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Procurement 5 min read

Hospital information system RFP checklist: how to evaluate HIS, EMR, LIS, RIS and pharmacy requirements

A good RFP asks for evidence, not features. Use this checklist to define scope, requirements, demonstrations and scoring before you issue it.

Start with scope and phasing, not features

Most weak tenders begin with a long list of features. Strong ones begin with decisions about scope. Settle these first, because every answer from a vendor depends on them.

  • Which departments go live in the first phase, and which follow.
  • Which existing systems stay, and which are replaced or retired.
  • Which interfaces are in scope, and who owns the other end of each.
  • How many sites, and which languages users and patients need.
  • Who decides, and how the decision will be scored.

Requirement areas to cover

For each area, ask for evidence of how it works, not a yes or no. The table lists what to ask for.

AreaWhat to ask for evidence of
Patient identityMatching rules, duplicate handling, merges, national ID formats and Arabic names
Clinical recordStructured documentation, orders, results, versioning and sign-off
Laboratory (LIS)Specimen workflow, analyzer connections, critical results and quality control
Imaging (RIS/PACS)Worklists, accession numbers, reporting, viewer access and DICOMweb
Pharmacy and stockFormulary control, prescribing checks, dispensing, batch and expiry, point of sale
Billing and payersPricing, eligibility checks, pre-authorisation, claims and payer rules
ReportingOperational dashboards, data access and export
Access and auditRoles, facility scope, sensitive records and the audit trail
IntegrationStandards supported, interface ownership, monitoring and reconciliation
LanguagesArabic and English screens and documents, including right-to-left layout
Hosting and dataHosting options, data location, backup and recovery
ImplementationPhases, testing, sign-off and role-based training
SupportNamed contacts, response targets, escalation and upgrades
Six groups for scoring a hospital information system tender: fit to workflow, integration evidence, safety and audit, implementation plan, support model and commercial clarity.
Weight the groups by the decision you are making, and score what you saw, not what was claimed.

Write demo scripts from your own workflows

A slide deck shows what a vendor wants to show. A script shows what your teams will do. Write scripts from real patient journeys and give every vendor the same ones.

  • Register a patient with an Arabic name, then find them again by a partial name.
  • Place a laboratory order, collect, result and acknowledge a critical value.
  • Order an imaging study, show the worklist, and open the images from the order.
  • Prescribe, verify, dispense and record the charge, including a controlled item.
  • Show what happens when an interface is down, and how the team recovers.
  • Show who accessed a record, and how a restricted record is protected.

Put integration in an appendix of its own

Ask each vendor to complete your integration register for your landscape and to give each connection one status: live, onboarding ready, scoped or on the roadmap. A connection listed as "supported" without an owner, a status and a test record is not yet an answer. The integration readiness guide shows the register to use.

Score on evidence

  1. Separate must-haves from nice-to-haves. A missing must-have is a stop, not a lower score.
  2. Score what you observed. Give marks for behaviour in your demo, not for statements in the response.
  3. Check references that are like you. Ask for sites with similar scale, departments and interfaces, and ask what went wrong as well as what went well.
  4. Compare the implementation plans. Look for phases, testing and sign-off, not a single go-live date.

Questions for reference calls

Reference calls are useful only if the questions are specific. Ask the reference about departments, interfaces and scale like yours.

  • What was live at go-live, and what was added later?
  • Which interface took longest, and why?
  • How were problems raised and resolved in the first three months?
  • What would you add to the contract that you did not?
  • Would you choose the same vendor again, and for which departments?

Plan the evaluation timeline

Evaluation takes longer when requirements change halfway. Fix the scope, issue the scripts, run the demonstrations within a short window so memories are fresh, and score on the same day. Leave time for the integration and security questions to be answered in writing.

Red flags in responses

  • Features described with no demonstration.
  • Integrations described as supported with no owner, date or test record.
  • Compliance or certification claims with no evidence.
  • No downtime procedure.
  • Arabic offered as translated screens only.
  • An implementation plan that is one date.
  • No named support contacts.

If you are procuring in Saudi Arabia or the wider Gulf

Add questions about connection to national platforms, languages, data location and local support. Ask each vendor to state exactly which connections are live and which are only scoped, and treat the current requirements published by each platform operator as the source of truth. Also add the questions in AI in clinical workflows if AI features are in scope.

Frequently asked questions

What should a hospital information system RFP include?

Scope and phasing, requirement areas with requests for evidence, demo scripts, an integration appendix, security and hosting questions, implementation and support expectations, and a scoring method.

Should we buy one suite or separate best-of-breed systems?

It depends on your integration capacity and department needs. Ask vendors to show how modules share one patient record and how interfaces are governed and monitored.

How many vendors should give a demonstration?

Enough to compare behaviour on identical scripts. Keep the scripts the same for every vendor so the results can be compared fairly.

How do we compare Arabic support?

Run your own Arabic scripts: names, clinical notes, documents, search and printing, in right-to-left layout.

Planning a deployment?

Preparing a requirements list? Tell us about your facility and current systems, and we can help you map the workflows and interfaces to put in it.

Plan a discovery workshop

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