Health Insights Request

South Dakota Health Link Dashboard or Report Development Request Form

Instructions: Complete this form with as much detail and accuracy possible to optimally fulfill your intended reporting needs. Forms will be reviewed and discussed to create a plan of action agreed upon by the requester and the reviewer.

If unsure of a question, enter “Need call to discuss”.

Name(Required)
Select date MM slash DD slash YYYY
Level of Importance(Required)
Is the dashboard or report(Required)
How often will the dashboard or report be accessed?(Required)

How often will the dashboard or report need to be refreshed?(Required)

What questions will the dashboard or report answer? What will the information be used for? Please be specific.
Fields to display, inclusion or exclusion criteria such as hospitals or clinics, inpatient/ambulatory/emergency visits, age categories, etc. Be as specific as possible.
Close menu