Pick an Orchard LIS - Orchard Software Corporation · Pick an Orchard LIS ... for the LIS industry in recognition of Orchard’s customer-focused initiatives that have lead to

Pick an Orchard LISand be assured thatyou picked the very best.

About Orchard Software About Orchard Softw

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Seamless IntegrationAs an HL7 organization member and creator of a stand-alone laboratory system, Orchard specializes in seamless integration, which makes host system, EMR/HIS, billing, and reference laboratory interfaces routine, and linking multiple sites possible. Orchard’s Microbiology module and Orchard® Pathology system eliminate paper and electronically integrate these departments with the rest of the laboratory. For remote order entry and result delivery via the Internet or to the EMR, Orchard off ers Orchard® Harvest™ Webstation and Orchard® Copia®.

Customer-driven DevelopmentOrchard keeps growing because we listen to our customers. Th e input from and diversity of our ever-growing user base drives the continuous development of our software and helps us perfect our lab systems to provide the broadest set of features and the fl exibility to handle a variety of laboratory workfl ow and business situations. Orchard is committed to develop, install, and support the very best laboratory information systems. Th is commitment is the reason for our success, and we’ve been recognized for doing just that.

Award-winning Laboratory Information Systems

For many years, the readers of Advance for Administrators of the Laboratory have voted Orchard Software the Top of the Class in the Information Systems category, and as researched by KLAS, Orchard Software has been consistently the highest scoring LIS in the Community Hospital Clinical and Ancillary Solutions category. Recently, and for the second year in a row, Orchard’s web-connectivity product received the highest ratings in a survey conducted for Lab Economics. In addition, Frost & Sullivan presented Orchard Software its Customer Value Enhancement Award for the LIS industry in recognition of Orchard’s customer-focused initiatives that have lead to the highest satisfaction rates in the industry.

From the seeds sown in our fi rst installation in 1993, Orchard Software continues to grow and develop software that makes life easier in the lab. Simply said, we’re the best, and that’s why laboratories from the boroughs of New York to the islands of Hawaii are harvesting the power of an Orchard LIS.

Call Orchard for a demonstration of the award-winning Harvest LIS tosee what kind of success our growth can sow for you.

www.orchardsoft.com

About Orchard Software

Improve Effi ciency, Reduce Errors, and Increase ReimbursementsOur award-winning Orchard® Harvest™ LIS utilizes process automation; robust instrument, billing, host system, EMR/HIS, and reference laboratory interfaces; and rules-based technology to address regulatory and integration issues and simplify laboratory workfl ow. Harvest LIS improves reimbursements and simplifi es the time-consuming task of medical necessity validation by automatically screening ICD-9 codes, testing frequency, and experimental procedures during order entry.

Orchard Software installed its fi rst Laboratory Information System in Indianapolis, Indiana,

in 1993. Since that fi rst installation, hundreds of clinical laboratories across the country

have turned to Orchard Software for their LIS—including all types and sizes of multi-site and

multi-specialty clinics and physician offi ce laboratories, hospitals, regional reference labs, student

health service centers, public health organizations, and research laboratories.

(800) 856-1948

July 1993 On July 1st, Rob Bush, Ben Bush, and Jef-frey Kain offi cially start Orchard Software Corporation.

August 1993 Th e fi rst version of Orchard’s LIS, named Costello™ at the time, is ready for testing and is based on 32-bit technology and designed with a graphical user interface.

April 1996 Orchard reaches 100th customer milestone.

June 1996 Orchard’s LIS runs on the recently released Windows® 95 platform.

September 1998Orchard begins implementing HL7-based interfaces to medical record systems and billing systems.

December 1998Orchard reaches 200th customer milestone.

June 2000Orchard releases Costello version 3.0 software under the new name of Orchard Harvest LIS.

August 2000 Orchard releases Orchard® Harvest™ Web-station as an Internet-based, cost-eff ective outreach solution for remote order entry and result delivery.

November 2000Orchard introduces the fully integrated Harvest LIS Microbiology Module.

March 2001 Orchard reaches 300th customer milestone.

June 2001 Orchard begins off ering centralized train-ing courses at its corporate headquarters in Carmel, Indiana.

June 2002 Orchard is the fi rst LIS vendor to complete both the clinical and fi nancial components of a bi-directional interface with a national reference laboratory.

November 2002 Orchard is voted Top of Class (fi rst of many years in a row) in the Information Systems category by the readers of Advance for Administrators of the Laboratory.

April 2003 Orchard reaches 400th customer milestone.

May 2003Orchard releases Orchard® Copia® to work with Orchard Harvest LIS or integrate with other legacy lab systems as a front-end outreach system for easy web-based access and direct integration to client providers’ EMRs.

July 2003 Orchard celebrates its 10th anniversary!

January 2004Orchard Software’s centralizedtraining courses are accredited bythe ASCLS P.A.C.E.® Program.

July 2004 Orchard reaches 500th customer milestone.

December 2004 Orchard Software is bestowed the Best in KLAS award for 2004, being #1 in the Community Hospital Clinical and Ancillary Solutions category in the Top 20 Year-end Best in KLAS report for 2004.

July 2005Orchard is awarded the Frost & Sullivan Customer Value Enhancement (CVE) Award in recognition of our customer initiatives that have generated the highest satisfaction rates in the industry.

January 2006Orchard announces the release of Orchard® Pathology.

May 2006Orchard releases Harvest LIS version 7.0.

June 2006Orchard reaches 600th customer milestone.

December 2006Orchard reaches a multi-year agreement with CLMA, making Orchard Software the headline sponsor of Th inkLab, CLMA’s annual conference and exhibition.

September 2006Orchard receives the highest rating for its web-connectivity product as surveyed by Lab Economics (fi rst of two years in a row), and Orchard holds the fi rst symposium for users in Portland, Oregon.

February 2007 Orchard releases version 4.0 of Orchard Copia, which contains many major new and updated features requested by our users.

June 2007Orchard releases Harvest LIS version 7.5.

October 2007Orchard reaches 700th customer milestone.

July 2008Orchard releases Harvest LIS version 8.0.

August 2008Orchard exceeds 800 customers.

December 2008In the Top 20 Year-end Best in KLAS report for 2008, Orchard Software continues to be the highest scoring LIS vendor in the Community Hospital and Ambulatory Solutions categories.

Orchard keeps growing...

OverviewOverviewO

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Orchard’s laboratory information systems provide you with the tools to help you

maintain a productive laboratory despite current staffing shortages, tightening

reimbursements, and changing healthcare environments. Utilizing process automation;

robust instrument, billing, host system, and reference laboratory interfaces; and rules-

based decision-support technology, Orchard’s systems address regulatory issues, improve

efficiency, reduce errors, and increase reimbursements.

Awards & RecognitionWe know your purchase is more than an LIS, and to be a truly great company we must understand your expectations and then exceed those expectations in both the product and in your experience with the company itself. Orchard’s customer-focused approach is confi rmed time and time again through numerous awards and recognition.

Order EntryHost system integration and the decision-support technology available in Harvest LIS help to manage the order entry process, eliminating errors, increasing revenue, and helping your order entry staff save time and speed up the check-in/order process.

Reimbursement ScreeningImprove reimbursements and simplify the time-consuming task of medical necessity validation during order entry by automatically screening for ICD-9 codes, testing frequency, and experi-mental procedures, and when necessary, generating an ABN.

Rules-based Decision-Support TechnologyCustomizable rules reduce errors and aid in decision making for order entry, billing/CPT codes, splitting orders, auto-approval of patient results, refl exing additional testing, automatic comments, clinical follow-up recommendations, and result delivery.

Patient ReportsPatient report formats are customizable and can present historical results in a graphical format, and you can easily format cumulative reports to satisfy the requests of individual providers.

Result Delivery Orchard’s systems have several customizable reporting options, enhancing your lab’s value to providers and patients. Upon approval in the lab, reports can be printed, faxed, emailed, web-delivered, or sent to a host system to meet each provider’s needs.

Patient RecordsPatient results are fi led electronically in the patient’s record, so they are readily available to view, print, fax, email, web-deliver, or send to a host system, eliminating paper fi les and the time-consuming task of manually locating and delivering them.

