Innovation Proposal

Pathway to HHC

How did you hear about Innovation at Hartford HealthCare?

General Company Information

Company Name

Website

Submitter Name

Title / Position

Phone Number

Email Address

Collaboration Request

Problem Description

Describe the problem you are proposing to solve.

Solution Description

Describe your solution to the problem.

Competitive Advantage of Solution

Describe your competitors in this market and what differentiates your solution from theirs.

Focus of Solution

Which of the following does the solution support?

Business Model

Describe how your company will generate revenue.

Current Stage of Development

Integration Capabilities of Solution

Describe which platforms your solution is integrated with (e.g. Epic).

Ask from HHC

Describe the milestones you are hoping HHC will help you achieve.

Engagement Options

How would you like to engage with HHC?

Funding

Funding Source

Select how your company is funded.

Equity Funding

Grant Funding

Retained Earnings

Other Funding

Total Funding

Provide your total funding to date.

Please attach pitch deck and any additional information

(ie. video, publications, etc.)

Drop your files here