Research Data Request Instructions
Thanks for your interest in using the Get With The Guidelines®-Resuscitation Program (formerly NRCPR) to help support
your research. The process for submitting a research request is relatively simple. Complete the contact information,
research application and Non-Disclosure Agreement (below) and submit electronically to GWTGResuscitation_Research@heart.org If your research request is approved, you will be required to submit a ‘signed’ copy
of the Non-Disclosure Agreement via fax (214.987.9361).
If desired, you may also include a short overview of the proposed research (information not contained in the Get With
The Guidelines®-Resuscitation Research Request that you would like to communicate). The approval process is as
follows:
 Submitted request are first reviewed by the Get With The Guidelines®-Resuscitation Data Manager to ensure
the Get With The Guidelines®-Resuscitation database supports the requirements of the request.
 The request is then reviewed by the Get With The Guidelines®-Resuscitation Research Task Force. If approved,
the research request is assigned to an SAB “Sponsor”, who will be the liaison between the Get With The
Guidelines®-Resuscitation and the researcher.
 The SAB Sponsor will submit the request to the American Heart Association’s EDSC Committee for final approval.
 If accepted, any associated fees/costs are identified and communicated to the researcher and a timeline is
established.
 In general, the research/publication must occur within 12-months of receipt of data.
Questions should be submitted in writing to GWTG-Resuscitation_Research@heart.org
Primary Contact Information
Name: __________________________________________________
Title: ___________________________________________________
Hospital/University/Company: _______________________________
Address: _________________________________________________
_________________________________________________
City:
_________________________________________________
State:
__________________________ Zip Code: _____________
Phone: ___________________________ Fax: __________________
Email: ___________________________________________________
Date Submitted: ___________________________________
© 2010, American Heart Association.
Proposal for a Scientific Manuscript from Get With The Guidelines®-Resuscitation Databases
Project name:
(A)
Project leader:
Target Journal:
Working group (list individuals and institutions with lead responsibility first):
Name
Institution
Email (required)
1.
2.
3.
4.
5.
6.
7.
8.
(B)
Contact information for the project leader:
Working title:
(C)
Main hypothesis and rationales:
(D)
Data required for project
(a)
Variables:
(b)
Subjects to be used:
(c)
Data version:
(E)
Brief description of proposed data analysis:
(F)
Target date for distribution of 1st draft to co-authors:
(G)
Date submitted to EDSC: Fax
© 2010, American Heart Association.
Mail
E-mail
FOR USE OF AHA
Comments
Manuscript proposal #:
Date approved:
Day Month Year
© 2010, American Heart Association.
ACKNOWLEDGEMENT OF PROPRIETARY RIGHTS
AND NON-DISCLOSURE AGREEMENT
This Acknowledgement of Proprietary Rights and Non-Disclosure Agreement (“Agreement”) is entered into
between the American Heart Association, Inc., a New York not-for-profit corporation, having its principal offices at 7272 Greenville
Avenue, Dallas, Texas 75231-4596 ("AHA") and ________________________________ (“Information Recipient”).
RECITALS
A.
Information Recipient has requested an opportunity to review certain confidential, proprietary, and/or
copyrighted information of Get With The Guidelines®-Resuscitation.
B.
The information sought by Information Recipient is maintained in the strictest of confidence and disclosed
only pursuant to this Agreement protecting the proprietary nature and rights of the AHA as to the requested information and
restricting the use of such information by Information Recipient.
AGREEMENT
In consideration of the foregoing recitals, which are incorporated herein, and the mutual covenants and
agreements herein, the parties hereto agree as follows:
1.
Acknowledgement of Proprietary Rights. Information Recipient acknowledges that all information provided to
Information Recipient under this Agreement identified on Schedule A (hereafter “Protected Information”) is owned exclusively by
the AHA and is protected by United States copyright laws and international treaty provisions. The AHA shall provide Information
Recipient with one (1) numbered copy of the Protected Information pursuant to this Agreement. In addition, Information Recipient
shall return the Protected Information to the AHA as provided in paragraph 4.
2.
