A Boston Research Laboratory Makes Use of Orchard Harvest LIS
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Volume 13, Number 2 • Spring 2012 A Boston Research Laboratory Makes Use of Orchard Harvest LIS I t is typical for research laboratory facilities to have different needs for their lab system functionality than clinical laboratories, and it is no different for the Biomarker Research Laboratory in Boston, Massachu- setts. These needs can range from how instruments are interfaced and orders are entered, to how results are reported. According to Mike Conrad, Project Manager for the lab, “Research laboratories have some very unique setups. They also need to have the right software to serve those needs, and Harvest is flexible enough to meet our needs.” Biomarker Research Laboratory team from left to right: (Front Row) Ying-Lung Lee; Tim Oasan MLS(ASCP); Gretchen Labutti; The Biomarker Research Laboratory Lea Ritterova; Judith Baronas MT(ASCP); (Back Row) John Rozehnal; Petr Jarolim M.D., Ph.D.; Michael J. Conrad; Jon Reimer. (BRL) opened in 2004 as a division of the Department of Pathology at demands of a clinical trials labora- to our operations. The custom feature Brigham and Women’s Hospital. This tory and sought third-party solu- that Orchard created is both robust hospital is a founding member of Part- tions. “Harvest was evaluated and and easy to use, and it has since found ners Healthcare and is affiliated with compared with other products and use in at least one other lab using Har- Harvard Medical School. BRL con- Harvest’s flexibility was the reason vest, who used it in their clinical lab to ducted around 200,000 tests in 2011, BRL selected the system.” order samples in a validation study.” with most of the tests focused on One of the most important features cardiovascular research. BRL has eight in Harvest LIS for BRL is the custom full-time laboratory staff members and See “BRL” on page 2. study import, which was created in a recent addition of robotics to help collaboration between Mike Conrad maintain high throughput on auto- and Orchard. During the evaluation, mated analyzers. In addition to the Mike met with Orchard to describe inside this issue... automation, Orchard® Harvest™ LIS is BRL’s need to order testing in batches Where in the World is Orchy?...................2 central to maintaining the laboratory’s in order to match the lab’s established Employee Spotlight: Jamie Lawson.........2 throughput. workflow. The ability to add this Free NCD File Updates.............................3 Although the laboratory informa- feature to the existing software was an Orchard Symposium 2012......................3 tion system utilized by the rest of the important factor in the lab’s choice of hospital was one of the first home- Orchard from the other competitors, Announcing Orchard Trellis......................4 grown systems created, Petr Jarolim, including their internal laboratory Access Copia Mobile on the Go................6 MD, PhD, the Director of the BRL, information system. Mike stated, “The Version 9.0 Released!..............................7 was concerned that it would not ability to order thousands or tens of be compatible with the needs and thousands of tests efficiently is critical www.orchardsoft.com
BRL Jamie Lawson Continued from previous page. Project Manager An aspect common to most research facilities is a study-centered workflow, which means the laboratory’s testing A lways cheerful and helpful, Jamie Lawson is a perfect fit for the role of Project Manager here at the menu and workflow are often in flux. Orchard. Jamie started her career at In the Biomarker laboratory, they run Orchard Software in 2004, installing multiple studies at the same time, Harvest LIS. Since then, Jamie has which requires flexibility in terms of begun working on her master’s degree instrument implementation and result at IUPUI in Health Informatics. Be- reporting. Due to the number of stud- fore coming to work at Orchard, she ies that the laboratory conducts every worked in the laboratory as a Labora- year, their lab needs the ability to tory Manager. Hanging out at the American Cancer Society Relay for Life campsite. quickly exchange instruments. “In- struments in our lab can switch and As Project Manager, Jamie works with with both the clients’ labs and our home move around every few months, and our newest clients, making sure all of office in Carmel. this product’s remote interface installs, their needs are met and their projects remain on schedule. Jamie is a defi- When Jamie isn’t coordinating Or- done over the phone, make these com- nite asset to our team due to her high chard installations, she is an avid read- mon transitions much easier,” accord- energy, top notch organizational skills, er, chef, and traveler. She also volun- ing to Mike. and product knowledge. She is always teers for the American Cancer Society Other aspects that Mike appreci- willing to share her knowledge and Relay for Life and for the Indianapolis ates are the ability to control the user experience with others, which is invalu- Zoo, where she had the good fortune