laboratory information systems

Transcription

1 NOVEMBER 2015 CAP TODAY 37 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 Ginesi Drive, Suite W. Blanco Rd. Hollywood, FL Morganville, NJ San Antonio, TX See captodayonline.com/productguides for an interactive version of guide Name of laboratory information system Starlims Prolis Apex LIS First ever/most recent LIS installation (based on August 2015 survey deadline) 2001/August /August /August 2015 Last major product release or update for featured LIS July 2013 (version 7) August 2015 (version ) June 2015 (version 4.6) Total No. of contracts for sites operating LIS 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, diagstics) 0/2 0/0 No. of these contracts that went live between August 2014 August Contracts signed but LIS t 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, 22/2 (United Arab Emirates, Ghana) 281/0 Ireland, U.K., Netherlands, Spain, numerous others) 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 yes ( partial list with client s permission) yes (partial list; reference accounts) clients) No. of employees in entire company No. of employees dedicated to LIS development, installation, and support 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 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 ne Spanish Chemistry and hematology/bar-coded collection labels 60%/95% 100%/100% installed/installed Microbiology/Public health microbiology 15%/25% 100%/100% installed/t available Blood bank dor/blood bank transfusion 2%/2% t available/t available t available/t 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% t available/t 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/t available Materials management and inventory 80% t 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 t installed installed/t available Business analytics 20% 100% installed Reference lab interface for orders, results return, status return 20% 5% installed Microbiology data (culture and sensitivity) yes yes under development Other reportable diseases (blood, lead, immulogy, etc.) yes yes under development Diagsis 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 Beckman Coulter, Siemens, Ortho Clinical ne (planned for future) Diagstics, Labotix Automation, Olympus America, Roche Diagstics, Abbott Diagstics Sunquest, Cerner Beckman Coulter, Siemens, Ortho Clinical Diagstics, Thermo Scientific, Olympus America, Roche Diagstics, Abbott Diagstics LIS allows third-party updates of tables and rules yes LIS allows for image capture, display, reporting yes yes yes Provide LOINC dictionary for each new installation yes LIS supports use of SNOMED CT yes yes Use third-party middleware for instrument interfaces (interface directly) (interface directly) 0 unkwn 0 Source code/user group that meets regularly escrow/yes (meets in person) / / 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 ( charge) standard ( charge) standard ( charge) ; the latter based on start-up cost and monthly subscription fee 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) 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 interfaces with any lab device, reference lab, EHR Product guide editors: Raymond D. Aller, MD, and Hal Weiner

2 38 CAP TODAY NOVEMBER 2015 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 Rockcreek Parkway Jacksonville, FL Bayside, CA Kansas City, MO See captodayonline.com/productguides for an interactive version of guide ext 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 /May /August 2014 Last major product release or update for featured LIS September 2014 (version 7.3.0) July 2015 (version ) January 2015 (version ) Total No. of contracts for sites operating LIS Hospital/Independent lab contracts in U.S. 7/11 0/0 670/15 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 Contracts signed but LIS t 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 restrictions regarding its use) yes (partial list) No. of employees in entire company 26 4 > 21,000 No. of employees dedicated to LIS development, installation, and support Range in No. of user workstations in sites operating LIS (average, 70) 6 12 (average, 6) t tracked Central hardware or service type on-site or hosted servers Microsoft SQL, Azure client hosted (IBM, HP), Cerner hosted manual intervention necessary to restore operation 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 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 dor/blood bank transfusion t available/t available t available/t available 15%/75% Surgical pathology/cytology 25%/25% t available/available 75/%/75% Molecular pathology/cytogenetics/flow cytometry 25%/25%/25% t available/t available/t 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% t available 50% Compliance checking/billing and accounts receivable 100%/t available 50%/50% installed/10% Materials management and inventory t 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%/t available 100%/100% 100%/installed Business analytics t available 100% Reference lab interface for orders, results return, status return 60% 100% 95% Other reportable diseases (blood, lead, immulogy, etc.) yes yes yes Diagsis and other data for tumor registry**** yes 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 Beckman Coulter, Siemens, Labotix Automation, Ortho, Thermo Scientific, Olympus, Roche, Abbott EMR lab outbound interfaces with McKesson, Siemens, Epic, Allscripts, Meditech, others ne Beckman