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Procurement & Strategic Sourcing

About Us

About Us

About Us

  • Owens & Minor Distribution
  • New Vendor Add Request
  • Value Analysis Program
    • Value Analysis Committee (VAC) Request
    • Value Analysis Committee (VAC) Request Disclaimer
  • IRB Approved Clinical Research Studies
    • IRB Approved Clinical Research Studies Disclaimer
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    • One-Time Request Disclaimer
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    • Instrument/Product/Equipment Evaluation Request Disclaimer
  • Link to Staff Use Only
  • Owens & Minor Distribution
  • New Vendor Add Request
  • Value Analysis Program
  • IRB Approved Clinical Research Studies
  • One-Time Request
  • Instrument/Product/Equipment Evaluation Request
  • Link to Staff Use Only
  • Instrument/Product/Equipment Evaluation Request Disclaimer
  1. Home
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  3. Instrument/Product/Equipment Evaluation Request

Instrument/Product/Equipment Evaluation Request

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Purpose

As one of the most prominent medical institutions in the world, UCLA Health has always supported the use of instrument/product/equipment evaluations to advance clinical knowledge and patient care. These evaluations provide our physicians the opportunity to assess new, emerging medical products that would otherwise go unnoticed. UCLA Health dedicates itself on innovation and progress, and instrument/product/equipment evaluations play a vital role in this commitment.

Procurement and Strategic Sourcing has developed an evaluation process where requesting physicians may submit their requests to trial these new items. An evaluation request will first be reviewed by a Procurement lead. Once initially approved, the request must then be approved by the department manager and Senior Administrative Leadership. At the very end of the evaluation approval track, the requesting physician will receive an acknowledgment email.

Instructions for Requesting Evaluation Approval of Non-Formulary Product/Technology

ALL Evaluation Requests MUST be reviewed PRIOR to the start date by Procurement & Strategic Sourcing:

  • Alexandria De La Torre - Surgical Services, Med/Surg, and Lab/Radiology

Budget-Responsible Managers/Unit Directors who receive evaluation requests for non-formulary products that are no-charge or <$10,000 can be approved by the appropriate Manager.

Evaluation requests in excess of $10,000 will be reviewed by appropriate Procurement and Strategic Sourcing individual listed above, appropriate Manager/Department Head/Department Chief AND Senior Administrative Leadership PRIOR to the evaluation start date.

All efforts should be used to obtain instruments/products/equipment on a no-charge basis. If approved, a no-charge PO will need to be completed PRIOR to the evaluation start date.

If consumables are involved at a cost, one-time EMPAC and EAP numbers will be created for use during the evaluation period. An EMPAC Item Add request form and spreadsheet will need to be submitted by the requestor if approved.

If you have any questions about the Evaluation Request process, please contact the appropriate Procurement lead listed below:

Name Phone Email Area(s) of Responsibility
Alexandria De La Torre (310) 794-0405 AMDeLaTorre@mednet.ucla.edu Surgical Services, Med/Surg & Lab/Radiology

 

If you have any technical issues with the website or request form, please contact Victor Banh by email at VBanh@mednet.ucla.edu. 

Click here to view the complete Product Evaluation Request Flowchart.

Click here to view the complete Product Evaluation Request Flowchart for Nursing Units.

Click here to view all Instrument/Product/Equipment Evaluation Requests (note: both One-Time Requests and Product Evaluation Requests share a single database).

Click here to track/inquire on a single Instrument/Product/Equipment Evaluation Request record (read-only).

Once ready to begin your Instrument/Product/Equipment Evaluation Request Form including Nursing trial requests, click here.

IMPORTANT: Note that there is no save feature in the Evaluation Request Portal. Prior to beginning your form submission, please make sure you have all the necessary information and documentation.  Requestors must also reattach their files to the form, if an error occurred during original submission. You must be connected to the UCLA network (intranet) to access the Evaluation Request forms.

Please note that if you are using Internet Explorer, Compatibility View must be disabled for intranet sites or a support error message will appear. We suggest using Mozilla Firefox or Google Chrome to browse these sites.  You may need to contact your local IT administrator for the installation of these web browsers or for assistance changing Compatibility View Settings.

Thank you,

Ashley Busuttil, MD                       William Quinones-Baldrich, MD                       Philip Richard Levin, MD
Co-Chair   Co-Chair Co-Chair
Value Analysis Committee   Value Analysis Committee  Value Analysis Committee 
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