interface, electronic signature capabili- able considering she communicates of babysitting baby dolphins. ties (another custom feature, added at the lab’s request), and ease of use. The LIS allows the laboratory to add new methods quickly and now allows Where in the electronic signatures to be applied when approving results or saving World is Orchy? comments, which has helped reduce the paperwork burden as well. “Study records must be accessible for years af- O rchard’s unofficial mascot, Orchy, toured a European city known for sites created by a famous architect. If visiting Pittsburgh, Pennsylvania. Sign in to the Orchard website to see where in the world Orchy has been lately! ter the initial testing, so having access to a comprehensive reporting system you can identify where Orchy was visit- located within our LIS has made our ing, send your lives easier.” answer to news@ orchardsoft. Although the Biomarker Research com by May 15 Laboratory uses Orchard Harvest to be eligible to LIS’ core features on a daily basis, the win an Orchard custom features added by Orchard has prize package. tailored Harvest LIS to the laboratory’s Last newsletter, needs, resulting in a successful imple- Rick Sweeney of mentation of the LIS in the lab. Fremont/Rideout Health Group in Colusa, Califor- nia, sent in the winning entry that Orchy was 2
Free NCD File Orchard Symposium 2012 – New Format Updates for Featuring All of Orchard’s Products Orchard Customers O rchard Software is pleased to announce the date and loca- tion for our 2012 symposium. The and An Update on Regulatory and ARRA, to our new product, Orchard® Trellis™. O rchard Software has entered into an agreement with Codemap® to make available at no charge to you, first symposium with our new three- day format will take place Tuesday, Wednesday, and Thursday, October Wednesday will be dedicated to Or- chard Copia, and we will offer four our customer, their Medicare National 2, 3, and 4, in Indianapolis, Indiana, sessions for all attendees. The topics Coverage Determinations (NCD). at the Sheraton Indianapolis Hotel for the sessions include What’s New in at Keystone Crossing. There is no Orchard Copia v5.0 & Copia Mobile Codemap® provides accurate and Module, Report Formatting, Brows- dependable Medicare medical neces- cost to attend the symposium and a continental breakfast and lunch will ers and Data Mining, and the Client sity data to hundreds of customers. Services Module. Codemap® covers every Medicare be provided each day; however, travel, contractor and will pre-format the lodging, and other meals are not Finally, on Thursday, our focus will be NCD files for import directly into included. We want to let you know Orchard Pathology with four sessions for your Orchard Software product. now so that you have plenty of time to all attendees. The topics are What’s New plan your trip to attend! in Orchard Pathology v9.0, Reports/Cancer To order your NCD import file Summaries, Sample Tracking, and Web AP. from Codemap®, sign in to the client- This three-day format allows us only area of the Orchard website, and to dedicate one day to each featured We have made this early announce- click on the link to the Download product. In 2006, when Orchard ment so that you can begin planning Center’s ICD and NCD file page. Software introduced our Orchard for this week in October, should you From there, you can access the online Harvest LIS Symposiums, Harvest LIS want to attend. For the most up- NCD data file subscription form from was our only significant product offer- to-date information on agenda and Codemap®. Once you have ordered ing. Orchard® Copia™ was still in its sessions, please check out the Sympo- your initial import file, you will be infancy and Orchard® Pathology had siums page on our website at www. automatically included in sched- just been released in January 2006. orchardsoft.com/symposiums/. We uled updates that will be sent to you Today, six years later, with more hope to have our agenda confirmed quarterly, one week before the update than 1,000 customers, we have sig- by the end of May, with sign-up should be applied. nificantly increased our user base of beginning in June 2012. Please stay Orchard Copia and Orchard Pathol- tuned to our website, newsletter, and Please note that this agreement does online forums for more details as they not include any local coverage deter- ogy, and we are at a point where we need to dedicate an entire day for each become available. minations (LCD) or the diagnosis code and description dictionary. If system. And logistically, since some of news@orchard is published quarterly by: you wish to include LCD data in your our customers utilize various combi- Orchard Software Corporation subscription, you may contact Code- nations of our products, holding these 701 Congressional Boulevard, Suite 360 day-long events back to back in the Carmel, IN 46032 map® directly for pricing information. same week will be more convenient If you are not on our mailing list and would Orchard Software will continue to like to be, please call us at (800) 856-1948, fax provide a copy of Medicare’s free