Coulter, Siemens, Labotix Automation, Olympus America, Roche Diagstics, Abbott LIS allows third-party updates of tables and rules LIS allows for image capture, display, reporting yes yes Provide LOINC dictionary for each new installation yes yes yes LIS supports use of SNOMED CT yes yes yes Use third-party middleware for instrument interfaces Source code/user group that meets regularly (interface directly) 0 25% (50% of total use Cerner s PPID software/50% of total use third-party PPID software) escrow optional/yes (meets via webinar and escrow/yes (meets via conference call) optional/yes (meets in person and via webinar) conference call) ad hoc query tools, user-defined interfaces, dictionary ad hoc query tools, user-defined interfaces, dictionary settings, Microsoft SQL reporting services settings 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 ( charge) ; the latter has a 3-year minimum contract; installation and training fees 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) 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 invations 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 invating for personalized medicine

3 40 CAP TODAY NOVEMBER 2015 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 Treemonte Drive Biscayne Blvd., Suite Queen Creek, AZ Orange City, FL Miami, FL See captodayonline.com/productguides for an interactive version of guide Name of laboratory information system CLIN1 Laboratory Clinlab LIS Eclipse First ever/most recent LIS installation (based on August 2015 survey deadline) 1987/August /August /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) Total No. of contracts for sites operating LIS Hospital/Independent lab contracts in U.S. 10/33 2/10 0/26 Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 9/0 14/1 0/0 Contracts for other U.S. sites/contracts for foreign sites 5/3 0/1 (clinical lab) 0/512 (hospitals, independent labs) No. of these contracts that went live between August 2014 August Contracts signed but LIS t 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 ndisclosure agreement) No. of employees in entire company No. of employees dedicated to LIS development, installation, and support Range in No. of user workstations in sites operating LIS (average, 10) (average, 8) (average, 15) Central hardware or service type client/server PC network Intel 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 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%/t available Blood bank dor/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%/t available/available t available/t available/t available EHR interface for admission/discharge/transfer (ADT) 100% 100% 40% EHR interface for order entry/results reporting 90%/90% 100%/100% 65%/85% EHR interface for packaging results into PDF format 90% 20% 15% EHR interface for packaging results into CDA1 format/cda2 format installed/installed available/t available t available/t available Ad hoc reporting/rules-based system 20%/100% 100%/100% 85%/100% Management and statistical reporting 100% 80% 100% Outreach and/or commercial laboratory 95% 80% 30% Compliance checking/billing and accounts receivable 100%/95% 100%/t available 95%/80% Materials management and inventory 95% t available 25% Test partition/remote faxing or printing 100%/95% 100%/40% 20%/85% HIPAA-standard transaction formats 100% 100% 100% Web-based remote inquiry of reports/web access for order entry 95%/95% 80%/80% 50%/25% Specimen management and tracking 100% 100% 100% Compliance and quality assurance tools/environmental health 100%/installed 100%/t available 100%/t available Business analytics 100% 60% 65% Reference lab interface for orders, results return, status return installed 100% 20% Other reportable diseases (blood, lead, immulogy, etc.) yes yes yes Diagsis and other data for tumor registry**** under development Other lab-related IT vendors systems to which software has an interface Allscripts, GE Healthcare, Greenway, Healthland, NextGen, McKesson, Siemens, others Beckman Coulter, Siemens, Ortho Clinical Diagstics, Labotix Automation, Thermo Scientific, Olympus America, Roche Diagstics, Abbott Diagstics Meditech, Emdeon, Sage, Lifepoint, Pyramed, Allscripts, others planned to Beckman Coulter, Siemens, Ortho Clinical Diagstics, Olympus America, Roche Diagstics, Abbott Diagstics Beckman Coulter, Siemens, Ortho Clinical Diagstics, Thermo Scientific, Olympus America, Roche Diagstics, Abbott Diagstics LIS allows third-party updates of tables and rules yes (CodeMap, Quest) LIS allows for image capture, display, reporting yes yes Provide LOINC dictionary for each new installation yes LIS supports use of SNOMED CT yes Use third-party middleware for instrument interfaces (interface directly) (interface directly) 100% (100% of total use Clinical Software Solutions 4% (100% of total use third-party PPID software) PPID software) Source code/user group that meets regularly /yes (meets via webinar and conference call) escrow/ /yes (meets via webinar and conference call) 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) Standard software maintenance fee covers periodic updates to LIS yes yes yes Cost for software modifications to comply with federal regulations and laws standard ( charge) standard ( charge) standard ( charge) ; the latter based on software price plus monthly usage fees 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) 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