Administrative ReportsStreamlined administrative queries are a quick and easy source for information, giving you the data you need to monitor and increase productivity and quality in your lab.

Data MiningData browsers by Patient, Order (Case in AP), Order Choice (Specimen in AP), and Result are data mining tools that make it very easy to create ad hoc reports and to schedule them to run automatically, without the need for complex programming or the help of the IT department.

Quality ControlConfi gurable Westgard rules and extensive support for qualitative and quantitative QC make QC management quick and easy, and QC approval rules prevent patient results from being reported before QC results are approved.

System SecurityIn today’s HIPAA-conscious environment, security is an important concern for labs, and robust security features assist your system administrator in managing security in a variety of ways.

Systems IntegrationHarvest LIS is the clear choice for “best-of-breed” integrated systems. Using the HL7 format, billing, host system, EMR/HIS, and reference laboratory interfaces are routine, and the seamless integration of multiple laboratory sites is possible.

Installation ProcessFor every installation, an Orchard Systems Engineer will come on-site to ensure that your system is running smoothly and that the system administrator knows its inner-workings inside and out.

User Training To get the full advantage of the robust features in your laboratory system, Orchard off ers four diff erent training classes throughout the year at our headquarters in Carmel, Indiana.

Technical SupportAll three annual support options include all software upgrades and 24/7/365 one-on-one technical support. In addition, our symposiums, online user groups, newsletters, and website provide answers, ideas, and tips to ensure that you’re never on your own.

Web-based Outreach, Lab Networks, and EMR IntegrationA variety of outreach, lab networking, and EMR integration options are available to improve the marketability of your laboratory by providing your customers with a single, simple, and cost-eff ective solution for remote order entry and result delivery.

Microbiology ModuleOrchard’s Microbiology module eliminates paper and gives your microbiology department the benefits of rules-based power to manage workflow and provide technical direction. In addition, CLSI/NCCLS-approved antibiograms make tracking susceptibility patterns simple by automatically eliminating duplicate results.

Orchard PathologyOrchard Pathology, installed as a stand-alone system or fully integrated with Harvest LIS, is an intuitive, easy-to-use system that provides users with all the benefits of electronic record-keeping, rules-based decision support, and the integration of clinical and molecular data on a single patient report.

Blood Bank & BillingAs a “best-of-breed” interoperable system, Orchard works with a variety of blood bank and billing system vendors to develop and install fully integrated packages to fulfi ll the requirements of hospitals and independent reference laboratories.

(800) 856-1948 www.orchardsoft.com

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Orchard Harvest Sunquest (Misys) McKesson Horizon Meditech

SCC SoftLab Asprya/CCA CyberLab II Cerner Classic Cerner Millenium Pathnet

Siemens Novius GE Centricity Ultra Antek LabSoft

Awards & RecognitionAwards & RecognitionAw

ards & Recognition

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Orchard keeps growing because we listen to our customers. The input from our

diverse user base drives the continuous development of our systems and helps us

perfect our LIS to provide the broadest set of features equipped to handle a variety of

laboratory workflows and business situations. Orchard is committed to developing, in-

stalling, and supporting the very best laboratory information system. This commitment

is the reason for our success, and we’ve been recognized for doing just that.

Top of ClassFor many years, readers of Advance for Administrators of the Laboratory voted Orchard Software the Top of the Class in Laboratory Information Systems. Some of the reasons noted were: fl exible and inexpensive, easy to maneuver, excellent tech service department, open lines of communication, and responsiveness.

Orchard’s Highest Rating for Web-connectivityRecently, users of Orchard’s web-connectivity product were polled for Lab Economics, and for the last two years, Orchard’s users gave Orchard the highest combined rating over all other ven-dors surveyed. This high rating was based on customer satisfaction and willingness to buy again, which put Orchard at the top of this web vendor survey.

Highest Customer SatisfactionIn 2005, Orchard Software was awarded Frost & Sullivan’s Customer Value Enhancement (CVE) Award for the LIS industry. This award was given to Orchard in recognition of our ongoing customer initiatives that have led to the highest satisfaction rates in the industry.

Best in KLASIn 2003, KLAS began including Orchard Software in its research and reporting, and since then, Orchard Software has consistently maintained the highest overall score of all other LIS vendors in the respective Market Segment Categories. In early 2005, Orchard was bestowed the Best in KLAS award for 2004 for being #1 vendor in the Community Hospital Clinical and Ancillary Solutions category in the Top 20 Year-end Best in KLAS Awards report 2004.

More recently, as published in the Top 20 Year-end Best In KLAS Awards report 2008, Orchard Software was ranked the #1 LIS vendor in the Community Hospital and Ambulatory Solutions categories. Orchard re-ceived an overall score of 92.22 out of 100 in the Community Hospital category and 90.80 out of 100 in the Ambulatory Solutions category. No other LIS vendor listed in the survey received an overall score above 90.

In December 2008, KLAS published their biennial Comprehensive Laboratory Information System Study where ten LIS vendors were evaluated. Orchard continues to lead the pack in 2008! Since Orchard was fi rst included in KLAS research, Orchard has consistently maintained its high performance, leading to consistently high scores.

To quote KLAS from the 2008 LIS study, “Product quality, development, customer service, and imple-mentations are all seen as a signifi cant strengths. It is exciting to see a vendor doing so many things this well. From the beginning, a lot of people have had a wow experience with Orchard. Th eir training is a wow. Th e installer is a wow. Th ey have very knowledgeable,

responsive support people, and that is a wow. Th eir development is very plugged in. User groups report programmers or engineers listening in the back of the room; that is a wow.”

KLAS monitors and reports on the performance of Healthcare Information Technology vendors. KLAS interviews thousands of healthcare professionals to create a dynamic database of performance information on HIT software and products. For more information, visit KLAS’ website at www.klasresearch.com.


Orchard Software’s President, Rob Bush, accepts the Customer Value Enhancement Award from John Ruggles, Vice President of Frost & Sullivan.

Adam Gale, President of KLAS, presents Orchard executives (left to right in the red shirts) Rob Bush, President; Kerry Foster, Director of Marketing; and Curt Johnson, Vice President of Sales and Marketing; with the 2007 Category Leader Award.

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KLAS’ Business Indica-tors are asked as simple Yes/No questions, whose results are reported as a percentage of affi rma-tive responses. Business indicators provide more of an overall view of the system and include questions such as “Would you buy the product again?” Orchard Software has consistently ranked the highest in business indi-cators since 2003.

Copyright 2008 KLAS Enterprises LLC - All rights reserved.

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Order EntryOrder EntryO

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Host system integration and the decision-support technology available in Orchard’s

systems help to eliminate errors, increase revenue and save time during the check-

in/order process. You can use order entry rules to manage or eliminate duplicate orders

or tests not appropriate for the patient age or gender, to route tests to outside labs if the

insurance company reimburses less than it costs to do the test in-house, to automatically

add venipuncture charges, and more.

Host Interfaces Increase ReimbursementsUse an interface from Harvest LIS to your EMR or practice management system to capture real-time updates to patient insurance and billing records, and you’ll never risk losing a reimbursement because a sample was tested at a laboratory not authorized by the patient’s insurance plan.

Rules can be set up based on insurance, provider, or other criteria to ease the process of test routing. Th is ensures that the tests are being performed in the correct lab to maximize reimbursements and eliminate duplicate tests.

Order entry rules can ensure that samples are sent to dif-ferent labs, without having to enter the order separately, saving time and reducing order entry errors.

Simplify Order RoutingWithin a health network, ordering laboratory work can be a complicated process. Order entry can involve multiple locations for ordering, drawing, and testing. Successful ordering involves the management of ever-changing insurance plans and contracted laboratory testing, correct diagnosis codes, destination fi lters, and split order rules to route orders to the correct testing laboratory.

Decision support technology in Harvest LIS can be confi gured to automatically split orders during order entry based on the sample type, storage temperature, testing location, order location, billing status, order choice priority (Routine, ASAP, and STAT), or order choice type (microbiology, hema-tology, etc.). Rules trigger alerts before the order is saved, eliminating the potential for errors.

