laboratory information systems

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laboratory

information

systems

NOVEMBER 2015 |CAP TODAY 37

Tabulation does not represent an endorsement by the College of American Pathologists. Product guide editors: Raymond D. Aller, MD, and Hal Weiner

Part 1 of 12 Abbott Informatics American Soft Solutions Corp. Apex Healthware, LLC

Meni Shikhman [email protected] Ehab Moniem [email protected] Mike Lambers [email protected] 4000 Hollywood Blvd., Suite 333 704 Ginesi Drive, Suite 26 1116 W. Blanco Rd.

Hollywood, FL 33012 Morganville, NJ 07751 San Antonio, TX 78232

See captodayonline.com/productguides for an interactive version of guide 954-964-8663 www.starlims.com 732-272-0052 www.prolis.info 210-757-0002 www.apexhealthware.com

Name of laboratory information system Starlims Prolis Apex LIS

First ever/Most recent LIS installation (based on August 2015 survey deadline) 2001/August 2015 1999/August 2015 2008/August 2015 Last major product release or update for featured LIS July 2013 (version 7) August 2015 (version 5.0.0.3) June 2015 (version 4.6)

Total No. of contracts for sites operating LIS 93 22 281

• Hospital/Independent lab contracts in U.S. 12/14 0/19 11/10

• Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 19/22 1/0 260/0 • Contracts for other U.S. sites/Contracts for foreign sites 0/26 (public health, clinical research, diagnostics) 0/2 0/0

• No. of these contracts that went live between August 2014–August 2015 12 7 29

Contracts signed but LIS not yet operational (hospitals/independent labs/other sites) 22 (4/9/9) 7 (0/7/0) 8 (0/1/7–physician office labs) Total No. of sites operating LIS/No. of these sites that are outside U.S. 127/72 (Japan, Qatar, Canada, Costa Rica, Hong Kong,

Ireland, U.K., Netherlands, Spain, numerous others) 22/2 (United Arab Emirates, Ghana) 281/0 Percentage of high-volume* sites installed/Low-volume** sites installed 35%/65% 68%/32% 5%/95% Provide list of installed client sites to potential customers on request yes (partial list; reference calls coordinated with

clients) yes ( partial list with client’s permission) yes (partial list; reference accounts) Clients restricted from sharing with others their experience with

company or software no no no

No. of employees in entire company 413 8 10

• No. of employees dedicated to LIS development, installation, and support 292 5 9

Range in No. of user workstations in sites operating LIS 5–2,000 (average, 25) 3–92 (average, 12) 1–10 (average, 2) Central hardware or service type hardware independent, ASP available Windows-based server Dell server How central server failure is handled manual intervention necessary to restore operation or

system continues uninterrupted (user’s option) manual intervention necessary to restore operation or system continues uninterrupted (user’s option) manual intervention necessary to restore operation

Programming language(s) C#, JScript, SQL, .Net platform .Net Visual Basic .Net, Java, SQL, HTML, others

Operating system(s) Microsoft Windows Windows

Databases and tools SQL, Oracle, Crystal Reports Microsoft SQL server Microsoft SQL

System includes full transaction logging — yes yes

Languages (other than English) offered on system French, Spanish, German, Chinese, Hebrew, Czech,

Italian, Polish, Dutch, others none Spanish

Features/modules (listed as percent of live installs or based on availability)

• Chemistry and hematology/Bar-coded collection labels 60%/95% 100%/100% installed/installed

• Microbiology/Public health microbiology 15%/25% 100%/100% installed/not available

• Blood bank donor/Blood bank transfusion 2%/2% not available/not available not available/not available

• Surgical pathology/Cytology 8%/5% 100%/100% installed/installed

• Molecular pathology/Cytogenetics/Flow cytometry 32%/10%/10% 100%/100%/100% installed/installed/installed

• EHR interface for admission/discharge/transfer (ADT) 20% 86% installed

• EHR interface for order entry/Results reporting 25%/75% 72%/86% installed/installed

• EHR interface for packaging results into PDF format 75% 50% installed

• EHR interface for packaging results into CDA1 format/CDA2 format 75%/75% not available/not available installed/installed

• Ad hoc reporting/Rules-based system 90%/90% 100%/100% installed/installed

• Management and statistical reporting 90% 100% installed

• Outreach and/or commercial laboratory 40% 64% installed

• Compliance checking/Billing and accounts receivable 30%/45% 100%/45% installed/not available

• Materials management and inventory 80% not available installed

• Test partition/Remote faxing or printing 90%/65% 20%/72% installed/installed

• HIPAA-standard transaction formats 75% 100% installed

• Web-based remote inquiry of reports/Web access for order entry 55%/70% 64%/64% installed/installed

• Specimen management and tracking 90% 100% installed

• Compliance and quality assurance tools/Environmental health 75%/20% 100%/available but not installed installed/not available

• Business analytics 20% 100% installed

• Reference lab interface for orders, results return, status return 20% 5% installed

LIS can report lab data that is focus of meaningful use guidelines to public health agencies via automated electronic transmission using specified formats*** for:

• Microbiology data (culture and sensitivity) yes yes under development

• Other reportable diseases (blood, lead, immunology, etc.) yes yes under development

• Diagnosis and other data for tumor registry**** yes yes under development

Other lab-related IT vendors’ systems to which software has an interface Orchard, NetSuite, Haemonetics, Mak-System, others Orchard, Comtron, Health Fusion, Practice Fusion,

Amazing Charts, Soapware, Athena, others Sunquest, Cerner Total lab automation systems or workcells to which LIS can interface Beckman Coulter, Siemens, Ortho Clinical

Diagnostics, Labotix Automation, Olympus America, Roche Diagnostics, Abbott Diagnostics

none (planned for future) Beckman Coulter, Siemens, Ortho Clinical Diagnostics, Thermo Scientific, Olympus America, Roche Diagnostics, Abbott Diagnostics

LIS allows third-party updates of tables and rules yes no no

LIS allows for image capture, display, reporting yes yes yes

Software provides indexed field in each test definition for LOINC code yes yes yes

