Hospital Inpatient / Emergency Department Discharge Data Request Form - Connecticut

Hospital Inpatient / Emergency Department Discharge Data Request Form is a legal document that was released by the Connecticut State Department of Public Health - a government authority operating within Connecticut.

FAQ

Q: What is the Hospital Inpatient / Emergency Department Discharge Data Request Form?
A: The Hospital Inpatient / Emergency Department Discharge Data Request Form is a document used to request data on discharges from hospitals and emergency departments in Connecticut.

Q: Who can request the Hospital Inpatient / Emergency Department Discharge Data?
A: Anyone can request the Hospital Inpatient / Emergency Department Discharge Data, including researchers, healthcare organizations, and government agencies.

Q: What type of data can be requested on the form?
A: The form allows for requests of various types of data, including demographic information, diagnosis codes, procedure codes, and utilization indicators.

Q: How can I submit the Hospital Inpatient / Emergency Department Discharge Data Request Form?
A: The form can be submitted either by mail or email, as indicated on the form.

Q: How long does it take to receive the requested data?
A: The processing time for data requests varies, but typically it takes several weeks to process and fulfill the request.

Q: Is there a fee for requesting the Hospital Inpatient / Emergency Department Discharge Data?
A: Yes, there may be a fee associated with the data request, depending on the type and scope of the request. The fee schedule is included on the form.

Q: Can the requested data be used for commercial purposes?
A: No, the requested data cannot be used for commercial purposes. It is intended for research, policy analysis, and public health purposes only.

Q: Are there any restrictions on the use of the requested data?
A: Yes, there are restrictions on the use of the requested data, including maintaining patient confidentiality and following data sharing agreements and regulations.

Q: Can I request data from hospitals and emergency departments outside of Connecticut using this form?
A: No, this form is specifically for requesting data from hospitals and emergency departments in Connecticut.