New technology request
Five minutes, not five forms. Start with the problem — the system asks only what the next decision needs.
1 · The problem
What problem are you trying to solve?
What happens today (current standard)?
Intake copilot
— structures your description into the fields below and checks for duplicate requests. You review before anything is submitted.
✨ Draft with AI
2 · The technology
Short title
Product / technology
Vendor (if known)
Department
Emergency
Surgery
Surgery — Urology
Medicine
Critical Care
Nursing / Pharmacy
Wound Care
Respiratory Therapy
Diagnostic Imaging
IPAC / Environmental Services
Category
Surgical
Nursing
Wound Care
Diagnostic workflow
Respiratory
IPAC
Clinical software / AI
General
Approx. patients affected / yr
Replaces an existing product or process
Connects to the hospital network (Wi-Fi, integration, cloud)
3 · Why it matters
Why should this be considered? (select all that apply)
Patient safety
Clinical outcomes
Workflow improvement
Cost reduction
Supply disruption
Staff safety
Standardization
Regulatory requirement
New clinical capability
Urgency
Routine
Elevated
Urgent — safety or supply issue
4 · You
Your name
Role / title
Prefilled from your identity — the request is attributed to you.
Submit request
You'll see the case number immediately and can follow its status at every stage — no black hole.