Provide LOINC dictionary for each new installation no yes no

LIS supports use of SNOMED CT yes no yes

Use third-party middleware for instrument interfaces yes (use a combination of direct interfaces and

third-party middleware) no (interface directly) no (interface directly) Percentage of LIS clients that use positive patient ID systems to identify

patients and blood specimens at bedside 0 unknown 0

Source code/User group that meets regularly escrow/yes (meets in person) no/no no/no

Methods by which users can tailor LIS in their own setting wraparound programming, ad hoc query tools,

dictionary settings wraparound programming, ad hoc query tools, dictionary settings wraparound programming

Standard software maintenance fee covers periodic updates to LIS yes yes yes

Cost for software modifications to comply with federal regulations and laws standard (no charge) standard (no charge) standard (no charge) System available via ASP or cloud-based data center available as either a standalone product or an ASP or

cloud-based product (client’s option); the latter based on start-up cost and monthly subscription fee

no no

Total cost for smallest LIS installation (hardware, software, installation, training) $60,000 (annual maintenance fee, $8,000) $9,000 (annual maintenance fee, $1,404) $12,000 (annual maintenance fee, $2,400) Total cost for largest LIS installation (hardware, software, installation, training) $3,500,000 (annual maintenance fee, $275,000) $180,000 (annual maintenance fee, $32,000) $75,000 (annual maintenance fee, $15,000) Distinguishing features (supplied by company)

*generate >500,000 billed tests annually, or >200 bed hospitals, or >500 requisitions per day **generate <500,000 billed tests annually, or <200 bed hospitals, or <500 requisitions per day ***HL7 2.5.1, LOINC, SNOMED, etc.

****using NAACCR Pathology Laboratory Electronic Reporting, vol. V, version 4.0, April 2011 ed. Note: a dash in lieu of an answer means company did not answer

question or question is not applicable

• modern, three-tier architecture and platform; .Net framework with HTML5 and ability to run on Oracle or SQL

• integrated LIMS/LIS for billing, QC management, interface engine, clinical trials, biorepository, more • patented, customer-configurable workflow tool set

for modern testing processes

• single module for hematology/chemistry, microbiology, pathology, toxicology, and molecular testing • specimen-centric system for clinical, industrial,

research, and environmental laboratories • integrated client, insurance, and patient billing

(primary and secondary) with medical necessity tool and accounts receivable

• customization of Web portal and LIS entry screens for reference laboratories

• more than 200 workflow variables

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Part 2 of 12 Aspyra, LLC BtB Software, LLC Cerner

Katherine Hunt [email protected] Bob Freeman [email protected] Jennifer Walker [email protected] 7400 Baymeadows Way, Suite 101 P.O. Box 845 2800 Rockcreek Parkway

Jacksonville, FL 32256 Bayside, CA 95524 Kansas City, MO 64117 See captodayonline.com/productguides for an interactive version of guide 800-437-9000 ext. 671 www.aspyra.com 707-502-2821 www.btbsoftware.com 816-201-2854 www.cerner.com

Name of laboratory information system CyberLAB BtB Software LIMS Cerner Millennium PathNet

First ever/Most recent LIS installation (based on August 2015 survey deadline) 1982/August 2015 1990/May 2006 1982/August 2014

Last major product release or update for featured LIS September 2014 (version 7.3.0) July 2015 (version 5.4.1.5) January 2015 (version 2015.01)

• Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 16/2 0/3 1/3

• Contracts for other U.S. sites/Contracts for foreign sites 22 (specialty labs)/4 (independent labs) 0/0 1 (pharmaceutical manufacturer)/115 (hospitals)

• No. of these contracts that went live between August 2014–August 2015 3 — 85

Contracts signed but LIS not yet operational (hospitals/independent labs/other sites) 2 (0/2/0) 0 67 (67/0/0) Total No. of sites operating LIS/No. of these sites that are outside U.S. 293/32 (Malaysia, Singapore, Hong Kong, Vietnam,

Cambodia, Myanmar, Jamaica) 3/0 805/115 (Australia, Brazil, Canada, Egypt, Guam, Malaysia, Saudi Arabia, Singapore, U.K., United Arab Emirates) Percentage of high-volume* sites installed/Low-volume** sites installed 35%/65% 0/100% 80%/20%

Provide list of installed client sites to potential customers on request yes (partial list with approval of installed sites) yes (complete list with no restrictions regarding its use) yes (partial list) Clients restricted from sharing with others their experience with

No. of employees in entire company 26 4 > 21,000

Range in No. of user workstations in sites operating LIS 2–148 (average, 70) 6–12 (average, 6) not tracked

Central hardware or service type on-site or hosted servers Microsoft SQL, Azure client hosted (IBM, HP), Cerner hosted How central server failure is handled manual intervention necessary to restore operation or

system continues uninterrupted (user’s option) manual intervention necessary to restore operation manual intervention necessary to restore operation or system continues uninterrupted (user’s option) Programming language(s) C++, Visual Basic, HTML, Cobol, JavaScript Visual Studio Java, Visual Basic, C++, C#, Visual C

Operating system(s) Microsoft Windows, Red Hat Enterprise Linux Windows HP-UX, AIX, VMS

Databases and tools Microsoft SQL Microsoft SQL Oracle

System includes full transaction logging yes yes yes

Languages (other than English) offered on system Chinese, Vietnamese (reporting results only) — British English, German, Spanish, French Features/modules (listed as percent of live installs or based on availability)

• Chemistry and hematology/Bar-coded collection labels 95%/100% installed/installed 100%/100%

• Microbiology/Public health microbiology 80%/80% 100%/100% 100%/15%

• Blood bank donor/Blood bank transfusion not available/not available not available/not available 15%/75%

• Surgical pathology/Cytology 25%/25% not available/available 75/%/75%

• Molecular pathology/Cytogenetics/Flow cytometry 25%/25%/25% not available/not available/not available 30%/10%/75%

• EHR interface for admission/discharge/transfer (ADT) 90% 50% 75%

• EHR interface for order entry/Results reporting 90%/90% 50%/50% 75%/75%

• EHR interface for packaging results into PDF format 90% available installed

• EHR interface for packaging results into CDA1 format/CDA2 format 90%/80% 75%/— supported via Cerner EMR/supported via Cerner EMR

