GEMS IT RFI

Request for Information

Please complete the information requested below and press the "Submit" button when done.

Hospital:
Address:
City:
Province/State:
Postal/Zip Code:
Your Name:
Your Title:
Telephone:
Fax:
e-mail:

Your hospital size (beds)

Under 100 100-200 200-300 300-400 400-500 Over 500

Number of Facilities

1 2 3 4 Over 4

What pharmacy system do you currently use and when was it first implemented?

What HIS System do you currently use?

In which pharmacy functionalities are you interested?
(Check all that apply)

Inpatient Outpatient HMO Hospice
Other (please specify):

What is the desired pharmacy system project start date?

What is the likely overall budget range for this initiative?

In which budget year is the initiative likely to be included in?

Will there be an RFI process?
Yes No Unsure

Will there be an RFP process?
Yes No Unsure

At which stage in the process are you?
Information gathering budgeting pre RFI pre RFP

What is your desired pharmacy system live date?

What is the anticipated number of end users on the system?

What is your current network environment?

What are the major priorities and challenges at your site?

How did you come about GE Healthcare Information Technologies?

Do you have any specific questions you would like answered?

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