NCHA Solution Station Intake Form

Thank you for contacting NCHA and NCHA Strategic Partners regarding your solution. We have developed a data collection process that is focused on ideas, needs and vendor solutions for our member hospitals and non-acute care providers. The purpose of this process is to increase our awareness of valuable services and products that we can make available to our members. In order to evaluate your offering appropriately please complete the form in its entirety. We want you to participate and appreciate your involvement in our process. Be assured, all product and/or service details will be archived at the conclusion of the research and all competitors responses will remain anonymous and you have the option to discontinue with this process at any time.

Please describe the idea, product or service that might meet this need, if any.

List any Group Purchasing Organizations (GPOs) or Associations you are currently working with?

Are there any (or other) companies that provide this product or service? If so, who?

What value would this solution provide to hospitals and other healthcare providers?

NCHA’s mission is to improve the health of the communities where we live and work by advocating for sound public policy and collaborative partnerships. Please describe how this proposed idea or need aligns with the NCHA’s mission.

Potential for Savings

What is your best estimate of annual savings potential if a healthcare provider uses your product/service?

Revenue Potential

What is your best estimate of the range of annual revenue potential to hospitals, healthcare providers or Strategic Partners? (Please do not include revenue paid to you)

Describe what make this product or service unique and /or innovative.

Is there a time sensitive nature or burning issue related to this need such as an emerging legislative issue or a hard deadline?

Are there any known barriers to implementation, such as technical issues, regulatory concerns, legal challenges, etc?

Is this a NC-based company?
Is this company minority owned?
Certification

Is this a state-certified historically underutilized business (HUB)?

Powered by Smartsheet Modern Logo On Light
Privacy Notice|Report Abuse