• Ad hoc reporting/Rules-based system 100%/100% 100%/100% 100%/100%

• Management and statistical reporting 100% 100% 100%

• Outreach and/or commercial laboratory 70% not available 50%

• Compliance checking/Billing and accounts receivable 100%/not available 50%/50% installed/10%

• Materials management and inventory not available available installed

• Test partition/Remote faxing or printing 100%/100% 100%/50% installed/installed

• HIPAA-standard transaction formats 100% 100% 100%

• Web-based remote inquiry of reports/Web access for order entry 80%/80% available/available <10%/<10%

• Specimen management and tracking 100% 100% 100%

• Compliance and quality assurance tools/Environmental health 100%/not available 100%/100% 100%/installed

• Business analytics not available 100% —

• Reference lab interface for orders, results return, status return 60% 100% 95%

• Microbiology data (culture and sensitivity) yes yes yes

• Other reportable diseases (blood, lead, immunology, etc.) yes yes yes

• Diagnosis and other data for tumor registry**** yes no yes

Other lab-related IT vendors’ systems to which software has an interface Allscripts, Healthland, CPSI, NextGen, Keane, GE, Epic,

McKesson, Cerner, Meditech, Siemens, Telcor — EMR lab outbound interfaces with McKesson, Siemens, Epic, Allscripts, Meditech, others Total lab automation systems or workcells to which LIS can interface Beckman Coulter, Siemens, Labotix Automation,

Ortho, Thermo Scientific, Olympus, Roche, Abbott none Beckman Coulter, Siemens, Labotix Automation, Olympus America, Roche Diagnostics, Abbott

LIS allows third-party updates of tables and rules no no no

LIS allows for image capture, display, reporting yes no yes

Provide LOINC dictionary for each new installation yes yes yes

LIS supports use of SNOMED CT yes yes yes

third-party middleware) yes (use a combination of direct interfaces and third-party middleware) no (interface directly) Percentage of LIS clients that use positive patient ID systems to identify

patients and blood specimens at bedside 0 — 25% (50% of total use Cerner’s PPID software/50% of total use third-party PPID software) Source code/User group that meets regularly escrow optional/yes (meets via webinar and

conference call) escrow/yes (meets via conference call) optional/yes (meets in person and via webinar) Methods by which users can tailor LIS in their own setting ad hoc query tools, user-defined interfaces, dictionary

settings, Microsoft SQL reporting services ad hoc query tools, user-defined interfaces, dictionary settings wraparound programming, ad hoc query tools, user-defined interfaces, dictionary settings, others

Standard software maintenance fee covers periodic updates to LIS yes — —

Cost for software modifications to comply with federal regulations and laws optional (extra cost) standard (no charge) — System available via ASP or cloud-based data center available as either a standalone product or an ASP or

cloud-based product (client’s option); the latter has a 3-year minimum contract; installation and training fees

available as either a standalone product or an ASP or

cloud-based product (client’s option) available as either a standalone product or an ASP or cloud-based product (client’s option) Total cost for smallest LIS installation (hardware, software, installation, training) $40,000 (annual maintenance fee, $6,000) $15,000 (annual maintenance fee, $1,200) —

Total cost for largest LIS installation (hardware, software, installation, training) $750,000 (annual maintenance fee, $90,000) $125,000 (annual maintenance fee, $18,000) — Distinguishing features (supplied by company)

• full-service lab solution dedicated to driving productivity, reporting, patient safety, and revenue • strong multi-site capability

• CyberLAB Essentials for one to 15 user labs with under $20,000 upfront, then pay by accession or subscription

• emphasis on public health labs

• integrated statistics, billing/AR, compliance, reportable diseases (HL7 interface), rabies, all public health modules

• purchase individual modules and add additional ones as needed

• driving innovations to connect laboratories, customers, and devices, allowing organizations to expand and grow their business

• more than 1,000 laboratories using Cerner Laboratory solutions, providing a best-of-breed LIS

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40 CAP TODAY| NOVEMBER 2015

laboratory

information

systems

Tabulation does not represent an endorsement by the College of American Pathologists.

Part 3 of 12 Clinical Software Solutions Clinlab CLTECH International Corp.

Emily Brester [email protected] Allen Wilson [email protected] Javier Marrero [email protected] P.O. Box 529 116 Treemonte Drive 11098 Biscayne Blvd., Suite 401-7 Queen Creek, AZ 85142 Orange City, FL 32763 Miami, FL 33161

See captodayonline.com/productguides for an interactive version of guide 800-570-0474 www.clin1.net 800-487-5227 www.clinlabinc.com 305-915-8799 www.cltech.net

Name of laboratory information system CLIN1 Laboratory† _{Clinlab LIS} _Eclipse

First ever/Most recent LIS installation (based on August 2015 survey deadline) 1987/August 2015 1987/August 2015 2001/August 2015 Last major product release or update for featured LIS July 2015 (version 11.3) August 2015 (version 8.0) February 2014 (version 2.0)

• Contracts for other U.S. sites/Contracts for foreign sites 5/3 0/1 (clinical lab) 0/512 (hospitals, independent labs)

Contracts signed but LIS not yet operational (hospitals/independent labs/other sites) 3 (1/2/0) 1 (0/1/0) 2 (0/2/0)

Total No. of sites operating LIS/No. of these sites that are outside U.S. 60/3 (Canada, U.K., New Zealand) 32/1 (Nigeria) 512/486 (Latin America) Percentage of high-volume* sites installed/Low-volume** sites installed 10%/90% 20%/80% 40%/60%

Provide list of installed client sites to potential customers on request yes (partial list) yes (partial list) yes (complete list but prospective client must sign a nondisclosure agreement)

Clients restricted from sharing with others their experience with

Range in No. of user workstations in sites operating LIS 3–100 (average, 10) 2–100 (average, 8) 2–180+ (average, 15)

Central hardware or service type client/server PC network Intel

How central server failure is handled manual intervention necessary to restore operation or

system continues uninterrupted (user’s option) manual intervention necessary to restore operation manual intervention necessary to restore operation

Programming language(s) 4GL C#, Delphi, SQL Java, GWT

Operating system(s) Windows Windows Windows, Macintosh

Databases and tools SQL Sybase SQL Microsoft SQL server

System includes full transaction logging yes no yes

Languages (other than English) offered on system — — Spanish

• Chemistry and hematology/Bar-coded collection labels 100%/100% 100%/100% 100%/95%

