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If your company meets the criteria above and would like to submit information about an innovative product, service or technology, please complete the submission form below. |
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| First Name* |
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| Last Name * |
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| Phone * |
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| E-mail * |
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| Company Name * |
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Name of product, product line or service you would like to present. (note: only one product or service submission is accepted for each company.* |
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Product/Service Category * |
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| Please indicate the type of healthcare program(s) that best describe the target purchasers of your product/service? * (choose all that apply) |
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Alternate Care Biomed Capital Equipment Construction C-Suite Food & Nutrition Imaging Information Technology Laboratory Materials Management Clinical Materials Management Non Clinical Long-Term Care Operating Room Pharmacy Pediatrics Purchased Services Surgical Services
If other, please specify. |
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Has the FDA approved this product for sale and use in the United States? * |
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Yes No
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Are you currently a MedAssets contracted supplier? * |
Yes No
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Briefly describe in 100 words or less, your product or service. * |
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| Provide a description of how your technology, product or service revolutionizes healthcare in 100 words or less. Include in your description how it offers a significant technological advantage and/or optimizes clinical outcomes and/or an innovative approach that significantly improves the delivery of healthcare or demonstrates a significant reduction in supply chain cost by streamlining work processes as compared to an existing product or service currently available in the healthcare marketplace. * |
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Pertaining to the product or service listed in the question above, what comparable product(s)/service(s) are your potential customers currently using? (max of 100 words) * |
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Please list Websites we can reference to learn more about this product/service. * |
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Describe in 150 words or less how your product or service's impact on creating a healthier environment. * |
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Describe 150 words or less how your product or service's impact on patient and/or employee safety. * |
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Diversity: * At MedAssets, we understand the value of diversity to our customers, the communities in which they live, our supplier base and our contract portfolio. One way in which we support these values is through our Supplier Diversity Program, which maximizes opportunities for certified minority, woman, small-disadvantaged and veteran-owned small businesses. If your business qualifies for the diversity classifications below, please check the appropriate box. Please note you will be required to provide a copy of your certification. |
Certified Minority-Owned Business Enterprise Certified Woman-Owned Business Enterprise Small Disadvantaged-Owned Business Enterprise Veteran-Owned Small Business Enterprise Not applicable or not certified Unknown
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Note: MedAssets is accepting submissions for the 2012 Technology & Innovation Forum. Submissions will be reviewed when received, however, MedAssets will not make decisions about which suppliers will receive an invitation or initiate the invitation process until June 2012. At this time, MedAssets will determine which companies are qualified to receive an invitation based on a product’s innovativeness in meeting the needs of healthcare providers. MedAssets limits the number of suppliers able to receive an invitation to this exclusive event. MedAssets reserves the right to extend or to not extend a Technology and Innovation Forum invitation to any Supplier, at any time, in its sole discretion.
If you feel the Technology & Innovation Forum is not the appropriate venue for your product or service but you are interested in learning more about becoming a contracted supplier of MedAssets, visit Supplier Resources. |
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