To streamline the sample distribution process, Harvest LIS supports test orders for both interfaced and non-interfaced reference laboratories. For orders requiring multiple testing locations, Harvest LIS auto-matically splits the order and prints specifi c labels, requisitions, and/or manifests, based on the routing specifi cations. And if an insurance company reimburses less than it costs your laboratory to perform the test in-house, order entry rules allow you to route poorly reimbursed tests to outside labs.

Confi gure patient alerts to notify users of certain patient-specifi c information. Once defi ned in the patient fi le, the alert will display each time an order is placed for that patient.

Create order entry rules to alert users when an order is incorrect. Th e alert window color can be customized to draw attention. Order entry rules can also be confi gured to automatically perform an action, such as deleting a BMP from an order where a CMP was also ordered.

Reimbursement ScreeningReimbursement ScreeningReim

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Medical Necessity Checking Made EasyWith Harvest LIS, maintaining your medical necessity checking is simple. You can download the master ICD-9 dictionary and National Coverage Determinations (NCDs) from Orchard Software’s website and easily import them into your Harvest LIS database.

Orchard Harvest LIS improves reimbursements and simplifies the time-consuming

task of manual medical necessity validation by automatically screening ICD-9

codes, testing frequency, and experimental procedures during order entry.

Test Routing Rules Maximize

ReimbursementsOrder entry rules allow you to route poorly reimbursed tests to more cost-effi cient reference laboratories, should an insurance company reimburse your lab less than it costs to perform the test in-house.

Documentation of Problem OrdersTh e Reimbursement Problem Report docu-ments all orders with medical necessity, fre-quency, and research reimbursement issues, which allows you to proactively address concerns with your providers.

Premier Medical Laboratoryy701 Congressional Avenue

Carmel, IN 46032Suite 360(800) 856-1948

K090208650

Patient ID: A123CSID:

Abrams, Jerome G.

Nombre del paciente:

09/02/08

Fecha:

por el pago, pero

según las instrucciones en el MSN. Si Medicare paga, se me

sobre la presente notificación o el cobro a Medicare, llame al (1-800-633-4227/

Si tiene otras preguntas

Razón por la que no está cubierto por Medicare:

Firma:

NOTIFICACIÓN PREVIA DE NO-COBERTURA AL BENEFICIARIO (ABN)

NOTA: Si Medicare no paga los pruebas de laboratorio a continuación, usted deberá pagar.

Costoestimado:

Si escoge la opción 1 ó 2, podemos ayudarlo a usar cualquier otro seguro que tal vez tenga, pero

Escoja una opción a continuación sobre si desea recibir los pruebas mencionado anteriormente.

Háganos toda pregunta que pueda tener después de que termine de leer.

De conformidad con la Ley de reducción de los trámites burocráticos de 1995, nadie estará obligado a responder en todo pedido para recabar información a menos que se identifique

con un número de control OMB válido. El número de control OMB válido para esta recolección de información es 0938-0566. El tiempo necesario para completar esta solicitud de

información se calcula, en promedio, 7 minutos por respuesta, incluido el tiempo para revisar las instrucciones, buscar en fuentes de datos existentes, recabar los datos necesarios y

llenar y revisar los datos recogidos. Si tiene comentarios sobre la precisión del cálculo del tiempo o sugerencias para mejorar el presente formulario, sírvase escribir a: CMS, 7500

Security Boulevard, Attn: PRA Reports Clearance Officer, Baltimore, Maryland 21244-1850.

Pruebas de Laboratorio:

OPCIÓN 1. Quiero los pruebas de laboratorio mencionado anteriormente. Puede cobrarme

Formulario CMS-R-131 (03/08)

OPCIONES: Sírvase marcar un recuadro solamente. No podemos escoger un recuadro

por usted.

Nota:

1. Lipid Panel (80061)

1. Medicare no paga estos análisis para su problema de salud 1. $38.00

Medicare no paga todo, incluso ciertos servicios que, según usted o su médico, están justificados. Prevemos

Formulario aprobado OMB No 0938-0566

LO QUE USTED NECESITA HACER AHORA:

Lea la presente notificación, de manera que pueda tomar una decisión fundamentada sobre la atención

OPCIÓN 2. Quiero los pruebas de laboratorio mencionado anteriormente, pero que no se cobre

a Medicare. Puede solicitar que se le pague ahora dado que soy responsable por el pago.

OPCIÓN 3. No quiero los pruebas de laboratorio mencionado anteriormente. Entiendo que con

Fecha:

Al firmar abajo usted indica que ha recibido y comprende la presente notificación. También se le entrega

esta opción no soy responsable por el pago y no puedo apelar para determinar si pagaría Medicare.

No tengo derecho a apelar si no se le cobra a Medicare.

puedo apelar a Medicare

En esta notificación se da a conocer nuestra opinión, no la de Medicare.1-800-MEDICARE

TTY: 1-877-486-2048).

ahora, pero también deseo que se cobre a Medicare a fin de que se expida una decisión oficial sobre el pago,

la cual se me enviará en el Resumen de Medicare (MSN). Entiendo que si Medicare no paga, soy responsable

reembolsarán los pagos que he realizado, menos los copagos o deducibles.

una copia.

que recibe.

Medicare no puede exigirnos que lo hagamos.

que Medicare no pagará los pruebas de laboratorio a continuación.

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Premier Medical Laboratoryy701 Congressional AvenueCarmel, IN 46032Suite 360(800) 856-1948

Abrams, Jerome G.Patient's Name:09/02/08Date: K090208650

Patient ID: A123C

SID:

this notice or Medicare billing, call (1-800-633-4227/ 1-877-486-2048).

for payment, but by following the directions on the MSN. If Medicare

Reason Medicare May Not Pay:

Signature:

ADVANCE BENEFICIARY NOTICE OF NONCOVERAGE (ABN)NOTE: If Medicare doesn't pay for the laboratory tests below, you may have to pay.

If you choose Option 1 or 2, we may help you to use any other insurance that you might have, but Medicare cannot require us to do this.

Choose an option below about whether to receive the laboratory tests listed above.

Ask us any questions that you may have after you finish reading.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-0566. The time required to complete this information collection is estimated to average 7 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have comments concerning the accuracy of the time estimate or suggestions for improving this form, please write to: CMS, 7500 Security Boulevard, Attn: PRA Reports Clearance Officer, Baltimore, Maryland 21244-1850.

Laboratory Tests:

OPTION 1. I want the laboratory tests listed above. You may ask to be paid now,

Form CMS-R-131 (03/08)

OPTIONS: Check only one box. We cannot choose a box for you.

Note:

Medicare does not pay for everything, even some care that you or your health care provider have

Form Approved OMB No. 0938-0566

WHAT YOU NEED TO DO NOW:Read the notice, so you can make an informed decision about your care.

but I also want Medicare billed for an official decision on payment, which is sent to me on a

OPTION 2. I want the laboratory tests listed above, but do not bill Medicare. You may

ask to be paid now as I am responsible for payment.

OPTION 3. I don't want the laboratory tests listed above. I understand with this choice

Date:

I cannot appeal if Medicare is not billed.

I am responsible for payment, and I cannot appeal to see if Medicare would pay.not

Signing below means that you have received and understand this notice. You also receive a copy.

If you have other questions on

I can appeal to Medicare

This notice gives our opinion, not an official Medicare decision.1-800-MEDICARE TTY:

Medicare Summary Notice (MSN). I understand that if Medicare doesn't pay, I am responsible

does pay, you will refund any payments I made to you, less co-pays or deductibles.

good reason to think you need. We expect Medicare may not pay for the laboratory tests below.

1. Lipid Panel (80061)

EstimatedCost:

1. Medicare does not pay for these tests for your condition 1. $38.00

Patient Copy

ICD-9 Screening Increases ReimbursementsHarvest LIS automatically screens for valid ICD-9 codes, testing frequency, and experimental pro-cedures during order entry, fl agging all potential reimbursement issues. If an ABN is required, you can generate and print either a Medicare ABN or a non-Medicare ABN in English or Spanish. Harvest LIS will auto-matically add the correct billing modifi er, ensur-ing complete and ac-curate coding, as well as timely reimbursement.