• Microbiology/Public health microbiology 10%/available 20%/0 85%/not available

• Blood bank donor/Blood bank transfusion available/available 0/0 15%/15%

• Surgical pathology/Cytology 10%/10% 0/4% 5%/10%

• Molecular pathology/Cytogenetics/Flow cytometry 10%/10%/available 50%/not available/available not available/not available/not available

• EHR interface for packaging results into PDF format 90% 20% 15%

• EHR interface for packaging results into CDA1 format/CDA2 format installed/installed available/not available not available/not available

• Outreach and/or commercial laboratory 95% 80% 30%

• Compliance checking/Billing and accounts receivable 100%/95% 100%/not available 95%/80%

• Materials management and inventory 95% not available 25%

• Test partition/Remote faxing or printing 100%/95% 100%/40% 20%/85%

• Web-based remote inquiry of reports/Web access for order entry 95%/95% 80%/80% 50%/25%

• Compliance and quality assurance tools/Environmental health 100%/installed 100%/not available 100%/not available

• Business analytics 100% 60% 65%

• Reference lab interface for orders, results return, status return installed 100% 20%

• Diagnosis and other data for tumor registry**** under development no no

Other lab-related IT vendors’ systems to which software has an interface Allscripts, GE Healthcare, Greenway, Healthland,

NextGen, McKesson, Siemens, others Meditech, Emdeon, Sage, Lifepoint, Pyramed, Allscripts, others — Total lab automation systems or workcells to which LIS can interface Beckman Coulter, Siemens, Ortho Clinical Diagnostics,

Labotix Automation, Thermo Scientific, Olympus America, Roche Diagnostics, Abbott Diagnostics

planned to Beckman Coulter, Siemens, Ortho Clinical Diagnostics, Olympus America, Roche Diagnostics, Abbott Diagnostics

Beckman Coulter, Siemens, Ortho Clinical Diagnostics, Thermo Scientific, Olympus America, Roche Diagnostics, Abbott Diagnostics

LIS allows third-party updates of tables and rules no no yes (CodeMap, Quest)

LIS allows for image capture, display, reporting yes no yes

Provide LOINC dictionary for each new installation no yes no

LIS supports use of SNOMED CT yes no no

Use third-party middleware for instrument interfaces no (interface directly) yes (use a combination of direct interfaces and

third-party middleware) no (interface directly) Percentage of LIS clients that use positive patient ID systems to identify

patients and blood specimens at bedside 100% (100% of total use Clinical Software Solutions’ PPID software) 4% (100% of total use third-party PPID software) —

Source code/User group that meets regularly no/yes (meets via webinar and conference call) escrow/no no/yes (meets via webinar and conference call) Methods by which users can tailor LIS in their own setting ad hoc query tools, dictionary settings wraparound programming, ad hoc query tools,

user-defined interfaces, dictionary settings, system switches and controls

ad hoc query tools (100% user configurable)

cloud-based product (client’s option) available as either a standalone product or an ASP or cloud-based product (client’s option); the latter based on software price plus monthly usage fees

no

Total cost for smallest LIS installation (hardware, software, installation, training) $15,000 (annual maintenance fee, $3,000) $10,000 (annual maintenance fee, $1,500) $8,500 (annual maintenance fee, $1,125) Total cost for largest LIS installation (hardware, software, installation, training) $250,000 (annual maintenance fee, $50,000) $100,000 (annual maintenance fee, $15,000) $350,000 (annual maintenance fee, $53,000) Distinguishing features (supplied by company)

• interfacing with other vendors’ systems (EHR/ EMR, reference labs, public health) simplified and cost-effective

• custom programming available

• document scanning built in for gels, graphs, consent forms, chain of custody, etc. †_{formerly CSSWin LIS}

• fully integrated system with unlimited external interface capabilities; low cost

• highly configurable for various laboratory types and styles of management

• instant support—tech assigned and available by phone

• configurable to work for a small lab or a larger lab system with multiple branches

• can be interfaced bidirectionally with any EMR\EHR system and any instrument using HL7 and ASTM protocols

• billing module can be added at any time, affordably, speeding up invoicing and maximizing reimbursements

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Part 4 of 12 Common Cents Systems Comp Pro Med CompuGroup Medical

Carl Barringer [email protected] Lou Sagmaquen [email protected] Gene Williamson [email protected] P.O. Box 110514 3418 Mendocino Ave. 10715 Red Run Blvd., Suite 101

Nashville, TN 37222 Santa Rosa, CA 95403 Owings Mills, MD 21117 See captodayonline.com/productguides for an interactive version of guide 800-805-9278 www.apollolims.com 800-276-4522 www.comppromed.com 410-517-0330 www.cgmus.com

Name of laboratory information system ApolloLIMS† _Polytech _{CGM LABDAQ}†

First ever/Most recent LIS installation (based on August 2015 survey deadline) 1987/August 2015 1981/August 2015 1991/August 2015 Last major product release or update for featured LIS June 2015 (version 7.0.2.9) May 2015 (version 8.5.4) December 2014 (version 4.11)

Total No. of contracts for sites operating LIS 57 148 2,864

• Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 2/16 36/0 2,303/2 • Contracts for other U.S. sites/Contracts for foreign sites 0/0 3 (veterinary, teaching, research)/69 (national and

regional hospital labs)

0/8 (clinics, reference labs)

Contracts signed but LIS not yet operational (hospitals/independent labs/other sites) 3 (0/3/0) 6 (0/2/4) 21 (0/11/10–physician office labs, clinics) Total No. of sites operating LIS/No. of these sites that are outside U.S. 57/0 181/80 (Canada, Eritrea, Ethiopia, Philippines,

Bhutan, Malawi, Hong Kong) 3,463/10 (United Arab Emirates, Malawi, Virgin Islands) Percentage of high-volume* sites installed/Low-volume** sites installed 40%/60% 19%/81% not tracked

Provide list of installed client sites to potential customers on request yes (partial list; dependent on type of laboratory) yes (clients that allow information disclosure) yes (partial list tailored to match prospective customer’s requirements)