4 42 CAP TODAY NOVEMBER 2015 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 Mendoci Ave Red Run Blvd., Suite 101 Nashville, TN Santa Rosa, CA Owings Mills, MD See captodayonline.com/productguides for an interactive version of guide Name of laboratory information system ApolloLIMS Polytech CGM LABDAQ First ever/most recent LIS installation (based on August 2015 survey deadline) 1987/August /August /August 2015 Last major product release or update for featured LIS June 2015 (version ) May 2015 (version 8.5.4) December 2014 (version 4.11) Total No. of contracts for sites operating LIS ,864 Hospital/Independent lab contracts in U.S. 1/38 28/12 126/425 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 0/8 (clinics, reference labs) regional hospital labs) No. of these contracts that went live between August 2014 August Contracts signed but LIS t 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, 3,463/10 (United Arab Emirates, Malawi, Virgin Islands) Bhutan, Malawi, Hong Kong) Percentage of high-volume* sites installed/low-volume** sites installed 40%/60% 19%/81% t 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) No. of employees in entire company No. of employees dedicated to LIS development, installation, and support Range in No. of user workstations in sites operating LIS 4 60 (average, 15) 1 38 (average, 8) (average, 5 10) Central hardware or service type Microsoft server any (client supported) client/server (business grade) system continues uninterrupted 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 System includes full transaction logging yes yes yes Languages (other than English) offered on system ne ne Chemistry and hematology/bar-coded collection labels 100%/100% 100%/100% 100%/75% Microbiology/Public health microbiology 70%/70% 18%/available 5%/1% Blood bank dor/blood bank transfusion t available/t available t available/t available t available/t available Surgical pathology/cytology t available/t available available/2% 3%/3% Molecular pathology/cytogenetics/flow cytometry t available/t available/t available available/t available/2% 5%/ /1% EHR interface for admission/discharge/transfer (ADT) 75% 68% 80% EHR interface for order entry/results reporting 75%/85% 41%/50% 45%/75% EHR interface for packaging results into PDF format 55% 26% 15% EHR interface for packaging results into CDA1 format/cda2 format 50%/t available available/available t available/t available Ad hoc reporting/rules-based system 100%/100% 100%/100% 100%/100% Management and statistical reporting 100% 100% 100% Outreach and/or commercial laboratory 65% 25% 20% Compliance checking/billing and accounts receivable 70%/70% 100%/68% 100%/t available Materials management and inventory 30% t available t available Test partition/remote faxing or printing 100%/80% 100%/96% 20%/100% HIPAA-standard transaction formats 100% 100% 100% 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%/t available 100%/t available Business analytics 70% 100% available Reference lab interface for orders, results return, status return 30% 12% 60% Other reportable diseases (blood, lead, immulogy, etc.) yes yes yes Diagsis and other data for tumor registry**** yes Other lab-related IT vendors systems to which software has an interface Siemens, Allscripts, Meditech GE Healthcare, eclinicalworks, Siemens, Allscripts, others Beckman Coulter, Siemens, Ortho Clinical Diagstics, Beckman Coulter, Siemens, Ortho Clinical Diagstics, Thermo Scientific, Olympus America, Roche Diagstics, Thermo Scientific, Olympus America, Roche Diagstics, Abbott Diagstics Abbott Diagstics Cerner, Sunquest, NovoPath, Healthland, McKesson, Meditech, Epic, Siemens, others Beckman Coulter, Siemens, Olympus America, Roche Diagstics LIS allows third-party updates of tables and rules yes yes (CodeMap) LIS allows for image capture, display, reporting yes yes yes Provide LOINC dictionary for each new installation yes yes LIS supports use of SNOMED CT yes yes yes Use third-party middleware for instrument interfaces (interface directly) (interface directly) (interface directly) 10% (100% of total use third-party PPID software) 100% (90% of total use Comp Pro Med s PPID software/ 0 10% of total use third-party PPID software) Source code/user group that meets regularly escrow/yes (meets via webinar) escrow/ escrow/yes (meets in person) interfaces, dictionary settings ad hoc query tools, user-defined interfaces, dictionary settings, others ad hoc query tools Standard software maintenance fee covers periodic updates to LIS yes yes yes Cost for software modifications to comply with federal regulations and laws standard ( charge) standard ( charge) standard ( charge) ; the latter based on implementation fee and monthly usage fee 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) 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; downtime over 35 years core kwledge; direct analyzer interfaces; user requests implemented in weeks pure Windows; simple, easy hardware; redundant databases; 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