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Th emequwhco

Premier Medical Laboratory

701 Congressional Avenue

Carmel, IN 46032Suite 360

Daily Reimbursement Problem Report Order Date 9/1/2008 - 9/3/2008

Provider: Anderson, MichelleOrder Choice Diagnoses and/or Problem Patient

SIDK090208656 CBC with Auto 250.00 600.00

Abrams, Jerome G. (A123C)

Differential

K090208657 Lipid Panel250.00 600.00

Abrams, Jerome G. (A123C)

K090208657 Prostate Specific Antigen FrequencyAbrams, Jerome G. (A123C)

Total: 3

Provider: Black, JosephOrder Choice Diagnoses and/or Problem Patient

SIDK090208660 Electrolyte Panel Frequency

Bonnell, Frank S. (48295819)

K090208660 Magnesium250.00

Bonnell, Frank S. (48295819)

Total: 2

Provider: Johnson, SylviaOrder Choice Diagnoses and/or Problem Patient

SIDK090208659 Thyroid Stimulating V58.61

Jordan, Lois E. (808200001)

Hormone

K090208661 CBC with Auto V70.0Rodriquez, Maria G. (3050497)

Differential

K090208662 DigoxinV70.0

Rodriquez, Maria G. (3050497)

K090208662 Thyroid Stimulating V70.0Rodriquez, Maria G. (3050497)

Hormone

Total: 4

Printed on

Page:

September 2, 2008 12:43

1

Stay on top of potentialreimbursement problems with the ReimbursementProblem Report.

When a potential problem exists, Harvest LIS will color code the diagnosis codes to draw attention to the issue.

this notice o

Signature:

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Patient Copy

If required, Harvest LIS will automatically generate anAdvance Benefi ciary Noticein either English or Spanish.

When the order is saved, an alert will display if there is a reimbursement problem based on entered diagno-sis codes, test frequency, or other reimbursement problem triggers. From this point, the user can print an ABN form in English or Spanish for the patient to sign, recheck the order, or indicate that the form was unsigned or the patent refused to sign.

Rules-based Decision-support TechnologyRules-based Decision-support TechnologyD

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Orchard’s broad and diverse customer base has made Orchard’s lab systems the lead-

er in flexible, rules-based, decision-making technology. Orchard’s decision-support

technology improves workflow efficiency and reduces errors by offering advanced cus-

tomizable rules to aid in decision making for order entry, splitting orders, auto-approval

of patient results, reflexing additional testing, adding automatic comments, making

clinical follow-up recommendations, and result delivery.

Rules for Order EntryOrder entry rules can be used to manage or eliminate duplicate orders or tests not appropriate for the patient age or gender, to route tests to other labs based on patient’s insurance, to split orders, to automatically add venipuncture charges, and more. Rules alert the user before the order is saved, eliminating the potential for errors.

Rules for Result EvaluationHarvest LIS’ rules-based technology ensures the consistent execution of procedures, increases the productivity of your staff , and increases the speed of training new staff members. You can base rules on numerous data points, including test results, delta violations, providers, locations, patients, order priorities, and patient ages. You can also determine what actions Harvest LIS takes when a rule is triggered, such as adding required comments, holding tests, refl exing order choices, or printing form letters.

Harvest LIS captures instrument fl ags and error messages, eliminating instrument printouts and allowing technologists to review results at a single workstation. Th is feature is particularly benefi cial in the Hema-tology lab, where there can be diff erent technologists performing hemograms and manual diff erentials.

Rules for Result Delivery With Harvest LIS’ rules for result delivery, you can automate the delivery of printed and/or faxed reports based on many conditions, including the provider, order location, draw location, test location, reporting group, order priority (Routine, ASAP, and STAT), or severity of the order. Th is eliminates manual steps that are time consuming and prone to error.

Rules for Microbiology Thresholds and Anatomic Pathology Result EvaluationBecause the Harvest LIS Microbiology module and Orchard Pathology system are fully inte-grated with Harvest LIS, robust rules-based decision-making power is available throughout the modules. With the Microbiology module, you can write microbiology threshold rules. You can document Kirby-Bauer zone sizes and let Harvest LIS provide interpretations using threshold rules based on organism, antibiotic type, and source. Th e module also supports CLSI/NCCLS deduced drugs. For pathology, you may create rules to present technical instructions automati-cally. As an example, you can customize result evaluation rules for workfl ow scenarios to suit an individual pathologist’s needs, and set up automatic refl ex ordering for send-out tests and correla-tions based on the interpretation/results.

Rules for CPT CodesDesign CPT rules to automatically consolidate or change billing codes if testing conditions require it. For example, the decision to report a manual diff erential could trigger a rule to suppress the CBC with an automated diff erential billing code and change it to a hemogram with platelets and a manual diff erential code. You can create as many custom profi les as you want and let Harvest LIS’ CPT/billing rules ensure that the proper codes are assigned. Having accurate coding for work performed will increase reimbursements.


It is very easy to see when a rule has been triggered. Th e Review Results window highlights the result that has met a rule’s crite-ria in bright yellow, alerting the technologist that further action is required.

Th e Triggered Rules window displays the suggested action for the technologist when a rule is fi red.

“My favorite thing about Harvest is the way rules make the product so easy to use. I went through a period of two years without an applicant, so the rules and ease of use made it very easy to train tempo-rary help.” — Keree Olsen, Wray Community Hospital

Resu

lt D

eliv

ery

Result Delivery

Enhance the value of your laboratory to providers with Orchard’s customizable report-

ing options, which allow you to communicate results in a timely and sophisticated

manner. Upon approval in the lab, reports can be printed, faxed, emailed, web-

delivered, or sent to a host system to meet providers’ individual needs.

Automate Result Delivery to Provider PreferencesOrchard’s rules-based result delivery technology and print, fax, email, and Internet reporting options give you the fl exibility to set up auto-delivered reports and courtesy copies to single or multiple providers in the format each one prefers. Upon approval of results, auto-delivery rules immediately trigger remote delivery of printed reports, saving the time of manual delivery. You may create global schedules for automatic result delivery, as well as printer-specifi c schedules that will override the global schedules, if required. Use the Result Delivery Log to verify or track report deliveries, eliminating manual confi rmation of receipt.

(800) 856-1948

By setting up various printers in Harvest LIS, you can easily schedule batch reports to print at specifi c times during the day, easing the delivery of reports to certain providers.

Result DeliveryResult D

elivery

www.orchardsoft.com

Harvest LIS provides a Result Delivery Log that details the specifi cs of every delivered report for a given date range.

Enhance Reports with GraphicsHarvest LIS off ers easy-to-format reports that include single-sample, historical, or cumulative reports. Incorporate color graphs to visually document result trends, highlight abnormal and critical values, and enhance patient education. Depending on your report settings, you can also include age- and gender-based reference ranges, as well as patient, order, or individual test-level comments.

Access Results via the InternetBy adding Orchard Harvest Webstation or Orchard Copia (refer to the Web-based Outreach tab in this folder for additional information) to the Harvest LIS system, providers can retrieve and review results at their convenience from any web-enabled PC.

Patient RecordsPatient RecordsPatient Records

Pati

ent R

ecor

ds

Eliminate the frustrating and time-consuming task of manually locating and faxing lost or

historic patient reports. With Orchard Harvest LIS, patient records are electronically filed,

easy to access, and readily available to view, print, fax, email, or web-deliver.

Historical Results at Your FingertipsHarvest LIS simplifi es searching for historical patient information because all patient data is electronically stored in a consolidated patient record that can be found quickly and easily with a variety of search criteria. Using Harvest LIS’ electronic outreach options, you can give your providers their own direct and secure access to patient records from any web-enabled PC, eliminating numerous in-bound phone calls for historical data (see the Web-based Outreach tab in this folder for additional information).


All information relating to a patient can be found from within one window in Harvest LIS. Click on the diff erent tabs to view patient demographics, encounter information, insurance infor-mation, and test results.

When viewing a patient fi le, the simple click of a mouse will display any historical results for a certain test. In addition to displaying the histori-cal results, Harvest LIS can create a historical result graph showing the historical pattern of results. Th at graph can easily be printed for a provider.

Documents such as insurance cards can be scanned and attached to the pa-tient demographic record.

Th e patient’s rejected order history is easily accessbile within the patient record.

Patient photos can be attached to the patient demographic fi le to verify identifi cation at the time of collection. You can also record patient aliases within the patient record.