Clients restricted from sharing with others their experience with

Range in No. of user workstations in sites operating LIS 4–60 (average, 15) 1–38 (average, 8) 1–150+ (average, 5–10) Central hardware or service type Microsoft server any (client supported) client/server (business grade) How central server failure is handled manual intervention necessary to restore operation or

system continues uninterrupted (user’s option) system continues uninterrupted manual intervention necessary to restore operation or system continues uninterrupted (user’s option)

Programming language(s) Delphi, SQL C++ .Net, C#, Delphi

Operating system(s) Microsoft server Windows XP, Vista, 7, 8 Windows Server 2012 R2 and 2008 R2, Windows 7

Databases and tools InterSystems Caché, Microsoft SQL Pervasive Oracle

Languages (other than English) offered on system — none none

• Microbiology/Public health microbiology 70%/70% 18%/available 5%/1%

• Blood bank donor/Blood bank transfusion not available/not available not available/not available not available/not available

• Surgical pathology/Cytology not available/not available available/2% 3%/3%

• Molecular pathology/Cytogenetics/Flow cytometry not available/not available/not available available/not available/2% 5%/—/1%

• EHR interface for packaging results into CDA1 format/CDA2 format 50%/not available available/available not available/not available

• Compliance checking/Billing and accounts receivable 70%/70% 100%/68% 100%/not available

• Materials management and inventory 30% not available not available

• Web-based remote inquiry of reports/Web access for order entry 45%/50% installed/34% 20%/15%

• Specimen management and tracking 100% available 100%

• Compliance and quality assurance tools/Environmental health 25%/30% 100%/not available 100%/not available

• Business analytics 70% 100% available

• Diagnosis and other data for tumor registry**** no yes no

Other lab-related IT vendors’ systems to which software has an interface Siemens, Allscripts, Meditech GE Healthcare, eClinicalWorks, Siemens, Allscripts,

others Cerner, Sunquest, NovoPath, Healthland, McKesson, Meditech, Epic, Siemens, others Total lab automation systems or workcells to which LIS can interface Beckman Coulter, Siemens, Ortho Clinical Diagnostics,

Thermo Scientific, Olympus America, Roche Diagnostics, Abbott Diagnostics

Beckman Coulter, Siemens, Ortho Clinical Diagnostics, Thermo Scientific, Olympus America, Roche Diagnostics, Abbott Diagnostics

Beckman Coulter, Siemens, Olympus America, Roche Diagnostics

LIS allows third-party updates of tables and rules no yes yes (CodeMap)

Provide LOINC dictionary for each new installation yes yes no

Use third-party middleware for instrument interfaces no (interface directly) no (interface directly) no (interface directly) Percentage of LIS clients that use positive patient ID systems to identify

patients and blood specimens at bedside 10% (100% of total use third-party PPID software) 100% (90% of total use Comp Pro Med’s PPID software/ 10% of total use third-party PPID software) 0

Source code/User group that meets regularly escrow/yes (meets via webinar) escrow/no escrow/yes (meets in person) Methods by which users can tailor LIS in their own setting wraparound programming, ad hoc query tools,

user-defined interfaces, dictionary settings ad hoc query tools, user-defined interfaces, dictionary settings, others ad hoc query tools

cloud-based product (client’s option); the latter based on implementation fee and monthly usage fee

no no

Total cost for smallest LIS installation (hardware, software, installation, training) $64,000 (annual maintenance fee, $9,720) $26,000 (annual maintenance fee, $3,800) $10,000 (annual maintenance fee, $1,250) Total cost for largest LIS installation (hardware, software, installation, training) $660,000 (annual maintenance fee, $112,000) $2,000,000 (annual maintenance fee, $200,000) $700,000 (annual maintenance fee, $84,000) Distinguishing features (supplied by company)

• flexible, rules-based, highly efficient database structure combined with a rules-based architecture • intuitive user interface—assists with rapid training

and deployment

• fully integrated—all lab disciplines; QC, imaging, instrument and EMR interfaces, QA, more †_{formerly M/Lab Enterprise Edition by M/Management}

Systems and Cirrus by Common Cents Systems

• highly customizable; easy to use; molecular, pathology, Web portal; large system features with a small system price; no downtime

• over 35 years’ core knowledge; direct analyzer interfaces; user requests implemented in weeks • pure Windows; simple, easy hardware; redundant

databases; no “named user” charges/management

• expert integration and connectivity capabilities with EHRs, billing, reference labs, and analyzers • powerful user-defined rules and data queries to

assist with decision support and data analytics • experienced, responsive support staff, sales

personnel, system integration department †_{formerly marketed by Antek HealthWare as LabDAQ}

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44 CAP TODAY| NOVEMBER 2015

laboratory

information

systems

Part 5 of 12 CSS Healthcare Diamond Computing Epic

Jim O’Neill [email protected] Jim Campbell [email protected] Phil Lindemann [email protected] 2106 New Rd., E6 2345 Fourth St. 1979 Milky Way

Linwood, NJ 08221 Tucker, GA 30084 Verona, WI 53593

See captodayonline.com/productguides for an interactive version of guide 609-653-6444 www.csslis.com 800-486-5980 www.diamondcomputing.net 608-271-9000 www.epic.com

Name of laboratory information system AVALON LIS LabGEM Beaker

First ever/Most recent LIS installation (based on August 2015 survey deadline) 1980/June 2015 1984/August 2015 1980/August 2015 Last major product release or update for featured LIS April 2015 (version 1) July 2014 (version 07.14.001) June 2015 (version Epic 2015)

• Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 12/2 3/1 0/1 • Contracts for other U.S. sites/Contracts for foreign sites 13 (toxicology, pain management)/1 0/0 0/0

Contracts signed but LIS not yet operational (hospitals/independent labs/other sites) 5 (0/5/0) 2 (0/2/0) 33 (33/0/0) Total No. of sites operating LIS/No. of these sites that are outside U.S. 105/1 (United Arab Emirates) 26/0 330/— Percentage of high-volume* sites installed/Low-volume** sites installed 42%/58% 70%/30% 30%/70% Provide list of installed client sites to potential customers on request no (information is confidential) yes (partial list; clients must give permission to share

information) yes (complete list with no restrictions regarding its use) Clients restricted from sharing with others their experience with

