Next Steps For European and North American Hospitals to Join the GTC

Click each step below and follow the instructions.

  1. Use the form below to complete the Hospital Champions and User Access request.

    Institution Name

    PRIMARY CONTACT

    Indentify the person who will communicate with GTC staff to guide your institution through the sign-up process.

    Full Name

    Position/Discipline

    Email

    globaltrach.org
    Yes

    REDCap
    Yes

    HOSPITAL CHAMPIONS(S)

    Identify who will be the leader(s) in implementing the GTC at your institution.

    Full Name Position/Discipline Email globaltrach.org REDCap

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    ADDITIONAL USERS

    If there are any other people you would like to have access to the globaltrach.org hospital portal or REDCap, please identify them below.

    Full Name Position/Discipline Email globaltrach.org REDCap

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Yes

    Captcha
    captcha

  2. Or fill out, scan, and email the Hospital Champions and User Access form to: cmilano@globaltrach.org
    Hospital Champions User Access Form
     
    Hospital Champions and User Access Form
  3. You are now registered as a centre who is interested in joining.
  4. Download “A guide to navigating your Ethics Committee or Review Board”. The Data Use (DUA) will be emailed to the primary contact.
    A Guide to Navigating your Ethics Committee or Review Board
     
    A Guide to Navigating your Ethics Committee or Review Board

     
     
  1. Obtain approval of the Data Use Agreement (DUA). Email to: cmilano@globaltrach.org, Download instructions to the DUA:
    Global Tracheostomy Collaborative Registry and Data Use Agreement Memo
     
    Global Tracheostomy Collaborative Registry and Data Use Agreement Memo
  2. Use the form below to request an invoice.

    REQUEST INVOICE

    Contact Name (Include Salutation)

    Contact's Title

    Contact's Email

    Contact's Phone Number

    Institution Name

    Institution Address

    Captcha
    captcha

    (all fields required)

  3. Or send and email to members@globaltrach.org with the subject REQUEST INVOICE. In the email body please include your name, institution and contact information (email and physical address).
  4. Further details and payment instructions will be sent to you once you request an invoice.
  1. Fill out, scan, and email the signed Patient Health Information form and the signed Data Use Agreement (DUA) to: cmilano@globaltrach.org
    Screen shot 2014-11-07 at 2.22.01 PM
     
    Patient Health Information Form
  2. For UK/Europe Only: Each new member of the GTC Quality Improvement Database is required to notify the collaborative, upon joining, that their data collection efforts are within the scope of their local ethics committee or institutional review board. In the UK, this is likely to be your local ‘Caldecott Guardian’.
  3. User name/password for members portal access will be emailed to the primary contact and hospital champion(s).
  1. Hospital Members Portal (requires sign in)
  2. This does not include access to the GTC REDCap Database, which will be sent once payment is received.
  1. User name/password will be provided to identified individual(s) who require access to the GTC REDCap Database.
  1. Begin using the GTC REDCap Database. (requires sign in)