Innovation LaunchPad Program

Product/Practice Change Submission

Health care suppliers are encouraged to confidentially submit detailed information regarding their innovative technology products or services to Mohawk Medbuy for review.

This information will be received and assessed by our in-house Clinical Team and then submitted to a Member Innovation Review Committee for consideration (if required). If the Committee recommends that the product or service be considered for a contract, the Strategic Sourcing team will initiate the contracting process.

For practice changes for existing technologies, the Mohawk Medbuy Clinical Team will be in touch with the results of the review and next steps.

Company Name*

Contact First and Last Name*

Company Mailing Address*

Phone*

Email*

Is your company Canadian (Headquartered in Canada or Majority-Owned by Canadians, or Canadian Founder and Owner) and would it be classified as Small (<100 employees) Medium (<500 employees) or Large?*

Note: To ensure delivery of our e-mails, please add help@mohawkmedbuy.ca to your trusted senders list in Microsoft Outlook®. For assistance, contact your IT department.

How did you hear about the Mohawk Medbuy LaunchPad?*

Product/Solution Name*

List competitors or alternatives

Have you previously submitted a proposal for this product/solution on a Mohawk Medbuy RFP?*

Yes

Unsure

Date of Entry into Canadian Marketplace?*

Has this product been approved for sale in Canada?*

Yes

If Yes, what is the applicable Medical Device License Number? If not, explain the process undertaken to date to facilitate approval.

Is your product MDSAP compliant?

Does your product/service have Environmental, Social or Governance (ESG) benefits that can be substantiated? If so, please describe.

(Environmental benefits = a positive impact to the planet

Social benefits = a positive impact on people (i.e. patients, communities in which we live, etc.)

Governance benefits = a positive impact on internal controls or standards of an organization (i.e. helps improve transparency, accountability, controls, etc.)

Have peer reviewed clinical trials been published about this product/solution?

Upload published literature at the end of this form.

Yes

Please provide organizational and contact information of current users of the technology/practice:

Include any Mohawk Medbuy Members as listed at http://www.mohawkmedbuy.ca/membership/#our-members

List website(s) where further information can be obtained if applicable

Will you be sending product samples?

It is strongly recommended to send product samples, if applicable.

Yes

Please send product samples (1 or 2 samples of each product as appropriate) to:

Innovation LaunchPad

C/O Mohawk Medbuy Corporation

Northgate Business Park

1107 Clay Avenue, Unit 100

Burlington, ON L7L 0A1

Office: 289-337-5000 Ext 5065

Product Information

Please upload any published literature or product information.

Download, complete and reattach the product and pricing sheet with your product(s) information through the link below:

https://files.constantcontact.com/a0dec4bb701/22892cc8-ca73-43c0-a054-9c515ada8960.xlsx

Upload a max. 3 page (not including tables or figures) executive summary of why your product/solution should be considered for the MMC Innovation LaunchPad.

File Upload*

Ensure your summary answers the following questions:

Describe the main problem or opportunity that your product/solution addresses.
Describe how your product/solution improves health care outcomes such as enhancing the patient experience, improving population health, reducing total costs, or improves the professional practice of health care practitioners.
What are the essential features of your product/solution that makes it better or novel when compared to existing practice?
What steps have you taken to provide evidence that your product/solution delivers on the outcomes listed i.e. prototypes, proof of concept trials, peer reviewed papers etc?

Drag and drop files here or

Send me a copy of my responses

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