No. of employees in entire company 20 7 8,800

Range in No. of user workstations in sites operating LIS 2–80 (average, 20) 3–500 (average, 30) —

Central hardware or service type IBM-AIX, Unbuntu Intel/Dell HP 9000, HP Integrity, Sun Sparc, IBM p5 Series

system continues uninterrupted (user’s option) manual intervention necessary to restore operation or system continues uninterrupted (user’s option) system continues uninterrupted

Programming language(s) Java, JavaScript, PHP, C++ Visual Basic, MUMPS, .Net Visual Basic, Caché, C#, ASP .Net, JavaScript

Operating system(s) AIX 7.1, Unbuntu Windows Unix, Windows

Databases and tools SQL — Chronicles Extended Relational Database Management

System

Languages (other than English) offered on system — — —

• Microbiology/Public health microbiology 86%/— 100%/10% 98%/98%

• Blood bank donor/Blood bank transfusion — — not available/not available

• Surgical pathology/Cytology 12%/3% 10%/50% 70%/70%

• Molecular pathology/Cytogenetics/Flow cytometry —/10%/— 10%/10%/20% 25%/10%/30%

• EHR interface for packaging results into PDF format 80% 100% available

• EHR interface for packaging results into CDA1 format/CDA2 format 80%/— — not available/not available

• Compliance checking/Billing and accounts receivable 100%/80% 100%/50% 100%/98%

• Materials management and inventory 100% — not available

• HIPAA-standard transaction formats 100% — 100%

• Compliance and quality assurance tools/Environmental health 85%/— — 100%/5%

• Business analytics — — 100%

• Other reportable diseases (blood, lead, immunology, etc.) no yes yes

• Diagnosis and other data for tumor registry**** no no no

Other lab-related IT vendors’ systems to which software has an interface GE Healthcare, McKesson, Allscripts, SCC,

eClinicalWorks, Medisoft, NextGen, Orchard, others Cerner, McKesson, eClinicalWorks, Orchard, others Cerner, SCC Soft Computer, Sunquest, Meditech, Mediware, Wyndgate Technologies Total lab automation systems or workcells to which LIS can interface Beckman Coulter, Siemens, Ortho Clinical Diagnostics,

Labotix Automation, Thermo Scientific, Olympus America, Roche Diagnostics, Abbott Diagnostics, Sysmex

— Beckman Coulter, Siemens, Ortho Clinical Diagnostics, Roche Diagnostics, Abbott Diagnostics

LIS allows third-party updates of tables and rules yes (CodeMap, Ingenix) — no

Provide LOINC dictionary for each new installation yes yes no

LIS supports use of SNOMED CT no yes yes

Use third-party middleware for instrument interfaces no (interface directly) yes (use a combination of direct interfaces and

third-party middleware) yes (use third-party middleware for all instrument interfaces) Percentage of LIS clients that use positive patient ID systems to identify

patients and blood specimens at bedside 88% (90% of total use CSS’ PPID software/10% of total use third-party PPID software) 100% (50% of total use Diamond Computing’s PPID software/50% of total use third-party PPID software) 50% (100% of total use Epic’s PPID software) Source code/User group that meets regularly escrow/no escrow/no yes/yes (meets via webinar, conference call, and in person) Methods by which users can tailor LIS in their own setting ad hoc query tools, user-defined interfaces, dictionary

settings ad hoc query tools, user-defined interfaces, dictionary settings wraparound programming, ad hoc query tools, user-defined interfaces, dictionary settings

Standard software maintenance fee covers periodic updates to LIS yes — yes

Cost for software modifications to comply with federal regulations and laws standard (no charge) optional (extra cost) standard (no charge) System available via ASP or cloud-based data center yes (only option); billing package starting at $.75 per

patient requisition no available as either a standalone product or an ASP or cloud-based product (client’s option) Total cost for smallest LIS installation (hardware, software, installation, training) — — —

Total cost for largest LIS installation (hardware, software, installation, training) — — — Distinguishing features (supplied by company)

• end-to-end lab automation; Web-based outreach; billing and EMR interfaces

• will interface physician Web portal with most other LISs via HL7 interface

• pain-management report system with drug and metabolite interactions

• cost • functionality • service

• seamless native data transfer from LIS to EMR without need for interfaces or translations • integrated PPID specimen collection; end-to-end

specimen tracking; quality control modules • customer-driven development philosophy; customers

guide design and direction of product and help prioritize where to take the system

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Part 6 of 12 Evident, a CPSI company HEX Laboratory Systems LabSoft

Sales Department [email protected] Susan Bollinger [email protected] Sales [email protected] 6600 Wall St. 1042B El Camino Real, Suite 308 2202 N. Westshore Blvd., Suite 115 Mobile, AL 36695 Encinitas, CA 92024 Tampa, FL 33607

See captodayonline.com/productguides for an interactive version of guide 800-711-2774 www.evident.com 800-729-2085 www.hexlab.com 800-767-3279 www.labsoftweb.com

Name of laboratory information system Thrive EHR† _{LAB/HEX LIS} _LabNet

First ever/Most recent LIS installation (based on August 2015 survey deadline) 1986/August 2015 1981/August 2015 1992/2015 Last major product release or update for featured LIS October 2014 (version 19) April 2015 (version lh82) —

Total No. of contracts for sites operating LIS 507 154 300+

• Contracts for other U.S. sites/Contracts for foreign sites 0/0 9 (veterinary, research)/11 (independent labs) 3 (research)/1 (hospital)

Contracts signed but LIS not yet operational (hospitals/independent labs/other sites) 1 (1/0/0) — 0

Total No. of sites operating LIS/No. of these sites that are outside U.S. 507/— 169/11 (Mideast) 300+/1 (Trinidad) Percentage of high-volume* sites installed/Low-volume** sites installed 1%/99% 58%/42% 30%/70% Provide list of installed client sites to potential customers on request no (information is confidential) yes (partial list relative to prospect) yes (partial list) Clients restricted from sharing with others their experience with

No. of employees in entire company 1,375 13 8

Range in No. of user workstations in sites operating LIS 6–500 (average, 100) 3–64 (average, 24) 1–88 (average, 6)