Non-Disclosure And Limited Use. Information Recipient understands and agrees (a) the Protected Information
constitutes confidential and proprietary information; (b) to maintain the Protected Information in strict confidence; (c) not to
disclose, duplicate, or otherwise reproduce, directly or indirectly, the Protected Information in whole or in part, or any materials
relating thereto; and (d) not to use the Protected Information except as set forth in Schedule A. Information Recipient agrees that
only persons in its employ or control, directly involved in the permitted use of the Protected Information, and with a need to know
shall have access to the Protected Information and that persons having access to the Protected Information shall refrain from any
disclosure, duplication, or reproduction of the Protected Information. Information Recipient agrees to bind and obtain the signature
of all persons with access to the Protected Information to this Agreement, prior to disclosure.
3.
No Commercial Use. Information Recipient agrees that it shall not attempt to commercially exploit the Protected
Information in any manner and that it shall not disassemble, decompile, or otherwise reverse engineer the Protected information.
4.
Information Recipient Contact. The individual that will be responsible for maintaining the Protected Information
on behalf of Information Recipient and contact information is as follows:
Name of Information Recipient Contact: _________________________________________
Position: ______________________________________________
Address: ____________________________
___________________________________
___________________________________
Phone: ________________________________
Fax:
________________________________
E-Mail: _______________________________
5.
Term. Information Recipient’s authorization to possess the Protected Information shall terminate twelve (12)
months from the date of this Agreement or upon the completion of the tasks described in Schedule A, which ever comes first, unless
© 2010, American Heart Association.
otherwise agreed in writing by GET WITH THE GUIDELINES®-RESUSCITATION . Upon termination, Information Recipient shall ensure
that all electronic or copies of the Protected Information have been removed from any media using an overwrite program or
otherwise destroyed
6.
Termination by Get With The Guidelines®-Resuscitation. Get With The Guidelines®-Resuscitation may
terminate this Agreement by giving written notice of termination if Information Recipient: (1) breaches any of its obligations under
this Agreement with respect to the Protected Information; or (2) materially breaches its obligations under this Agreement.
7.
Entire Agreement. This Agreement contains the entire agreement between the parties with respect to
the subject matter of this Agreement, and it supersedes all other prior and contemporary agreements, undertakings, and
commitments between the parties with respect to the subject matter of this Agreement.
8.
Governing Law. This Agreement is deemed to have been entered into in the State of Texas, and its
interpretation, its construction, and the remedies for its enforcement or breach are to be applied pursuant to, and in accordance
with, the laws of the State of Texas.
9.
Database Use. The database may only be used to address the question stated in this proposal. Any subsequent
inquiries must be submitted as a new proposal.
IN WITNESS WHEREOF, the parties have executed this Agreement to become effective as of last date below.
Dated:___________________
Information Recipient
By:_________________________________
Its:_________________________________
Dated:____________________
American Heart Association
By:_________________________________
Its:_________________________________
© 2010, American Heart Association.
SCHEDULE “A”
The following Protected Informed as defined in the Acknowledgment of Proprietary Rights and Non-Disclosure
Agreement (“Agreement”) will be mailed upon receipt of the signed agreement and Schedule A:
Get With The Guidelines®-Resuscitation Central Database in aggregated form,
without patient, facility, or physician identifiable data, for elements identified in
Vinay Nadkarni’s Get With The Guidelines®-Resuscitation (formerly NRCPR) email
dated April 16, 2003 (“Data Request Specifications”).
The Protected Information shall only be used as provided in Section 2 of the Agreement, and as
set forth in Data Request Specifications subject to the following additional limits: (i) Get With The Guidelines®Resuscitation shall be acknowledged in any publication related to the above proposal; (ii) no assessment of
the quality of the Get With The Guidelines®-Resuscitation data shall be published or otherwise provided to
third parties by Information Recipient or others provided access to the Protected Information under this
Agreement; (iii) any use of the Protected Information beyond that authorized in this Agreement shall subject
Information Recipient to legal and equitable remedies, including but not limited to injunctive relief and
additional use charges as set by Get With The Guidelines®-Resuscitation; and (iv) the database may only be
used to address the question stated in your proposal, and any subsequent inquiries must be submitted as a
new proposal.
© 2010, American Heart Association.