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UH Research Study Registration Packet Instructions

Research Study Registration

UH Registration of Research Studies is required for all studies that indicate UH as a performance site on the WIRB/IRB submitted applications. The facilities are as follows:
  • University Hospital
  • UH Clinics in the Doctor's Office Center (DOC)
  • Ambulatory Care Center (ACC)
  • NJMS-UH Cancer Center
  • Lattimore Clinic
  • ADMC Bldg. 5
  • the Stanley S. Bergen Building
The WIRB/IRB will not approve a study that has indicated UH is a performance site until they are notified by the Billing Compliance Analyst (BCA) in the Office of Clinical Research (OCR) that the UH study registration has been approved.

There are 2 kinds of Registrations; 1) Subject Encounter, 2) Chart Review.   Please complete only one type of registration.

  1. For studies that have subject encounters and/or utilize UH as a performance site (whether or not a billable service is used):

  2. For Chart Reviews (studies that DO NOT have subject encounters but utilize subject data only), i.e. questionnaires, surveys, use of standard of care results/data etc.:

  3. Submit:

    For studies that have subject encounters:
    The UH Research Study Packet to include:

    1. UH Research Study Registration Form
    2. Sponsor-approved/Department-approved Budget
    3. Schedule of events (You MUST use THIS template!)

    For Chart Reviews:

    The completed UH Chart Review Registration Form.

    Send the packet to the interim UH Billing Compliance Analyst (BCA) electronically, via fax or through inter-office mail:
    (TBA)
    Billing Compliance Analyst
    Sonia Kleiner
    tel: (973) 972-9691
    fax: (973) 972-9670
    mailing address: CC F-1218
    Newark, NJ 07109


  4. The BCA reviews the documents to ensure that the information provided is accurate. The budget will be reviewed against the schedule of events to ensure that sufficient funds have been requested to cover research costs.

  5. The BCA will notify the WIRB/IRB once the UH Research Study Packet is approved. NOTE: The WIRB/IRB will not finalize review of the protocol until it has received notification of approved UH Registration Packet. Once you receive WIRB/IRB approval you must forward the following documents to the BCA. Registration is not considered complete until these documents are received by Billing Compliance Analyst (BCA) electronically, via fax or through inter office mail:
    1. IRB approval letter
    2. Banner index # for the study (Subjects cannot be registered without a banner index # registered with BCA.)
    3. All modifications that involve changes to UH services utilized by the research study must be forwarded to the BCA.

  6. The BCA notifies the Medical Records Director of UH Chart Review Registration approvals; however, access to medical records is granted to study team members only if they are able to present the WIRB/IRB approval notice to the Medical Records Director at the time access is needed. Every study team member who needs to access electronic medical records needs approval from Medical Informatics Committee. Please fill ”Access Request Form“ and ”Confidentiality Agreement“, found on the UH Medical Staff home page, and send it as per instructions in ”Procedures & Contacts“ document on the same page.
     
    Upon Medical Informatics Committee approval, access is provided by HS&T.
“Chart Review” is defined as an investigational activity in which all research data are extracted from existing medical records, i.e., no tests or other measurements, including questionnaires, are performed solely for the purpose of collecting research data.