Central hardware or service type IBM x3850 Intel RAID Dell, Hewlett-Packard

system continues uninterrupted (user’s option) manual intervention necessary to restore operation or system continues uninterrupted (user’s option) manual intervention necessary to restore operation

Programming language(s) Visual C++ Thoroughbred Delphi

Operating system(s) Linux Linux Windows

Databases and tools SQL Thoroughbred Idol-IV SQL

System includes full transaction logging yes — —

Languages (other than English) offered on system none Spanish none

• Microbiology/Public health microbiology 100%/0 100%/5% 20%/2%

• Blood bank donor/Blood bank transfusion 1%/1% not available/not available not available/not available

• Surgical pathology/Cytology 1%/1% 10%/100% not available/not available

• Molecular pathology/Cytogenetics/Flow cytometry 0/0/0 10%/10%/1% not available/not available/not available

• EHR interface for admission/discharge/transfer (ADT) 100% 50% not available

• EHR interface for order entry/Results reporting 100%/100% 75%/75% 30%/available

• EHR interface for packaging results into CDA1 format/CDA2 format 100%/100% 75%/50% 30%/—

• Compliance checking/Billing and accounts receivable 100%/100% 100%/75% not available/not available

• Materials management and inventory 100% 2% not available

• Test partition/Remote faxing or printing 100%/100% 100%/100% not available/10%

• Specimen management and tracking — 100% 100%

• Compliance and quality assurance tools/Environmental health 100%/0 100%/1% 100%/not available

• Business analytics 0 100% not available

• Microbiology data (culture and sensitivity) yes yes no

• Other reportable diseases (blood, lead, immunology, etc.) yes yes no

• Diagnosis and other data for tumor registry**** yes yes no

Other lab-related IT vendors’ systems to which software has an interface Dawning Technologies Cerner, McKesson, Orchard, CompuGroup, NextGen,

GE Healthcare, Allscripts, Greenway, others GE Healthcare, Epic, Allscripts, Cerner, Meditech, Siemens, SCC Soft Computer, others Total lab automation systems or workcells to which LIS can interface Beckman Coulter, Siemens, Ortho Clinical Diagnostics,

Labotix Automation, Thermo Scientific, Olympus America, Roche Diagnostics, Abbott Diagnostics

Beckman Coulter, Siemens, Roche Diagnostics,

Abbott Diagnostics Beckman Coulter, Siemens, Olympus America LIS allows third-party updates of tables and rules yes (Micromedex) yes (CodeMap, Medicare, others) yes (CodeMap)

LIS allows for image capture, display, reporting yes yes no

Software provides indexed field in each test definition for LOINC code yes yes no

Provide LOINC dictionary for each new installation yes no no

LIS supports use of SNOMED CT yes yes no

Use third-party middleware for instrument interfaces yes (use third-party middleware for all instrument

interfaces) no (interface directly) no (interface directly)

Percentage of LIS clients that use positive patient ID systems to identify

patients and blood specimens at bedside 100% (80% of total use Evident’s PPID software/20% of total use third-party PPID software) — 0 Source code/User group that meets regularly escrow/yes (meets via webinar and in person) escrow/no no/no Methods by which users can tailor LIS in their own setting ad hoc query tools, dictionary settings, table

maintenance wraparound programming, ad hoc query tools, user-defined interfaces, dictionary settings, flags, others user-defined interfaces, dictionary settings

cloud-based product (client’s option) available as either a standalone product or an ASP or cloud-based product (client’s option); the latter based on $5,000 start-up plus monthly fees starting at $500/month

no

Total cost for smallest LIS installation (hardware, software, installation, training) $50,000 (annual maintenance fee, $625) $19,000 (annual maintenance fee, $3,600) $10,000 (annual maintenance fee, $1,000) Total cost for largest LIS installation (hardware, software, installation, training) $70,000 (annual maintenance fee, $875) $125,000 (annual maintenance fee, $15,000) $150,000 (annual maintenance fee, $15,000) Distinguishing features (supplied by company)

• fully integrated EHR and ONC-certified HIT • company builds libraries and data dictionaries as a

standard part of installation and conversion • on-site training and support for all end users, not

just train the trainer †_{formerly CPSI System}

• implementation and installation within weeks; 24/7 live support; on-site hardware support

• reasonable and flexible pricing for all size labs; stable, reliable, flexible system

• billing fully integrated or standalone; eliminates duplicate data entry; ANSI 5010 and ICD-10 ready; electronic billing and remittance

• intuitive; easy to learn and use • flexible and user definable • high value and reliable

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laboratory

information

systems

NOVEMBER 2015 |CAP TODAY 51

Part 7 of 12 LabWare LigoLab Information Systems McKesson

Mike Kelly [email protected] Suren Avunjian [email protected] Susan Eben [email protected] 3 Mill Rd., Suite 102 500 N. Central Ave., Suite 930 5995 Windward Parkway

Wilmington, DE 19806 Glendale, CA 91203 Alpharetta, GA 30005

See captodayonline.com/productguides for an interactive version of guide 302-658-8444 www.labware.com 800-544-6522/818-230-1307 www.ligolab.com 404-338-3239 www.mckesson.com/laboratory

Name of laboratory information system LabWare LIMS LigoLab AP/LIS 4.0† _{McKesson Lab}†

First ever/Most recent LIS installation (based on August 2015 survey deadline) 1999/August 2015 2006/July 2015 1972/July 2015 Last major product release or update for featured LIS February 2015 (version 7) April 2015 (version 3.7) May 2015 (version 15)

• Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 0/8 0/0 1/0 • Contracts for other U.S. sites/Contracts for foreign sites 20 (biobank, veterinary, research, government, pharma/

biotech)/93 (hospital, reference labs, many others) 0/0 0/3 (hospitals)

Contracts signed but LIS not yet operational (hospitals/independent labs/other sites) 20 (2/3/15–pathology, genetics, public health) 5 (0/5/0) 2 (2/0/0)

Total No. of sites operating LIS/No. of these sites that are outside U.S. 223/169 (U.K., India, Kenya, Columbia, many others) 46/0 250/3 (Canada, Saudi Arabia) Percentage of high-volume* sites installed/Low-volume** sites installed 23%/77% 72%/28% 85%/15%