Data MiningData MiningD

ata Mining

Dat

a M

inin

g

Orchard knows that one of the most important functions in any laboratory information

system is the ability to use the data contained in the system for various reporting needs

and quality assurance initiatives. Orchard’s systems provide the ability to easily and efficiently

report information on any field in the database utilizing a user-friendly graphical user interface

built directly into the software. This comprehensive data mining functionality provides the lab

with its own easy-to-use report writing tool, eliminating the need for separate data mining

programs (e.g. Crystal Reports) or additional IT support to program, set up, and run lab reports.

Reports Without Complicated ProgrammingUsing the various data browsers (Result, Order Choice, Order, and Patient), you can select search criteria related to specifi c patients, order choices, orders, and tests, and then view results that match those criteria. By using the robust user interface, you can simultaneously pull data from a multitude of diff erent fi elds. Once you have built the fi lter and gathered the information, you can save the criteria to use at a later date. You can then export the contents of the browser into other programs (e.g. Excel), distribute it as needed, or format it for reports and printing. You can even schedule Harvest LIS to create and print your reports automatically, without the need for complex programming or the help of the IT department.

Increase ReimbursementsUtilizing the Result Browser to generate administrative reports may lead to increased reimbursements from insurance companies. Harvest LIS easily displays a history of order choices or tests performed so that you can provide timely and consistent information to providers and insurance companies, increasing the likelihood of complete reimbursement.

Simplify Monthly Reports via Administrative ReportsUse Harvest LIS’ data browsers to write detailed queries and save criteria for recurring reports. For example, use the Harvest LIS Result Browser to monitor a technologist’s productivity on a daily, weekly, or monthly basis; or quickly view the volume of patients you test at your laboratory, along with the frequency of certain tests. Th ese features allow managers to focus less on administrative paper trails and more on increasing productivity and quality in the laboratory.


Using Harvest LIS’ robust browsers, mining data is quick and easy. You can select all of the options you want to browse in any set of data. Additionally, you can save criteria and/or schedule automatic browsers to run unattended at certain times. Th ese unique features make management of data simple, allowing you to focus more time on your laboratory.

Harvest LIS has the ability to export data from data browsers into a comma-delimited fi le that can be opened in Micro-soft Excel for your data manipulation needs.

“My lab services a 60 physician group. I have worked with 3 diff erent lab systems over the course of my 30 year career. I am frequently asked by administration to provide statistical information and data assessment for all kinds of strategic plans. I also use the browser functions in Orchard to assess and troubleshoot instru-ment performance. Whatever the issue is, I am always able to provide the information needed in a matter of minutes. From any of the previous systems, this kind of information would take days or sometimes weeks to get and quite often required some kind of additional payment as well. To me, personally, it is ‘priceless.’” — Prudence Cass, Hawthorne Medical Associates

TECH PRODUCTIVITY

Quality ControlQ

uality ControlQ

ualit

y Co

ntro

lQuality Control


W ith Orchard Harvest LIS, sophisticated quality control features make QC management

quick, efficient, and easy. Configurable Westgard rules and extensive support for quali-

tative and quantitative QC help you get the most from your quality control data. QC rules can

prevent the release of patient results if QC has not been approved.

Graphs for Easier QC MonitoringHarvest LIS’ quality control has Levey-Jennings graphs that you can generate with a click of the mouse. Westgard rules can be managed at the individual test level, giving you more fl exibility for monitoring trends and shifts in QC. You can make supervisory review comments at the result level and QC level and insert them at an individual data point or date range. Review Levey-Jennings graphs of multiple levels or multiple graphs on one screen, saving valuable time.

Immediate Access to QC RecordsEliminate bulky, hard copy QC fi les by using Harvest LIS to electronically store your qualitative and quantitative QC data, so that you can easily retrieve current and expired (inactivated) QC records at a moment’s notice for inspection or reagent recall.

Eliminate Worries by Auto-scheduling QCAuto-scheduling of QC for control runs ensure that you never have to worry about missing a time limit. Let Harvest LIS watch the clock and calendar and order the QC run for you. Harvest LIS can even manage the QC for those tests ordered infre-quently, so that when one of those tests is ordered, Harvest LIS will auto-matically order the necessary QC.

With the easy click of a mouse, color Levey-Jennings graphs can be printed for one test or all tests and can refl ect changes in dates and levels.

By reviewing the QC File, you have quick electronic access to review comments, change lot information, print graphs and results, set up recurring auto-schedules, and more.

System SecuritySystem SecuritySystem

SecuritySy

stem

Sec

urit

y


Using Security Groups, system administrators can restrict access to patient results and limit

user access to match job requirements. Line-item assignment of security options allows

you to create as many security groups as you need.

Track User Actions to Ensure Appropriate System and Data AccessHarvest LIS also tracks user actions within the system, including successful sign-ins, unsuccessful sign-in attempts, and attempts to access patient data via the patient fi le or data browsers.

Flexible Password Security OptionsBecause user passwords are often a security concern, system administrators can confi gure the system to expire passwords automatically, as well as use pass-word content rules to require that users select secure passwords with various character combinations and case sizes. In addition, administrators can confi gure system security to lock user accounts after a speci-fi ed number of unsuccessful sign-in attempts.

Th e User Actions Log can be used for monitoring the integrity of your patients’ records. Tracking all user actions from sign-in attempts, patient views, and browser views, it shows the user who accessed the information and the computer the action originated from.

n, administrators can confi gure k user accounts after a speci-cessful sign-in attempts.

Password security is enhanced with sign-in attempt lockouts and expiration dates.

Extensive Audit Trail of Changes to the DatabaseTh e Change Log records key changes to the database and provides a complete audit trail. Harvest LIS stores alterations of patient demographics, orders, and database tables in an easily accessible format that is both searchable and printable.

Internet Security through Secure Socket Layers (SSL)If you plan to have web users access Harvest LIS from the Internet using Harvest Webstation or Orchard Copia, then you should use SSL, the indus-try standard for encrypting sensitive data. You may also confi gure the web server to only accept secured connections.

Streamline Password Maintenance with LDAP AuthenticationHarvest LIS has the ability to utilize Lightweight Directory Access Protocol (LDAP) Authentication through facility domain controllers. Th is technol-ogy further secures the Harvest LIS application within your facility and provides your IT staff with the ability to easily maintain security levels and passwords for your personnel.

Th e User Change Log documents the exact date and time that any Harvest LIS user made a change to a patient record.

If LDAP Authentication is enabled, the Harvest LIS sign in window displays a domain fi eld for network validation.

Systems IntegrationSystems IntegrationSy

stem

s In

tegr

atio

nSystem

s Integration


Careful programming and a team of interface specialists make Orchard Harvest LIS the clear

choice for “best-of-breed” integrated systems. Orchard follows HL7 protocols, and with

hundreds of installations across the country, host, EMR/HIS, billing, and reference laboratory

interfaces have become routine, and the seamless integration of multiple systems, and even

multiple laboratories, is possible.

Harvest LIS’ integration abilities provide ease of use and superb communication with providers within a clinic or physician offi ce lab.

Practice Management

System

Electronic Medical

Records (EMR)

Reference Lab Local Hospital

RESU

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RESU

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ADT

DFT

ORDE

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ORDE

RS

RESU

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ORDE

RS

“Billing used to be de-layed 14 to 30 days be-fore Harvest LIS. Now charges are handled within a day. Th e task of manually posting a day of lab charges to the billing system used to take nearly 16 hours. Now one person is able to review and accept the charges via the interface in less than 45 minutes. Our revenue spiked signifi cantly when we implemented the billing interface due to standardized posting of modifi ers and 100% capture of charges. It was the most profi table interface that we have implemented!” — Lisa Zinkovich,Melbourne InternalMedicine Associates

Order Entry and Result Delivery through Host Systems Save TimeEliminate time-consuming phone calls by implementing electronic remote order entry through your host or EMR/HIS system. Th is will ensure that the testing laboratory electronically receives the necessary demo-graphic, billing, and clinical information, and that samples are delivered, already bar coded, and ready to run.

Charges Forwarded to Billing Systems Ease Strain on Billing DepartmentHarvest LIS automatically screens for payable diagnosis codes at order entry and assigns the appropriate modifi ers when needed. Orchard’s rules-based technology determines whether to add or suppress billing/CPT codes or modifi ers to refl ect the testing performed, and then automatically drops the billing record into the patient’s account. Using a billing interface with your Harvest LIS, your billing department will no longer be required to hand-key laboratory charges, so it can focus on other functions, like E/M code auditing.