5 44 CAP TODAY NOVEMBER 2015 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., E Fourth St Milky Way Linwood, NJ Tucker, GA Verona, WI See captodayonline.com/productguides for an interactive version of guide Name of laboratory information system AVALON LIS LabGEM Beaker First ever/most recent LIS installation (based on August 2015 survey deadline) 1980/June /August /August 2015 Last major product release or update for featured LIS April 2015 (version 1) July 2014 (version ) June 2015 (version Epic 2015) Total No. of contracts for sites operating LIS Hospital/Independent lab contracts in U.S. 0/77 3/19 61/0 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 No. of these contracts that went live between August 2014 August Contracts signed but LIS t 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 (information is confidential) yes (partial list; clients must give permission to share information) yes (complete list with restrictions regarding its use) No. of employees in entire company ,800 No. of employees dedicated to LIS development, installation, and support Range in No. of user workstations in sites operating LIS 2 80 (average, 20) (average, 30) Central hardware or service type IBM-AIX, Unbuntu Intel/Dell HP 9000, HP Integrity, Sun Sparc, IBM p5 Series 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 System includes full transaction logging yes yes yes Languages (other than English) offered on system Chemistry and hematology/bar-coded collection labels 90%/100% 100%/100% 100%/100% Microbiology/Public health microbiology 86%/ 100%/10% 98%/98% Blood bank dor/blood bank transfusion t available/t 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 admission/discharge/transfer (ADT) 25% 100% 100% EHR interface for order entry/results reporting 67%/81% 100%/100% 100%/100% EHR interface for packaging results into PDF format 80% 100% available EHR interface for packaging results into CDA1 format/cda2 format 80%/ t available/t available Ad hoc reporting/rules-based system 100%/100% 100%/100% 100%/100% Management and statistical reporting 100% 100% 100% Outreach and/or commercial laboratory 100% 100% 20% Compliance checking/billing and accounts receivable 100%/80% 100%/50% 100%/98% Materials management and inventory 100% t available Test partition/remote faxing or printing 100%/90% 100%/100% 100%/100% HIPAA-standard transaction formats 100% 100% Web-based remote inquiry of reports/web access for order entry 100%/80% 75%/75% 100%/10% Specimen management and tracking 100% 50% 100% Compliance and quality assurance tools/environmental health 85%/ 100%/5% Business analytics 100% Reference lab interface for orders, results return, status return 60% 100% 100% Other reportable diseases (blood, lead, immulogy, etc.) yes yes Diagsis and other data for tumor registry**** Other lab-related IT vendors systems to which software has an interface GE Healthcare, McKesson, Allscripts, SCC, eclinicalworks, Medisoft, NextGen, Orchard, others Beckman Coulter, Siemens, Ortho Clinical Diagstics, Labotix Automation, Thermo Scientific, Olympus America, Roche Diagstics, Abbott Diagstics, Sysmex Cerner, McKesson, eclinicalworks, Orchard, others Cerner, SCC Soft Computer, Sunquest, Meditech, Mediware, Wyndgate Techlogies Beckman Coulter, Siemens, Ortho Clinical Diagstics, Roche Diagstics, Abbott Diagstics LIS allows third-party updates of tables and rules yes (CodeMap, Ingenix) LIS allows for image capture, display, reporting yes yes yes Provide LOINC dictionary for each new installation yes yes LIS supports use of SNOMED CT yes yes Use third-party middleware for instrument interfaces (interface directly) yes (use third-party middleware for all instrument interfaces) 88% (90% of total use CSS PPID software/10% of 100% (50% of total use Diamond Computing s PPID 50% (100% of total use Epic s PPID software) total use third-party PPID software) software/50% of total use third-party PPID software) Source code/user group that meets regularly escrow/ escrow/ yes/yes (meets via webinar, conference call, and in person) ad hoc query tools, user-defined interfaces, dictionary settings ad hoc query tools, user-defined interfaces, dictionary settings 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 ( charge) optional (extra cost) standard ( charge) yes (only option); billing package starting at $.75 per patient requisition Total cost for smallest LIS installation (hardware, software, installation, training) Total cost for largest LIS installation (hardware, software, installation, training) 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

6 46 CAP TODAY NOVEMBER 2015 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 Cami Real, Suite N. Westshore Blvd., Suite 115 Mobile, AL Encinitas, CA Tampa, FL See captodayonline.com/productguides for an interactive version of guide 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 /August /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 Hospital/Independent lab contracts in U.S. 506/1 10/81 61/51 Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 0/0 42/1 206/3 Contracts for other U.S. sites/contracts for foreign sites 0/0 9 (veterinary, research)/11 (independent labs) 3 (research)/1 (hospital) No. of these contracts that went live between August 2014 August Contracts signed but LIS t 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 (information is confidential) yes (partial list relative to prospect) yes (partial list) No. of employees in entire company 1, No. of employees dedicated to LIS development, installation, and support Range in No. of user workstations in sites operating LIS (average, 100) 3 64 (average, 24) 1 88 (average, 6) Central hardware or service type IBM x3850 Intel RAID Dell, Hewlett-Packard 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 ne Spanish ne Chemistry and