Provide list of installed client sites to potential customers on request yes (partial list that excludes customers that do not

give permission to be included) yes (complete list but prospective client must sign a nondisclosure agreement) yes (partial list based on bed size, specimen volume, HIS/EHR environment, incumbent LIS, more) Clients restricted from sharing with others their experience with

No. of employees in entire company 420 29 43,500

Range in No. of user workstations in sites operating LIS 3–600 (average, 35) 15–360 (average, 60) 10–400 (average, 35) Central hardware or service type database server: Sun, Unix, Linux, Windows, others;

application server: Windows 2008, 2012 ASP or hosted on site Hewlett-Packard, IBM, Dell How central server failure is handled system continues uninterrupted manual intervention necessary to restore operation or

system continues uninterrupted (user’s option) manual intervention necessary to restore operation or system continues uninterrupted (user’s option)

Programming language(s) Smalltalk, Java, .Net Java, C++ Object Pascal, C, C#, Java, Perl

Operating system(s) Windows Windows, Linux, Macintosh, iOS, Android Windows, Red Hat Enterprise Linux, Oracle Linux

Databases and tools Oracle, SQL server, PostgreSQL, DB2 Microsoft SQL, Oracle Oracle

Languages (other than English) offered on system German, Spanish, Swedish, Chinese, many others — none Features/modules (listed as percent of live installs or based on availability)

• Chemistry and hematology/Bar-coded collection labels 55%/95% installed/installed installed/installed

• Microbiology/Public health microbiology 26%/17% installed/installed installed/installed

• Blood bank donor/Blood bank transfusion 2%/0 not available/not available not available/available via McKesson Blood Bank††

• Surgical pathology/Cytology 12%/8% installed/installed available via NovoPath AP system (both)††

• Molecular pathology/Cytogenetics/Flow cytometry 49%/10%/12% installed/installed/installed available via NovoPath AP system (all)††

• EHR interface for admission/discharge/transfer (ADT) 4% installed installed

• EHR interface for order entry/Results reporting 9%/13% installed/installed installed/installed

• EHR interface for packaging results into PDF format 4% installed not available

• EHR interface for packaging results into CDA1 format/CDA2 format available/available installed/installed not available/not available

• Ad hoc reporting/Rules-based system 95%/95% installed/installed installed/installed

• Management and statistical reporting 95% installed installed

• Outreach and/or commercial laboratory 1% installed available via McKesson Lab Outreach††

• Compliance checking/Billing and accounts receivable 20%/35% installed/anticipated avail. second quarter 2016 available via McKesson Compliance Advisor††_/

available via McKesson Lab Financials††

• Materials management and inventory 75% installed not available

• Test partition/Remote faxing or printing 65%/35% installed/installed installed/installed

• HIPAA-standard transaction formats 20% installed installed

• Web-based remote inquiry of reports/Web access for order entry 15%/15% installed/installed available via McKesson Lab Outreach (both)††

• Specimen management and tracking 95% installed installed

• Compliance and quality assurance tools/Environmental health 85%/9% installed/not available installed/installed

• Business analytics 95% installed available via McKesson Lab Analytics††

• Reference lab interface for orders, results return, status return 20% installed installed

• Diagnosis and other data for tumor registry**** yes yes no

Other lab-related IT vendors’ systems to which software has an interface Meditech, Cerner, SCC Soft Computer, others Schuyler House, CIS, Meditech, Psyche, others Sunquest, Cerner, Meditech, Epic, NovoPath, others Total lab automation systems or workcells to which LIS can interface Beckman Coulter, Siemens, Ortho Clinical Diagnostics,

Thermo Scientific, Roche, Abbott, Sarstedt Beckman Coulter, Siemens, Labotix Automation, Thermo Scientific, Olympus America, Roche Diagnostics, Abbott can interface to any LAS that works with Data Innovations’ Instrument Manager LIS allows third-party updates of tables and rules yes (Bio-Rad, LOINC, SNOMED, others) no yes (AMA, CMS, Regenstrief Institute, others)

LIS allows for image capture, display, reporting yes yes no

Provide LOINC dictionary for each new installation no yes yes

third-party middleware) no (interface directly) yes (use third-party middleware for all instrument interfaces) Percentage of LIS clients that use positive patient ID systems to identify

patients and blood specimens at bedside 2% (100% of total use third-party PPID software) — 45% (100% of total use McKesson’s PPID software) Source code/User group that meets regularly optional/yes (meets via webinar and in person) escrow/yes (meets via webinar, conference call, and

in person) escrow/yes (meets via webinar, conference call, and in person) Methods by which users can tailor LIS in their own setting ad hoc query tools, user-defined interfaces, dictionary

settings, rules engine, others wraparound programming, ad hoc query tools, user-defined interfaces, dictionary settings, others ad hoc query tools, dictionary settings, McKesson Lab’s Lab Link

Cost for software modifications to comply with federal regulations and laws standard (no charge) standard (no charge) may be charges for implementation services, interfaces, and new modules provided with upgrade System available via ASP or cloud-based data center no (ASP model under development) available as either a standalone product or an ASP or

cloud-based product (client’s option); the latter based on per case pricing based on case type

available as either a standalone product or an ASP or cloud-based product (client’s option)

Total cost for smallest LIS installation (hardware, software, installation, training) $85,000 (annual maintenance fee, $6,000) — — Total cost for largest LIS installation (hardware, software, installation, training) $5,000,000 (annual maintenance fee, $400,000) — — Distinguishing features (supplied by company)

• standard user license includes fully integrated tools for molecular diagnostics, histopathology, microbiology, biobank, research

• powerful workflow-management tools that improve customer service and streamline lab costs • can quickly address new business and technology

requirements; user-friendly configuration tools

• includes all modules and interfaces a modern anatomic or clinical pathology laboratory requires • no up-front capital investment; pay per case • upgrade program—new features deployed to current

customers on a quarterly basis at no additional cost †_{formerly LigoLab AP/LIS 3.5}

• ONC-ACB certified as a modular EHR for meaningful use stage two, 2014 edition

• support center practices (SCP) certified for multiple years

• substantially decreased total cost of ownership with availability of Linux platform

†_{formerly Horizon Lab} ††_{sold as a separate product}