diag- for everyone. It is our intention to us at (317) 573-2528, or email us at news@ nosis code and description dictionary move forward with this multi-day orchardsoft.com. for use with our products. event on an annual basis. Contributing authors: Audrey Lorraine Kerry Foster If you need assistance with import- The Harvest LIS day, Tuesday, will Thom Franklin Kelly Haemmerle ing your Codemap® NCD file, please have a similar agenda and sessions as Chris Livengood Ford McAlexander we have in the past, with topics rang- Debbie Schilling Christine Stalcup feel free to call Orchard Technical If you have any questions or suggestions, Support staff at (800) 571-5835. ing from What’s New in Harvest LIS please contact our Publishers, Christine v9.0, IT Stuff—Integration/Networks/ Stalcup and Ford McAlexander, or Editor, Setup/Hardware/Maintenance, Data Kerry Foster, at (800) 856-1948. Mining, Setting Up Rules, HL7 Inter- View the newsletter online at: www.orchardsoft.com/news_links/newsletter/ facing & Integration, Sample Tracking, newsletterarchive. html www.orchardsoft.com 3
Announcing Orchard Trellis: Our New Product for Integrating Remote POC Testing O rchard Soft- ware is ex- cited to announce our new product, Orchard® Trellis™. Trellis is an orders and results man- agement software program that serves as a simple and cost-effective bridge for elec- tronically passing orders and results between remote, point-of-care (POC) analyzers/ instruments and Orchard Harvest LIS. With today’s healthcare chal- lenges surround- ing efficiency and accountability, and the economic pressures to do are making it to the EMR, it involves testing by providing real-time results more with less, Trellis provides the manual entry—a time-consuming into your EMR. In addition, the in- optimal means for electronic connec- process subject to clerical errors. tegration with your Harvest LIS will tivity to more effectively manage your Orchard Trellis allow you to automate your remote POC testing. QC and ensure accurate billing, sav- Trellis serves as a simple “review, ing you time and money. Orchard Trellis Bridges the Gap Between click, and go” bridge for passing orders Remote POC Testing and Your EMR and results between POC analyzers/ Simple & Efficient Connectivity How are your POC results getting instruments and Orchard Harvest LIS Trellis uses the Internet and web into your EMR? Are they getting there version 9.0 and higher. Whether your services as the method of connectivity accurately and in a timely manner? POC testing is in a Protime clinic, a to enable electronic integration with POC analyzers perform laboratory pediatrician’s office, a Lipid clinic, or remote locations. Harvest LIS with testing outside of the laboratory, and any other remote patient testing facil- an Orchard Trellis Manager module these results contribute to the overall ity, Trellis is the solution designed to provides centralized management of diagnostic information a provider needs eliminate these problems and elec- multiple Trellis POC sites and links to access in the EMR. Unfortunately, tronically integrate POC results back these remote sites to your EMR. there are some challenges with remote to your Harvest LIS and then into Because Trellis is deployed via web POC testing. your EMR. services, Trellis is easy to install, main- Trellis offers a simple and cost- tain, and upgrade. Software updates Because of the low volume, remote effective connectivity solution for are installed by the system administra- location, and limited connectivity POC testing. The implementation tor in the Trellis Manager module on capabilities inherent to most POC devices, most POC test results are not of Trellis will improve patient care being captured in the EMR. If they and enhance the value of your POC See “Trellis” on page 5. 4
Trellis Continued from previous page. Harvest LIS server, and then pushed results have been reviewed and ap- Harvest LIS, enabling you to elimi- to Trellis, where they are automatically proved, they are easily released to nate the cumbersome manual process installed without the need for techni- Harvest LIS or the EMR by clicking and easily monitor QC from the lab cal support. the release icon. via your Harvest LIS. Easy to Use Released Orders Cost Savings & Benefits Trellis is easy to use, and training is Trellis provides a Released Orders Efficiency and cost savings are straightforward because it is a simple view, should there be a need to review derived in the reduction of time spent software package for viewing orders, a previously released order with re- manually entering patient results. viewing results, and releasing them sults. As done in the Pending Review In addition, greater accuracy can be back to your Harvest LIS. The Trellis view, you review a patient’s results attained by eliminating the chance user interface is designed to be com- by selecting the patient and either of clerical errors. Because results are pletely contained in a single window, double-clicking on the patient’s name transmitted electronically into the eliminating the confusion of multiple or clicking the results icon. EMR in real