Hundreds of Instrument Interfaces Reduce Errors from Manual Data EntryWith installations throughout the country, Harvest LIS supports an extensive list of instrument interfaces, which grows longer every day. Bar coded sample labels enable direct tube auto-sampling with bar code scanners, which reduces errors and saves time by eliminating manual entry of patient information and results.

Physician Offi ce/Clinic Laboratory

Bi-directional Reference Lab Interfaces Eliminate Paper StorageWith an electronic interface between Harvest LIS and one or more of your reference laboratories, Harvest LIS is the single source for order entry, regardless of the testing laboratory. Harvest LIS compiles results from in-house and reference laboratories into a single, electronic patient report, eliminating paper storage and simpli-fying access to historical data. Orchard has interfaces with numerous national and regional reference labs.

Orchard Copia Enhances ConnectivityFor laboratories doing outreach or integrating a network of laboratory sites, Harvest LIS, in conjunction with Orchard Copia, off ers a web-based solution for remote access and linking multiple sites’ labs under a single laboratory order management and result delivery system. Copia’s web-based integration and outreach capabilities improve remote order entry and result delivery, EMR integration, test routing and consolidation, lab network ef-fi ciency, and reimbursement revenue (see the Web-based Outreach tab in this folder for additional information).

Blood Bank and Billing Interfaces Provide a Fully Integrated SolutionOrchard Harvest LIS is utilized by hundreds of hospital and regional and local reference laboratories. As a “best-of-breed” interoperable system, Orchard works with a variety of blood bank and billing system vendors to implement fully-integrated packages to fulfi ll the blood bank requirements of hospitals and billing needs of independent reference laboratories.

Hospital Laboratory

Harvest LIS can integrate with multiple hospital sys-tems for up-to-the-minute information in all hospital systems.

Independent Reference Laboratory

Harvest LIS, in conjunction with Orchard Copia, provides an ideal outreach solution.

Hospital Laboratoryp y

Hospital

Information

System (HIS)

Reference LabPharmacyORDERS

RESULTS

Radiology

Microbiology

Anatomic Pathology

Bloodbank ORDERS

MAI

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INST

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Installation Process

(800) 856-1948

Orchard understands that the foundation for long-term customer satisfaction with your

Orchard lab system begins with a smooth installation process and complete training. For

every installation, an Orchard Systems Engineer (SE) with previous experience in the labora-

tory will be on-site to ensure your thorough understanding of the system and be sure that your

Harvest LIS is working to maximize your laboratory’s productivity.

On-site Personalized TrainingNo matter how big or how small your installation, Or-chard Software will provide each customer with on-site personalized installation, setup, and training. Because each laboratory is unique, on-site training will be custom-ized to fi t the specifi c needs of your laboratory, so the length of time on-site will vary with each customer.

Experienced Systems EngineersAll of Orchard’s SEs are nationally certifi ed laboratory tech-nologists, some are Microsoft certifi ed, and many have labo-ratory management experience. Each has been thoroughly trained to enhance your laboratory’s workfl ow and maximize productivity through your Harvest LIS.

Week-long System Administrator ClassMost of our new customers attend our week-long com-prehensive System Administrator Training class (P.A.C.E.® accredited for 33.5 contact hours) prior to on-site instal-lation. Th is class teaches the necessary concepts and skills required to work with your Orchard SE to confi gure and implement Harvest LIS in your laboratory. And while in class, you will begin your system setup, as all your work is with your own laboratory’s database.

Dedicated Technical Support During the fi nal week of your installation, your on-site SE will contact Orchard Technical Support and arrange for a conference call to introduce you and your laboratory to your dedicated Technical Support person. Your dedicated Techni-cal Support person is specifi cally assigned to your account and has studied the details of your installation. While any of our Technical Support staff are available to help you 24/7/365, your dedicated Technical Support person will be available to you exclusively during that fi rst month to answer questions and provide additional help as needed.

“I would also like to express my appreciation to the staff at Orchard Software. Th ey have been instrumental in the success of this process. I have found them to be a pleasure to work with and extremely responsive to our concerns and needs. Th e response on Orchard’s part has always been timely and eff ective.” — Ed Troyer, MT (ASCP), North Bend Medical Center

Installation Process Installation Process

www.orchardsoft.com

Orc

hard

Sof

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Contract is signedOrchard Software and client

agree on terms and sales

contract is signed.

First-Things-FirstFTF packet is mailed and

client begins preparation

for installation.

First CallReview contract details and

key points of upcoming install

with Project Manager.

Schedule Training**Travel manager schedules

training at headquarters for

system administrator.

Hardware Ordered*Project manager orders all

client hardware to be custom

installed by Orchard.

Hardware Delivered*Orchard carefully packs and

ships hardware equipment to

customer site.

Attend Training**Client representatives attend

System Administrator training

at Orchard headquarters.

Hardware InstalledAll hardware is installed

and any applicable

instruments are interfaced.

User TrainingSystems Engineer and

system administrator train

users on software.

GO LIVEAll systems are brought

on-line and orders and results

begin populating Harvest LIS.

Support IntroductionClient is introduced to a

dedicated Orchard Technical

Support Representative.

Inst

alla

tion

Pre

para

tion

Pro

cess

Meet with Orchard**Meet with Project Manager to

discuss details of remaining

installation process.

Meet with Orchard**Meet with Interface

Department to discuss

integration projects.

Syst

ems

Engi

neer

at C

lient

Sit

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SE ArrivesSystems Engineer arrives

at client site to begin

installation process.

Tech

nica

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Dedicated SupportClient receives 30 days of

dedicated technical support

post “Go Live.”

Continued SupportTechnical Support is available

24 hours a day, 7 days a week,

365 days a year.

*If Orchard Software provides hardware.

**These items are optional, depending on size of facility and complexity of installation.

User TrainingUser TrainingU

ser TrainingU

ser T

rain

ing

Orchard knows that the better trained you are on your lab system, the more you can take advan-

tage of each of the features to help your laboratory be more productive and efficient. To maxi-

mize your understanding and the use of the numerous features and rules-based technology, Orchard

offers four different week-long training classes held numerous times throughout the year at our head-

quarters in Carmel, Indiana. Three of the classes are accredited through the ASCLS P.A.C.E.® program.

System Administrator Training(P.A.C.E.® accredited for 33.5 Contact Hours)

Orchard Software’s week-long comprehensive System Administra-tor class is designed for our new customers. Prior to on-site instal-lation, this class helps you learn the necessary concepts and skills required to work with your Orchard Systems Engineer to confi gure and implement Harvest LIS in your laboratory.

Advanced User Training(P.A.C.E.® accredited for 30.5 Contact Hours)

Orchard’s Advanced User Training class is for customers who have mastered the basics of Harvest LIS and are looking to ex-pand their knowledge. Using the latest features, this week-long course teaches you how to enhance your productivity and maintain your system, and it introduces you to optional modules, such as Microbiology, Harvest Webstation, and Anatomic Pathology.

Microbiology Module Training(P.A.C.E.® accredited for 22.5 Contact Hours)

Th e Harvest LIS Microbiology Module Training class is for new users who wish to learn concepts and skills required to confi gure and implement the Microbiology module for Harvest LIS. Micro training covers a wide variety of topics, such as confi guration of microbiology laboratory tests and order choices, defi ning sample types, and microbiology-related sys-tem preferences. You will also learn to use the module’s “electronic worksheet” for paperless microbiology processing and to incorporate clinical questions, text shortcuts, and order choice statuses into the Harvest LIS Microbiology module.

Advanced Copia Training(Not P.A.C.E.® accredited)

Orchard’s Advanced Copia Training class will present the newest features of the latest version of the software, how to maintain your Copia system, and tips and tricks on maximizing your use of Copia to the benefi t of your lab. You will also review security functions and explore enhancements designed to assist you in maintaining your HIPAA compli-ance. Database management and maintenance tools for backing up your database and troubleshooting problems will also be discussed. And best of all, you will have the chance to interact with other users and learn new ways to imple-ment Copia’s features in your lab.

