Please choose from one of the following:
Level 1 - Minimal Impact
“The study will not require use of institutional resources. Staff commitments will be covered partially or in full from accompanying funds and do not exceed 0.1 FTE per staff member. There will be no direct patient interaction, no interventions, and no use of identifiable data."
Level 2 - Moderate Impact
"The study does not require access to identifiable data or include an intervention arm, but it does include 1 or more of the following.
Direct patient interaction, use of non-critical hospital resources with reimbursement at market rate, staff commitments with partial or full reimbursement of >0.1 FTE but < 0.5 FTE."
Level 3 - Significant Impact
"The study does not require access to identifiable data, but it does include 1 or more of the following.
An interventional arm or staff commitments of > 0.5 FTE or without reimbursement."
Level 4 - Severe Impact
"The study includes access to identifiable data or includes unrecoverable costs in resources or manpower."