time, faster turnaround overlapping windows. time is accomplished as testing is com- Quality Control pleted. Providers will have prompt Orders & Results, Review & Release Trellis complements Harvest LIS access to the POC testing results for Orders placed in either your Harvest functionality to make patient results diagnosis and treatment of the patient. LIS or in your EMR are transmitted from POC analyzers easily accessible With Trellis, organizations will see in- into Trellis and appear in the Pend- for analytics or inspection purposes creased productivity of staff and have ing Review view of the software. As and to simplify POC QC manage- more confidence in billing capture and results come from the analyzer, the ment. The QC features of Harvest test results because they are handled microscope icon appears to notify you LIS and the integration with Trel- electronically. This provides speedier that results are available and ready lis provides you with the ability to TATs for treating your patients, there- for review and approval. Reviewing easily manage QC at your remote fore improving patient care and creat- results is as easy as selecting a patient sites. Harvest LIS can automatically ing a benefit not only for the patient and clicking on the results icon or by push QC orders out to your remote but for your entire organization. double-clicking on a patient. Once locations. QC results come back to Simple Installation & Minimal Training Trellis is a simple software solution. We provide you with the ability to easily load the Trellis software on your remote PC workstation. There are minimal hardware requirements and installation simply involves connect- ing Trellis to the POC device via a supplied digiport device. Training is minimal and conducted by phone. So if you are looking for a cost- effective way to electronically bridge the gap between your remote POC testing and your EMR, contact your Orchard Account Manager at (800) 856-1948 to see if Orchard Trellis is an appropriate solution for your facility. www.orchardsoft.com 5
Access Copia on the Go with the Orchard Copia Mobile Module! O ne of the exciting new additions to Copia 5.0 is our new Orchard Copia Mobile module, which allows Once you have set up the module on your Orchard system, users on supported mobile devices will be able • Location Inbox: Use the Location Inbox page to view reports of pa- tient results that were delivered to you to look up orders, view patient to access results and popular Copia the selected location and acknowl- history, and review reports—all while features on pages that have been edge any unacknowledged reports. you are on the go! It is also integrated streamlined for easier use on small • Set Location: Use the Set Loca- with the Patient Portal module, so device screens. tion page to select the location when you are using both modules and Easy Access to Features where you are signing in. The patients sign in with mobile devices, location you select affects many they will automatically be directed With a simple click of a button settings throughout the program, to a more device-friendly view of the on the main menu of Orchard Co- as well as the patient records you results that have been released for their pia Mobile, you may access several may access. review. features: • Full Site: Click this button to • Find Patient: Use the Find access the full version of the Copia It is important to note that the Patient page to select a patient, Orchard Copia Mobile module is not application using your device’s and then view that patient’s order web browser. This is not recom- a stand-alone application, but rather a history data. way of accessing Copia that is opti- mended when using a mobile • Find Order: Use the Find Order device, as the pages are not opti- mized for the web browser on your page to select an order, and then mobile device. Orchard Copia Mobile mized for usage on mobile devices view that order’s details, includ- and the program may run more is “plug & play,” so as soon as you ing any associated lab reports or enable the license for the module, you slowly. requisitions. will be able to access the new mo- • User Inbox: Use the User Inbox Reviewing Results in the Inboxes bile version using your iPhone, iPad, page to view reports of patient Use the User Inbox and Location Android, or other supported mobile results that were delivered to you Inbox pages to view reports of patient device. and acknowledge any unacknowl- results that were delivered to you or edged reports. your locations, as well as acknowledge any unacknowledged reports. Viewing a Patient’s Order History Use the Order History page to view a patient’s order history, as well as ac- cess associated lab reports and requisi- tions. Applying Column View Rules for Orchard Copia Mobile As with the standard view of the Copia application, you may use column view rules to control what data ap- pears on pages when you use Orchard Copia Mobile. The program uses the same rules to display data, regardless of whether you access a page through the main application or through the mobile platform. Note, however, that because of the constraints of viewing data on a Using the Orchard Copia Mobile module allows you to look up orders, view patient See “Copia Mobile” on page 7. history, and review reports all while you are on the go! 6
