BACKGROUND: Te volume of product recalls has been dramatically increasing. Class l recalls, those that can lead to serious patient injury and death, are now at a very high level. Facilities and their patients are affected now more than ever before.
National Recall Alert Center’s mandate, as a 49-year-old, federally-approved, non-profit organization, is to mitigate this critical situation.
National Recall Alert Center has been awarded this funding in order to meet its mission. Te value of each full grant can be as much as $18,000 per year and covers the cost of the entire, real-time, 24/7/365 closed- loop system.
Te entire system will also substantially reduce your personnel costs as well as streamline your recall safety, reporting and compliance requirements.
(Completing this does NOT commit or obligate either party.)
Please complete to ONLY REGISTER your interest and determine qualifications for an invitation to receive one of a limited number of FULL GRANTS for
National Recall Alert Center’s Real-Time Closed-Loop Recall Alerting System. Then either:
Scan & Email page to:
fullgrant@recallalert.org Or Fax page to: 1-800-FAX-NRAC (329-6722) Or Complete the questions online at:
www.recallalertgrant.org
Please Call for any additional information: 1-888-537-8376
Date you are completing this form: ______________________________________ Name of facility: _____________________________________________________ City and State of facility: ______________________________________________
Please Answer the Following 5 Questions
1. How many hospitals are in your system (if more than 1) and what is your approximate number of licensed beds? ___________________________
2. Does your facility use a paper system for recall alerts and management? YES _________ NO ________
3. Does your facility CURRENTLY receive recall alerts from a private/outsourced recall alerting service? YES _______ NO _______
4. If your answer above is ‘YES’, what is the name of the service or services? ( N o t e : i f y o u r e c e i v e an invitation and already have a contract with another service, a reservation to earmark the grant for future use may be possible.)
_____________________________________________________________ 5. What is the name, title and email and office phone of the individual completing this form?
Name: (Print) ___________________________ Title: _______________________ Cellphone (optional) (
)_____________Office Phone: (
)_________________ Email (please print legibly) _____________________________________________
Page 1 |
Page 2 |
Page 3 |
Page 4 |
Page 5 |
Page 6 |
Page 7 |
Page 8 |
Page 9 |
Page 10 |
Page 11 |
Page 12 |
Page 13 |
Page 14 |
Page 15 |
Page 16 |
Page 17 |
Page 18 |
Page 19 |
Page 20 |
Page 21 |
Page 22 |
Page 23 |
Page 24 |
Page 25 |
Page 26 |
Page 27 |
Page 28 |
Page 29 |
Page 30 |
Page 31 |
Page 32 |
Page 33 |
Page 34 |
Page 35 |
Page 36 |
Page 37 |
Page 38 |
Page 39 |
Page 40 |
Page 41 |
Page 42 |
Page 43 |
Page 44 |
Page 45 |
Page 46 |
Page 47 |
Page 48 |
Page 49 |
Page 50