Travel expenses to and from Indianapolis, IndianaPremier hotel accommodations within walking distance to shops and restaurantsLimousine service to and from airportAll transportation during your stay is providedContinental breakfast at hotelTour of Orchard’s corporate facilityCatered lunch from top quality delis and restaurants brought into the training centerSnacks, water, and soda are provided throughout training daysExquisite dinner outings with Orchard employees at fi ne dining estab-lishmentsSuperior training on all facets of Harvest LIS catered to your needsTop qualifi ed instructors with a laboratory background with more than thirty years of combined experience using, installing, and supporting Harvest LISHarvest LIS help manuals, course instruction, and documentation are yours to take homeNumerous networking and sharing opportunities with other Harvest LIS usersAbility to meet and greet with Orchard employees throughout the week

After a full day of learning, clients in an Advanced User Trainingclass enjoy a fi lling and relaxing dinner in Carmel, Indiana.


What is included in Orchard Training?

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•••••

••

••

•

•

•

“I attend the Advanced User Training yearly and fi nd it very benefi cial for several reasons. Orchard usually has a new soft-ware version yearly, so this gives the super user the opportunity to learn the new version before going live. I usually will go to class to learn about the new version then come back to work and install it. We are also on the Gold plan to include attend-ing training class yearly. As a super user you probably have other duties besides this task and going to the class gives you the opportunity to learn so many features to the software and inter-act with other laboratories to see how their software is set up.”— Debra Galan, Women’s Health Laboratories

“I am currently attend-ing the Advanced User Training in Carmel. I HIGHLY recomend this to everyone....We are only on the begining of the 3rd day and it has surpassed my expectations...

Th is training really al-lows you to learn and put to use all these powerful features that are available that we can all use to improve workfl ow, result delivery, etc., etc., and keep everyone happy (us-ers and clients) in a very effi cient way.”— Carmen T. Cortes-Ramos, Bionetics Corp. (Life Sciences Support Contract)

“I highly recommend the [Har-vest LIS Advanced User] class even if you have gone to one in the past. Each user has set up Harvest in their own unique manner and you learn so much talking to other users and the knowledgeable Orchard staff . Each Harvest version contains so many enhancements and this is the best way to learn about them and see new ways of using Harvest.

A very defi nite plus: Orchard treats its customers better than any other vendor I have worked with! Th ey always manage to surprise me by giving me more than I expected. Keep up the good work.”— Carol Schreck, ITxM Diagnostics

Technical SupportTechnical SupportTechnical Support

Tech

nica

l Sup

port Silver Support Provides Full System Protection

Silver support is our standard support package that provides you with software upgrades and 24/7/365 telephone technical support. You also have access to the customer-only portion of our website, where you can use the online Software Problem Report Form to report problems; down-load NCDs, ICD-9 codes, the latest help manuals, release notes, and customer guides; or propose new or revised features by completing the online Request for Modifi cation Form. You are also able to participate in Orchard’s online user groups, which give you the opportunity to ask questions and share information on lab-related issues with other Harvest LIS users, putting additional support at your fi ngertips.

Gold Support Adds Training to Help You Get More from Your System Gold support contains all the benefi ts of our Silver support, plus a seat at Orchard’s P.A.C.E.® accredited (for 30.5 contact hours) Advanced User Training class for you or a member of your staff . Hotel accommodations, meals, and airfare for the training class are included with your Gold support package. During the week-long class, you will receive hands-on experience using many of the database management and maintenance tools, learn the newest features of the most current Harvest LIS version, review security functions and enhancements that may assist you with HIPAA compliance, and try out Harvest LIS modules, such as Harvest Webstation, Microbiology, and Anatomic Pathology. Past attendees have found the interaction with other Harvest LIS users and learning about new projects on the horizon from Orchard associates very benefi cial.

Platinum Support Brings Additional, Custom Support to Fit Your NeedsPlatinum support is our premiere level. It contains all the value of our Silver and Gold levels, plus a week-long, on-site visit by one of our Systems Engineers. An Orchard Software Systems Engineer will make a scheduled visit to your facility to assist you. For example, you may want our engineer to assist you with system expansion, to install or confi gure host interfaces with host or other systems, to install or confi gure instrument interfaces, to evaluate your system and provide workfl ow suggestions, to provide training on new features in Harvest LIS, or to assist in replac-ing hardware with new items you have purchased.


Technical support specialists are on hand twenty-four hoursa day to assist you when you need it.

Orchard Software offers three levels of annual support, so you can select the option that best

suits your needs and budget. Whatever level you choose, software upgrades are included

and available as they are released throughout the year. You will also receive one-on-one technical

help when you need it from a support team that is always there for you. In addition, our semi-

annual users’ symposiums, online user groups, newsletters, and website provide you with answers,

ideas, and tips to ensure that you’re never on your own.

Multiple Support Sources Are AvailableOther sources of support, such as Orchard’s online user groups, newsletters, and website, provide you with answers, ideas, and tips to ensure that you’re never on your own. Via email, Orchard’s online user group is an instant source of help and advice from other users and Orchard employees regarding every topic you could imagine. Our news@or-chard newsletter is published quarterly and fi lled with tech tips and instructions on the use of various product features and an extensive on-line help section of our website ensures access to the information you need to maximize your Orchard systems.

Orchard’s Semi-annual Users’ Symposiums Provide Networking OpportunitiesEach year, Orchard holds two users’ sympo-siums. Th e locations are rotated throughout the United States each year to provide easy access to the event by Harvest LIS users in the area. Th e semi-annual, day-long event is designed for current users and prospective users alike. Keynote speakers and numerous break-outs sessions provide attendees with ample op-portunities to learn more in-depth information about Orchard Software and our products. Th e symposium also off ers everyone an opportunity to meet key Orchard employees and network and share ideas with other Harvest LIS users.

Th om Franklin, Orchard’s Training Manager, discusses the confi guration and uses of rules in Harvest LIS at the Fall 2007

Harvest LIS Users’ Symposium in Dallas, Texas.

"I rarely ever post to this user group but I do look at everything that the rest of you write in about. A special thanks to all of you because of your inquiries and replies. We had our COLA inspection a couple of days ago and got a perfect score. Much of the credit goes to the members of this group. Th e questions some of you asked about meeting some of the new COLA criteria and then the replies that were given helped us more than you will ever know. Special thanks also to Th om for his help. Th at was a great experience and enabled us to use the qualitative and semi-quantitative features much more and really helped our QC. Th e pop-up for critical values reporting is fantastic and our inspector just loved it."— Don Conway, Dodge City Medical Center

“Being really busy at work right now, when it was suggested I attend the symposium, I questioned the value of going. Now I must say, I am glad that I came. I will recommend we send some other users and will certainly take back the anatomic pathology information for further consideration.”— Eileen Rudnick, Medical Diagnostic Lab

Available Features Silver Gold PlatinumSoftware upgrades

Telephone support coverage

Interactive technical support and training

Access to the customer-only portion of www.orchardsoft.com

Access to Orchard’s online user group forums

One seat in an Advanced User Training class at no additional charge

A Systems Engineer will make one scheduled, week-long visit to your facility

Web-based Outreach, Lab Networks, & EMR IntegrationWeb-based Outreach, Lab Networks, & EMR IntegrationW

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Orchard has two outreach, networking, and integration options: Orchard Harvest Webstation and

Orchard Copia. Each is designed to make your lab more accessible to providers either via the web

or directly through their EMRs, and with electronic order entry and result delivery, you eliminate paper

requisitions, reduce errors, save time, improve efficiency, and increase revenue.

Orchard® Harvest™ WebstationHarvest Webstation, used as a module with Orchard Harvest LIS, is primarily designed to give web access to users within a single legal business entity, with a focus on low cost for implementation and general simplicity. It was de-signed for laboratories serving their own providers, to run on the same server that runs Harvest LIS, to access the same database, and to work well over the Internet.


Orchard® Copia®Copia is designed to take access and laboratory networking needs to the next level. It is designed for labs doing refer-ence lab work from multiple customers, handling wide access for several separate legal business entities, supporting multiple lab settings, holding more data in a larger database, and putting more interfacing capabilities into the hands of the laboratory.