Orchard Harvest LIS, Copia Mobile Orchard Pathology Continued from previous page. v9.0 Are Released! mobile device, only a portion of the columns O rchard Software is pleased to used in the main Copia announce that Orchard Harvest application are sup- LIS and Orchard Pathology version ported for Orchard 9.0 are now available to our clients Copia Mobile. For your and prospective clients! Orchard reference, when defin- encourages all of our current clients ing rules in Copia, any to call Orchard Software Technical columns not supported Support at (800) 573-5835 to sched- in the mobile platform ule an appointment for their upgrade. will be marked as “Not This is a very important upgrade for Supported” on the everyone, as ICD-10 codes will only Column View Rules be supported going forward in version administration page. 9.0 and higher! For your conve- Besides regulatory changes, like the nience, Orchard Copia change from ICD-9 to ICD-10, the Mobile automatically feedback from you, our customers, is includes any sup- what drives the continuous develop- ported columns from ment of our systems. your active column view rules when it dis- Orchard Harvest LIS plays information. No • New Send to Host System Rules other administrative or • New Sample Tracking Date, Ordering Location, Practice, configuration changes are necessary! If • Expanded Result Delivery Rules Proposed Collection, Sample Col- you would like to alter which columns • Enhanced Quality Control lection Date, and Sample ID List appear in the mobile view of a page, • New Backup Blackout Period columns. simply mark columns as included or Orchard Pathology excluded using the Mobile Display Using Orchard Copia Mobile with the • Web-enabled Access Via the New Setting on the Column View Rules Patient Portal Orchard® Web AP Module administration page in Copia. If you are also using the Patient • Enhanced Grid Cell Options on By default, Orchard Copia Mobile Portal module, then you may use AP Reports uses the first column in your column Orchard Copia Mobile to enhance • Result Evaluation Rules for For- view rule as the expandable header by patients’ access to their results from matting Grid Cells default. If you would like to change mobile devices. When both mod- • Result Evaluation Rules for Apply- which column is your header, set the ules are in place and patients sign in ing Images and Annotation column as the “Primary Column,” and from a mobile device, they are taken • New Sample Tracking it will be displayed at the top when directly to the Order History page to If you have any questions regarding viewing Copia on a mobile device, find and review the results that have the features of either product, please regardless of where it appears on the been released to them. contact us by phone or through our page when viewing Copia using a As with the standard view of Co- website at www.orchardsoft.com. standard web browser. pia, they will not be able to navigate Orchard is committed to develop- As you can see, the Order History anywhere else in the system. If they ing, installing, and supporting the page shown here uses Order ID as choose to click the Full Site button to the primary column, and it includes access Copia, then they will be able the Order Choice Abbreviations, to access and use the Patient Portal as See “Version 9.0” on page 8. Order Choices, Order Date, Order- they would from any web browser. ing Provider, Status, Completion www.orchardsoft.com 7
701 Congressional Blvd., Suite 360 Carmel, Indiana 46032 Phone: (800) 856-1948 Fax: (317) 573-2633 Address Service Requested Email: news@orchardsoft.com Website: www.orchardsoft.com Announcing Orchard® Trellis™: Our New Product for Integrating Remote POC Testing Version 9.0 Continued from previous page. very best laboratory information systems, and this com- hardware requirements on our website at www.orchardsoft. mitment includes regular software upgrades at no charge. com. The best rule of thumb is to talk to Orchard’s Techni- Regular upgrades provide you with the necessary features cal Support staff as you begin planning for your upgrade. for regulatory requirements and greater flexibility to This will ensure that you have the appropriate hardware handle a variety of laboratory workflows and business situ- and are ready for your upgrade. We all hope you are as ations. excited as we are about Orchard Harvest LIS and Orchard Please also note that there are very specific hardware Pathology version 9.0! requirements to support this upgrade. You can find our Orchard’s 2012 Trade Show Calendar Date Name Location 5/30-5/31/2012 ACHA Annual Meeting Chicago, IL 7/17-7/19/12 Clinical Lab Expo/AACC Los Angeles, CA 9/9-9/12/12 CAP 2011 - The Pathologists Meeting San Diego, CA 9/12-9/13/12 AAPA - Pathologists Assistants Show Miami, FL 10/2-10/4/2012 Orchard Symposium 2012 Indianapolis, IN www.orchardsoft.com 88
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