section1.3adopt–select.docVIP

Section 1.3 Adopt – SelectRequest for Proposal Use this request for proposal (RFP) template to structure your request for vendors to send you proposals on the specific health information technology (HIT) you are interested in acquiring. Instructions for Use Review the template to see if it contains information you wish to seek from the vendors—adding, changing, and deleting as necessary. Retain or modify any italicized examples. Delete italicized notes that are intended as instructions only. Complete the Cover Page and Section A prior to sending to vendors. Refer to other tools in the toolkit’s Adopt-Select section for selecting a vendor (1.3 RFP Analysis, 1.3 Key Differentiators, 1.3 Due Diligence). Date: Re: Request for Proposal for (insert description of product, e.g., Laboratory Information System, Hospital EHR Modules, Ambulatory Care EHR) Due Date for Response: Provide vendors 4 to 6 six weeks to complete. To: Obtain name of regional sales manager and address in your area. From: (insert the name of the individual in your organization who will be responsible for all communications with vendors) Additional Instructions for Responding to this RFP: Include directions concerning limitations on contacting organization, number of copies of responses to be supplied via paper and/or preference for electronic submission, availability of bidders’ conference, or instructions on requesting additional information, etc. Table of Contents: Background and Information Request for Information: Vendor Information Product History References How Product Meets Functional Requirements How Product Meets Performance Requirements Product Technical Requirements Security and Reliability Interoperability Reporting Training, Usability, and Supportability Implementation Plan Documentation Contract/Service Considerations Price Proposal (supply as a separate, sealed document) A. Background and Information 1. Primary Contact Name: Enter name and contact information for hospita