Flexible Rules-based Decision-Support TechnologyCustomizable rules exist throughout each system for order entry, splitting orders, auto-approval of patient results, re-fl exing additional testing, automatic comments, result delivery, and billing/CPT codes, and they can be defi ned based on numerous data fi elds, such as by user, order location, test, or day of the week.

Automatic ICD-9 Code CheckingDuring order entry, both systems check medical necessity, frequency, and ICD-9 codes and fl ag questionable orders for review. When necessary, an ABN can be printed in either English or Spanish. Th ese checks happen automatically, saving time and maximizing reimbursements.

Accurate Remote Sample CollectionWith either system, you can review patient orders remotely from any PC with web access, and preview a draw list, gener-ate a worklist, produce bar code labels, or complete a shipping manifest. Clinical questions, container type information, and personalized comments are presented on-screen or printed for each order, reducing errors and expediting collection.

Secure Access to Results 24/7From any PC with web access, providers can view the patient’s current result, the result with previous history, or even display a graph comparing all current and past results. Various security settings provide the necessary fl exibility for secure access while maintaining HIPAA compliance.

Easy Data Mining & Management ReportsData browser tools, available only in Copia, allow you to create and save ad hoc management reports directly from your desktop PC. You can schedule reports to run automatically, and the user-friendly interface does not require com-plex programming or the help of the IT department.

Automated Order RoutingCopia is designed to integrate and support a lab network, where order entry involves multiple lab systems—even mul-tiple workstations—and users have to review a patient’s insurance before routing the test. Copia, as the central order-ing system, automatically handles the location-dependent test codes, patient insurance, and lab routing preferences.

Customized, Consolidated, and Consistent ReportingA bonus feature of Copia is its customized report formats, which can combine patient test results from one or more laboratories into a single report. With authorized access, providers may review current and past results, both in text and graphic formats. Th is improves the quality of your re-ports and facilitates informed decision making.

Link Your Labs and Keep Your LISCopia is designed to work with Harvest LIS or as a “bolt on” outreach system to existing lab systems. For multiple lab locations with disparate LISs, Copia can be used to link the disparate lab systems and create a single depository database for patient results.

Th is is an example of a reference lab utilizing Copia as an outreach solution bolted onto Harvest LIS or a legacy LIS.

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Microbiology ModuleMicrobiology ModuleM

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The Orchard Microbiology module works in conjunction with Harvest LIS to provide your microbiol-

ogy department with all the advantages of the rules-based decision support and the bi-directional

flow of data. This improves efficiency, reduces errors, increases reimbursements, and eliminates the use

and storage of logbooks and paper worksheets. As microbiology departments look for additional oppor-

tunities to expand their test menus to include DNA probe testing and other methodologies, Harvest LIS

will assist you in increasing productivity, without adding staff.

Electronic Worksheets Eliminate PaperHarvest LIS’ electronic microbiology worksheets are intuitive, easy-to-use, and eliminate the need for paper documenta-tion. To save time and simplify data management, microbiologists can quickly and easily record observations; add tests as needed; print sample, media, and slide labels; create reports; and approve results. Once you place the original microbiol-ogy order, you can add additional tests or order choices directly from the electronic worksheet. You do not need to repeat the order entry process.

Analyzer Interfaces Eliminate Transcription ErrorsWith interfaces between Harvest LIS and your microbiology analyzers, data fl ows electronically, eliminating transcrip-tion errors and saving time. Th e Harvest LIS Microbiology module interfaces to most microbiology instruments.


Electronic worksheets eliminate the need for manual workcards, making the micro work-up process easier and more organized.

Bar Code Scanning Saves TimeTo improve effi ciency, you can use the bar code scanning feature to locate and open the correct electronic worksheet for editing. You can also use the batch results function to quickly add standard documentation to multiple microbi-ology order choices for one or more patients.

Rules-based TechnologyWrite rules for automatic interpretation of manual susceptibilities, MICs, and deduced drugs based on lab-defi ned criteria. Also, you may write rules to refl ex additional microbiology tests to the electronic worksheet, based on the results of other testing.

Interface to Billing Reduces Manual StepsTh e Harvest LIS Microbiology module can be confi gured to bill automatically, including IDs and sensitivities, eliminating manual steps and sav-ing time, allowing you to capture this important source of revenue.

Easy Reporting for Quality Assurance or

Outside Agency ReviewYou can use Harvest LIS’ Result Browser to generate pertinent reports required for qual-ity assurance, infection control committees, and public health departments. A built-in Antibiogram Report that is fully NCCLS/CLSI compliant allows you to easily retrieve this essential information.

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Orchard PathologyOrchard PathologyO

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Orchard Pathology

Designed for the comprehensive pathology laboratory, Orchard Pathology is a complete informa-

tion system that eliminates the manual system of audit trails and paper files and utilizes a single

database to fully integrate all laboratory departments. Orchard Pathology improves efficiency, reduces

errors, aids decision making, eliminates paper files and storage, and with the onset of molecular testing,

simplifies the complexities of clinical, molecular, and pathology testing and reporting. Orchard Pathol-

ogy provides the comprehensive pathology laboratory with all the benefits of electronic record-keeping,

rules-based decision making, and the integration of results from all laboratory departments.

Stand-alone or Fully Integrated to Clinical & MolecularFor laboratories with clinical, cytology, and pathology departments, Orchard Pathology can be utilized as a stand-alone information system or integrated to the clinical laboratory with the award-winning Orchard Harvest Laboratory Infor-mation System. Th e fully integrated pathology system utilizes a common database, and with a single mouse-click, you may access the patient’s entire clinical history and add clinical results to the cytology or pathology report. Th is stream-lined process saves time in producing your most valuable product: the fi nished report.

Simplifi ed Case ManagementOrchard Pathology is designed to simplify case management by employing a worksheet window that you may custom-ize for use with your established templates or protocols. Th e worksheet is very fl exible, allowing you to add typed transcriptions, use pre-formatted templates and forms, or insert text generated by voice recognition. It is also easy to produce synoptic reports. And with the system’s multi-level sign-out procedures, you can forward cases for electronic review and fi nal approval.

Robust Result Evaluation Rules for Refl ex TestingTh e robust rules-based decision-making power made famous in Harvest LIS is available throughout Or-chard Pathology, and result evaluation rules for refl ex testing customize workfl ow scenarios to individual needs. As an example, send-out tests, correlations, quality assurance protocols, and confi rmatory testing can be automatically refl ex-ordered according to verbiage in the report text. Th e rule triggers the protocol, provides internal and/or report-able documentation, and automatically adds charges for billable procedures.

A Single Patient Report Consolidates

ResultsOrchard Pathology simplifi es the complexities of clinical, molecular, and pathology reporting by combining and consolidating results from various departments into a single patient report. For labo-ratories performing clinical, cytology, and pathol-ogy testing, Orchard Pathology utilizes a common database, and with a single mouse-click, you may access the patient’s entire clinical history and add clinical results to the cytology or pathology report. Th is streamlines the process of reporting, saves time, and allows you to consolidate all the patient’s results into a single report.


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Easy Image ManagementTh e image management tools in Orchard Pathology make it easy for you to link digital images and scanned consultation documents to case worksheets, eliminating the need for bulky paper fi les, and providing a single source for all related patient reports. Orchard Pathology’s powerful annotation tools allow you to customize photomicrographs or diagrams and include all linked images on the patient report. Orchard Pathology’s tools manage your workfl ow, saving time, resources, and precious space!

Full Menu of Management Reports Unlike other systems, Orchard puts the power of creating ad-hoc reports in the lab, not the IT department. With Orchard Pathology, you can create evaluations, correlation studies, quality assurance, regulatory, statistical, and many other management reports without special computer program-ming skills. With the system’s powerful data-mining browsers, you may perform searches and build reports by specimen, diagnosis, test result, or case number, and then print the completed reports as needed or schedule the reports to print automatically at a more convenient time.

“I work for a Urology group and the group decided to expand our lab to include AP. We purchased the Orchard AP module and our physicians and patholo-gist are very pleased. I think our reports (which are custom) look better than any other reference lab we have used in the past. Orchard has done a beautiful job helping us customize our reports.” — Eyre Klindt, Metropolitan Urologic Specialists, P.A.

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(800) 856-1948