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MedTechSolns Clinical & Technical Procurement Standard (2026 Edition)

1. Scope & Intended Use

This evaluation framework is designed for:

• Tertiary hospitals

• Secondary referral hospitals

• Private hospital groups

• Public health networks

• Faith-based and NGO-supported facilities

It aligns with international digital health interoperability standards including:

• Health Level Seven International (HL7)

• International Organization for Standardization (ISO 27001, ISO 27799)

• World Health Organization digital health guidance

• National data protection frameworks (e.g., Kenya Data Protection Act 2019)

2. Evaluation Domains (Weighted – 100%)

Domain 1: Organizational & Vendor Due Diligence (20%)

Rationale: Long-term HMS sustainability in African and emerging markets is strongly correlated with vendor stability and regional support presence.

Criterion Weight Score (1–5) Weighted

Years in Healthcare IT (>7 preferred) 4 Regional Implementation Experience 4 Financial Viability (Audited Statements) 4 Local Technical Support Availability 4 Reference Sites (≥3 comparable hospitals) 4

Audit Adjustment:
Previous version overweighted vendor profile. Reduced from 25% → 20% to prioritize clinical interoperability.

Domain 2: Clinical Functionality & Workflow Integrity (25%)

Rationale: Clinical safety and workflow optimization are primary determinants of digital health ROI.

Criterion Weight Inpatient & Outpatient EMR 5 CPOE (Computerized Physician Order Entry) 4 Pharmacy Management & e-Prescribing 4 LIS Integration 4 Radiology/PACS Integration 3 Clinical Decision Support (CDS) 5

Audit Upgrade:

• Added CPOE (critical for medication error reduction)

• Explicitly included CDS

• Removed vague “ICU module” phrasing

Domain 3: Interoperability & Technical Architecture (25%)

Rationale: Interoperability is essential for national health systems integration and long-term scalability.

Criterion Weight HL7 v2/v3 Compliance 5 HL7 FHIR API Support 6 Open API Architecture 4 Cloud / Hybrid / On-Prem Flexibility 4 Uptime SLA ≥99.5% 3 Data Migration & Legacy Integration 3

Audit Upgrade:

• Increased weight for FHIR compliance

• Increased uptime threshold from 99% → 99.5%

• Emphasized open APIs to avoid vendor lock-in

Domain 4: Cybersecurity & Data Governance (15%)

Rationale: Increasing ransomware risk in African health systems necessitates stronger weight allocation.

Criterion Weight End-to-End Encryption 3 Role-Based Access Controls 3 Audit Trails 3 Backup & Disaster Recovery 3 ISO 27001 Certification or Equivalent 3

Audit Adjustment:
Weight increased from 10% → 15% based on global cybersecurity risk trends.

Domain 5: Implementation & Change Management (10%)

Criterion Weight Structured Implementation Plan 3 Staff Training Program 3 Super-User Model 2 Go-Live & Post-Go-Live Support 2

Audit Upgrade: Added structured change management and super-user strategy.

Domain 6: Financial Sustainability & TCO (5%)

Criterion Weight Transparent Licensing Model 2 5-Year TCO Projection 2 Upgrade & Maintenance Predictability 1

Audit Rationale:
Financial weight intentionally lower because safety & interoperability override lowest-cost bias.

3. Scoring Methodology

Each criterion scored 1–5:

• 1 = Inadequate

• 2 = Weak

• 3 = Acceptable

• 4 = Strong

• 5 = Best-in-Class

Final Score Formula:

Total Score=∑(Score×Weight)

Interpretation

• ≥85 → Strategic Long-Term Fit

• 75–84 → Conditional Fit (Negotiation Required)

• 65–74 → Operational Risk

• <65 → High Risk / Not Recommended

4. Regional Sustainability Audit Layer (LMIC-Specific)

Assess:

• Offline capability during power outages

• Low-bandwidth performance optimization

• Local currency billing options

• Hardware compatibility with mid-tier infrastructure

• Ability to function without continuous cloud access

5. Risk Mitigation Checklist (Mandatory)

Before award:

• Proof-of-Concept Demonstration

• Site Visit to Active Installation

• Independent Security Audit Report

• Clear Exit Strategy Clause (Data Portability)

6. Compliance Alignment Reference Standards

• Health Level Seven International (HL7)

• International Organization for Standardization (ISO 27001 / 27799)

• World Health Organization Digital Health Strategy

• National Data Protection Regulations