfectiousDisease Peds - Neonatology Peds - Neurology Peds - Nutrition Peds - Pulmonary Peds - Rheumatology PhysMedicine - Rehab Psych - ChildAdolscentPsychiatry Psych - Developmental Psych Research Group Psych - Psychology Rad - AbdomImaging Rad - BreastImaging Rad - Interventional Rad - Musculoskeletal Rad - Neuroradiology Rad - NuclearMedicine Rad - RadiologicalSci Rad - ThoracicImaging SDM - Orthodontics SDM - Periodontics SOP - ClinicalPharmacy SOP - PharmaceuticalSciences SPH - Biostat - Informatics SPH - Community - BehavioralHealth SPH - Environ - OccupHealth SPH - Epidemiology SPH - HealthMgmt - Policy Surg - BurnSurg Surg - CardiothoracicSurg Surg - GITumor - EndocrineSurg Surg - PedsSurg Surg - Plastic - ReconstrSurg Surg - Podiatry Surg - Transplant Surg - Urology Surg - VascularSurg UCHealth - Denver Metro - Nursing UCHealth - Denver Metro - Pharmacy UCHealth - Northern Colorado - Cardiology UCHealth - Northern Colorado - Dermatology UCHealth - Northern Colorado - Healthy Hearts UCHealth - Northern Colorado - Infectious Disease UCHealth - Northern Colorado - Neurosciences UCHealth - Northern Colorado - Oncology UCHealth - Northern Colorado - Orthopaedics UCHealth - Northern Colorado - Pharmacy UCHealth - Northern Colorado - Pulmonology UCHealth - Northern Colorado - Trauma UCHealth - Southern Colorado - Acute Care Rehab UCHealth - Southern Colorado - Cardiology UCHealth - Southern Colorado - Infectious Disease UCHealth - Southern Colorado - Neurosciences UCHealth - Southern Colorado - Oncology UCHealth - Southern Colorado - Orthopaedics UCHealth - Southern Colorado - Pharmacy UCHealth - Southern Colorado - Pulmonary UCHealth - Southern Colorado - Trauma UCHealth Billing Specialist
If you select other, then we will contact you to select the correct group
CCTO Disease Team
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Additional division/research groups (if applicable)
*If there are any additional division/research groups you work with, list them here
Other division/research group not listed
Cancer Center - non-CCTO research group
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Please answer the questions below to determine the type of OnCore access you will need
What is your role in clinical research?
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Once you've fully completed this form, you will be granted the PI & View Only role within the production environment of OnCore.
Once you've completed this form, you will be granted the View Only role in OnCore's production environment
Will you need any other access to the system besides those already listed?
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Yes No
Do you work with biospecimens that will be managed in OnCore?
* must provide value
Yes No
If YES you will be given the BSM Staff role
Do you manage/supervise a team of Clinical Research Coordinators?
* must provide value
Yes No
If YES you will be given the Clinical Research Manager Role
Will your responsibilities require you to submit study documents to an IRB?
* must provide value
Yes No
If YES you will be given the Regulatory Role
Will you consent and enroll study subjects, schedule study visits, and meet with study monitors?
* must provide value
Yes No
If YES you will be given the Clinical Research Associate Role
Will your role in OnCore be limited to entering subject study data?
* must provide value
Yes No
If YES you will be given the Data Manager Role
Do you manage finances for a whole team?
* must provide value
Yes No
If YES you will be given the Finance Manager Role
Do you negotiate and/or prepare the study budget?
* must provide value
Yes No
If YES you will be given the Pre-Award Role (FC-PRE)
Do you send invoices, and receive and post receivables?
* must provide value
Yes No
If YES you will be given the Post-Award Role (FC-Post)
Will you be conducting initial calendar review?
* must provide value
Yes No
If YES you will be given the Initial Calendar Review Role (ICR)
Please describe your study role and access needs so we may determine the appropriate role.
Additional Comments or access requests.
Based on your answers above you will need to attend the following training(s): Please copy this information for your tracking purposes
**BIOSPECIMEN MANAGEMENT TRAINING IS REQUIRED IF YOUR STUDY WILL USE ONCORE FOR SPECIMEN MANAGEMENT. Protocols where specimen banking is a primary outcome and samples will be housed on the Anschutz Medical Campus should use the OnCore Biospecimen Module. Biospecimen Management Training Instruction offered via eLearning. OnCore support staff will email you with training information after we process this access request form.Questions? Click here to email OnCore Support.
UCHealth Medicare Coverage Analysis Training
UCHealth recommends that you complete the Medicare Coverage Analysis ULearn, the course that covers the Basics of Medicare Coverage Analysis. Upon completing this training, you will be able to:
Understand the importance of Medicare Coverage Analysis and how it relates to billing compliance. Understand what makes a study a qualifying clinical trial. Understand how routine costs versus non-routine costs are determined. An MCA can serve as a guide and reference when you are administering an informed consent to a participant. MCAs can also:
Help determine routine costs and research-related costs. Help study teams negotiate with sponsors. Help conduct the trial in compliance with the protocol agreed to by the sponsor, the regulatory authorities, and IRB. To self-register for this course, please click here . Login with your CU username as both the login username and password.
Questions? Click here to email UCHealth Research Specialists.
Signature of person, for whom access is requested (may not be signed by supervisor) By signing, I agree that I have read and understand the UCD APS 6001 - Providing and Using Information Technology policy document , and have completed the University HIPAA training, if required. By signing, I agree to use OnCore only for work-related business and to not share my OnCore password with anyone. I will not let anyone use OnCore while I am logged in. I agree to only share the information obtained within OnCore with personnel who have a legitimate work-related need for the information. I understand failure to comply with the institution's policies and procedures may result in termination of access to OnCore. Validation of work-related need for anyone requesting OnCore access is required. If requesting access to electronic protected health information (ePHI) I attest to the need to use electronic devices that access, create, store, and receive ePHI AND that the electronic devices that I use with ePHI are fully encrypted with all security provisions applied. While using OnCore to add a potential participant to a study, you may have access to PHI belonging to other health systems or clinics, such as MRNs, names, and birthdates. You are not permitted to copy, distribute, or use any information that is not specific to your role, the studies to which you are assigned, and the facility conducting the research. You agree to use your access to OnCore subject search only for the specific task of identifying and assigning consented participants to the appropriate study through the facility conducting the research. For example, if you are on the research team for a study being conducted at CHCO, CU only, or UCHealth, and you see that a consented participant has MRNs at another health care facility or other health system, you are only permitted to use the appropriate facility record to link the participant to the study. The only exception to this rule is if the study is being conducted at both CHCO and UCHealth and the participant has study activity at both hospitals. In this case, you must document consent in OnCore for both organizations independently for the same study. You are responsible for ensuring you use the correct record to link a consented participant to a study. Any other use of data in OnCore or gained from OnCore is strictly prohibited. Misuse of this data may result in a loss of your OnCore access and could result in other investigations or penalties, up to and including loss of employment or other disciplinary action, under privacy regulations and institutional policies. By signing, I also confirm that the requested access roles and department/research group affiliations are appropriate for my job responsibilities and have been reviewed with my supervisor. I also agree to notify, or have my supervisor notify, OnCoreSupport@ucdenver.edu if my employment status changes.
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