University Hospital
Materials Management 
Your Satisfaction is Our Goal!

VAP Related Forms

  • Value Analysis Request for Product Review Form PDF document text
    Use this fom to request new products review by the Value Analysis Program

  • Charter for VAP Sub-Group PDF document text
    This form is to be filled out by the Facilitator and handed out at the first Sub-Group meeting at the start of every project. The form gives a brief description of what the Value Analysis Program is and outlines the Sub-Groups tasks.

  • VAP Coordinator & Facilitator PDF document text
    This form is to be filled out by the VAP Coordinator and the Facilitator. This form lists the evaluation dates and areas, and the Sub-Group members and their department.

  • Sub-Group Final Recommendation Report PDF document text
    This form is the final report and recommendation to be filled out by the Facilitator and Sub-Group members based on the results of the evaluations, and are submitted to the VAP Coordinator

  • Product Evaluation Sheet Template PDF document text
    This form is to be used for EVERY product evaluation, and is to be filled out by the Facilitator and Sub-Group members. The evaluation criteria can be added for each new project started.

  • VAP Coordinator Final Recommendation Report PDF document text
    This form is to be filled out by the VAP Coordinator that encompasses the financial impact, clinical findings (Sub-Group Recommendation Report), reimbursement impact and any other considerations. This report is presented to the VAP Core Group for review.

  • ECC Training Assessment Form PDF document text
    This form is to be filled out by the Facilitator and the Materials Management Educator. After this form has been completed, the Materials Management Educator will present this form to the ECC.

  • Disposable/Reusable Cost Analysis Worksheet PDF document text
    This work sheet is to be filled out by the VAP Coordinator and Facilitator for items that are being converted from disposable to reusable or reusable to disposable.
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