Any Hospital Medical Center

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1901 N. Mike St.                   Biomed Services Dept.

Kauffman, PA. 91111             FAX - MEMO

 

TO:                

FROM:           Joe Biomed, C.B.E.T., Coordinator, Biomedical Services

Shop: 800-265-5656; Bp:215-777-0000; Fax: 215-555-1212

SUBJECT:     Equipment Selection Checklist

 

 

DATE:            January 10, 2001

 

 

Here is a sample questionnaire/checklist for use in the review of possible new equipment  selection and purchases. 

It has been derived from several observed formats.  It would be  good for equipment reviewers to have a common mechanism for consistently, fairly,  and comprehensively evaluating  potential purchases.

 

Make:__________  Model: __________   Description: __________________

 

V alue: (Cost of equipment compared to Benefits of use & $ Savings)

     ____ Score (1 - 20)

 

E asy to Use: (‘User friendly,’ logical, ‘intuitive’)

     ____ Score (1-20)

 

R eliable: (Good Repair Record; little ‘down-time’)

     ____ Score (1-10)

 

D esign Technology: (State-of-the-Art, Standardized)

     ____ Score (1-10)

 

I ncentives: (Extended Warranty, Supply, Service Discounts, etc.)                       ____ Score (1-20)

 

C ompany Support: (Stable, Good Sales & Service Reps., Training, etc.)

     ____ Score (1-20)

 

T otal Score: (May be ‘weighted’* by evaluator, i.e. M.D. x 2)

     ____ Score (% 100)

 

Evaluator: ________________        Date: _______________

 

V E R D I C T :  Adjusted Score*: ______