All research projects conducted at
HealthPartners must be approved by the appropriate subcommittee and by the
HealthPartners Institutional Review Board or Animal Care and Use Committee. To
start the process, the Application to Conduct Research must be completed.
There are separate applications
for each type of grant. Click the link for the type of grant you want:
Clinical Research (direct intervention
with patient care),
Health Services (care improvement
using data, surveys, interviews etc.)
category
1 & 2, (surveys)
category 4 (retrospective review of
data/specimens)
release
and/or use of coded or de-identified data or specimens
The completed application includes
the completed form, the scientific merit section, the budget and all required
appendices. All sections must be
complete for a project to be considered.
The application form is available
at the end of these instructions. The form runs in Microsoft Word and contains
fields that you need to complete. To move from field to field, use either the
tab key or click the field with the left button of your mouse.
How to complete an application
form prior to review:
1. Make sure you are completing the
most updated version of the appropriate form from this website.
2. All application forms must be
typed.
3. Fill out all of the questions
completely. (If there are questions about using the text form fields or
checkboxes, please contact Research Administration at
4. Make sure to include the e-mail
addresses of the PI and Co-investigators.
5. Fill out and attach the
appropriate appendices required by responses in this application.
6. Remember to attach supporting
documentation: consent form(s), assent form(s), protocol, survey instruments,
interview schedules, solicitation letters, advertisements, etc. If there are items to come at a later date,
please state this information in the application.
7. Complete the checklist that
accompanies each form to ensure all requirements for submission are completed so
that review is not delayed.
8. Submit the application and
appendices along with the supporting documentation to Health Partners Research Foundation
Office.
APPLICATION
Title:
A good title is brief (up to 3
lines or up to 325 characters and spaces), clear and distinguishable from
previous studies on the same topic. If appropriate, include pilot or
feasibility in the title. Please do not exceed 325 characters or spaces, as it
will cause problems on the bottom of the form. If you are having trouble
cutting a long title down to three lines, feel free to repeat the full title in
the lay summary.
HP PI:
The Health Partners Principal
Investigator is the Health Partners employee who is responsible for all
research activities. All projects must have a HealthPartners investigator
working on the project.
Overall Principal Investigator:
If the study is in collaboration
with another organization and the Principal Investigator is not the HP
Principal Investigator, provide that person’s name, organization, address, and
phone numbers.
Contact Person:
A person (other than the PI) at HP
who is familiar with the study details and can assist the research
administrative staff in the event that the HP Principal Investigator is not
available as needed.
Timing:
Project Period: The proposed start
date and the duration (i.e.: 9 months, 1 year, 18 months, 5 years,
etc.).
Submission Date: Date the proposal was or will be
submitted to the external funding agency.
Total Site Subjects:
Indicate the total number of
subjects to be recruited at this site.
Total Subjects:
If this is a multi-center study,
list the total number of subjects to be recruited from all sites.
Finance:
Funders: If there are more funding
sources than space allows, record the primary sources and include a full
description in the Resources and Expenses section of the application.
Status of Funding: Check the
appropriate box. If the budget is still under negotiation, check the pending
box and give a full explanation in the Resources and Expenses section of the
application.
A copy of the budget and budget
justification must be included as an attachment to the application.
Lay Summary:
A very brief overview of the
project purpose and methods. This summary is limited to the space remaining on
the first page of the application and is restricted to 1204 characters and
spaces or about 12 lines of text. Anything beyond the space provided will be
deleted. This summary must include a brief description of the project purpose
and methods.
It is the policy of HealthPartners
Research Foundation that any person engaged in design, conduct or reporting of
a sponsored research project conducted under the auspices of the Foundation
must disclose significant personal financial interests related to the project, to
the sponsor of the project, or to the Sponsor’s affiliated entity(ies). If the Foundation determines that such an
interest might reasonably appear to directly and significantly affect the
sponsored project, the Foundation will take steps either to manage or eliminate
the conflict of interest.
This policy applies to any
researcher, physician, IRB member or research committee member or employee
responsible for the design, conduct or reporting of a research project at a
HealthPartners facility sponsored by the government or private industry,
including HPRF.
All financial disclosures must be
updated by the researcher during the period of the project as new reportable
Significant Financial Interests are obtained.
Researchers have a continuing obligation to scrutinize any transactions
in which they are involved for potential conflicts and to disclose per the
policy below.
For more information see the Objectivity in Research Policy
You will be asked to complete
several numbered sections such as Subject Profile or Subject Population,
Oversight and Monitoring, Recruitment, depending on the type of research you
are doing.
If you have any questions about
how to complete these sections call the Office of Research Subjects at
651-254-3391 for assistance.
Signatures:
The Principal Investigator MUST
sign the application. The PI must also forward a copy to the head of their
department.
Statements of Support:
Letters of support from all
leaders accountable (financial and clinical) for any HealthPartners area
affected by the study should be included. These signatures help assure the reviewers
of your project that those who may be impacted by your work are aware of your
plans.
Applications are due the 3rd Friday
of the month; reviews will be completed by the 3rd week of the
following month. Send or bring the original
application and 20 additional copies of the application,
appendices and materials to:
HealthPartners
Research Foundation
8170 Building
Mail Stop 21111R
Questions? Call 651-254-2928