the Aval
Technology adoption decision record & value contract
Fairhaven General Hospital — Demo
Brantwood, ON
AC-2026-002
NPWT standardization to single vendor
Negative-pressure wound therapy — single-vendor consolidation — WoundTech Pro · Wound Care · requested by Jenna Kowalski, NP, Nov 18, 2025
Approved with conditions
Feb 10, 2026
Standardization delivers material savings and training simplification with no clinical downside identified in evaluation. Total organizational value clearly positive.
Conditions of approval
- Unit pricing not to exceed proposal rates (CPI-indexed cap)
- Quarterly utilization and complication report to committee for first year
Committee record: 8 for · 1 against · 1 abstentions
Problem addressed
Three NPWT vendors in-house: triple inventory, inconsistent training, premium rental pricing on two contracts, and avoidable dressing-change frequency on legacy systems.
Standard replaced or augmented
Mixed fleet across three NPWT vendors (rental + consumables).
Evidence basis
- NPWT platform equivalence review
- Consolidated pricing proposal (vendor-supplied)
- Inventory & training burden analysis
- Health Canada licence
Value profile at decision
| Clinical impact | 3/5 · w30% |
| Safety | 2/5 · w25% |
| Financial materiality | 4/5 · w20% |
| Workflow disruption | 3/5 · w15% |
| Organizational risk | 2/5 · w10% |
Net annual impact: +$83K/yr (assumptions on case file)
Value contract
Frozen Feb 10, 2026 · reviews at 90 / 180 / 365 days · immutable
| We approved this technology expecting | Baseline | Expected |
|---|---|---|
| Dressing changes per patient-week | 4.2 /wk | ≤ 3 /wk |
| Nursing minutes per change | 12 min | ≤ 10 min |
| Wound complication rate | 3.1 % | ≤ 3.1 % |
| Annual NPWT category spend | 486,000 $ | ≤ 403,000 $ |
| Clinician adoption | 0 % | ≥ 80 % |
Rosa Delgado
Chief Nursing Executive
Alan Chen
VP, Supply Chain & Facilities
This Aval is the permanent institutional record of this adoption decision: what was decided, on what evidence, by whom, and against which expected outcomes it will be measured. Audit trail: 6 events on file. Generated by Aval — Aug 13, 2026. Contains no patient-level information.