hematology/bar-coded collection labels 100%/100% 100%/100% 100%/100% Microbiology/Public health microbiology 100%/0 100%/5% 20%/2% Blood bank dor/blood bank transfusion 1%/1% t available/t available t available/t available Surgical pathology/cytology 1%/1% 10%/100% t available/t available Molecular pathology/cytogenetics/flow cytometry 0/0/0 10%/10%/1% t available/t available/t available EHR interface for admission/discharge/transfer (ADT) 100% 50% t available EHR interface for order entry/results reporting 100%/100% 75%/75% 30%/available EHR interface for packaging results into PDF format 100% 50% 30% EHR interface for packaging results into CDA1 format/cda2 format 100%/100% 75%/50% 30%/ Ad hoc reporting/rules-based system 100%/100% 100%/100% 5%/40% Management and statistical reporting 100% 100% 100% Outreach and/or commercial laboratory 100% 75% 25% Compliance checking/billing and accounts receivable 100%/100% 100%/75% t available/t available Materials management and inventory 100% 2% t available Test partition/remote faxing or printing 100%/100% 100%/100% t available/10% HIPAA-standard transaction formats 100% 100% 100% Web-based remote inquiry of reports/web access for order entry 40%/40% 90%/90% 30%/30% Specimen management and tracking 100% 100% Compliance and quality assurance tools/environmental health 100%/0 100%/1% 100%/t available Business analytics 0 100% t available Reference lab interface for orders, results return, status return 100% 75% 30% Microbiology data (culture and sensitivity) yes yes Other reportable diseases (blood, lead, immulogy, etc.) yes yes Diagsis and other data for tumor registry**** yes yes Other lab-related IT vendors systems to which software has an interface Dawning Techlogies Cerner, McKesson, Orchard, CompuGroup, NextGen, GE Healthcare, Allscripts, Greenway, others Beckman Coulter, Siemens, Ortho Clinical Diagstics, Labotix Automation, Thermo Scientific, Olympus America, Roche Diagstics, Abbott Diagstics Beckman Coulter, Siemens, Roche Diagstics, Abbott Diagstics GE Healthcare, Epic, Allscripts, Cerner, Meditech, Siemens, SCC Soft Computer, others 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 Software provides indexed field in each test definition for LOINC code yes yes Provide LOINC dictionary for each new installation yes LIS supports use of SNOMED CT yes yes Use third-party middleware for instrument interfaces yes (use third-party middleware for all instrument (interface directly) (interface directly) interfaces) 100% (80% of total use Evident s PPID software/20% 0 of total use third-party PPID software) Source code/user group that meets regularly escrow/yes (meets via webinar and in person) escrow/ / ad hoc query tools, dictionary settings, table maintenance interfaces, dictionary settings, flags, others user-defined interfaces, dictionary settings Standard software maintenance fee covers periodic updates to LIS yes yes yes Cost for software modifications to comply with federal regulations and laws standard ( charge) standard ( charge) standard ( charge) available as either a standalone product or an ASP or ; the latter based on $5,000 start-up plus monthly fees starting at $500/month 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) 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, t 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

7 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 N. Central Ave., Suite Windward Parkway Wilmington, DE Glendale, CA Alpharetta, GA See captodayonline.com/productguides for an interactive version of guide / 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 /July /July 2015 Last major product release or update for featured LIS February 2015 (version 7) April 2015 (version 3.7) May 2015 (version 15) Total No. of contracts for sites operating LIS Hospital/Independent lab contracts in U.S. 3/5 0/34 98/1 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/ 0/0 0/3 (hospitals) biotech)/93 (hospital, reference labs, many others) No. of these contracts that went live between August 2014 August Contracts signed but LIS t 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 t yes (complete list but prospective client must sign a yes (partial list based on bed size, specimen volume, give permission to be included) ndisclosure agreement) HIS/EHR environment, incumbent LIS, more) No. of employees in entire company ,500 No. of employees dedicated to LIS development, installation, and support Range in No. of user workstations in sites operating LIS (average, 35) (average, 60) (average, 35) Central hardware or service type database server: Sun, Unix, Linux, Windows, others; ASP or hosted on site Hewlett-Packard, IBM, Dell application server: Windows 2008, 2012 system continues uninterrupted 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 System includes full transaction logging yes yes yes Languages (other than English) offered on system German, Spanish, Swedish, Chinese, many others ne 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 dor/blood bank transfusion 2%/0 t available/t available t 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 t available EHR interface for packaging results into CDA1 format/cda2 format available/available installed/installed t available/t 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 t 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/t available installed/installed Business analytics 95% installed available via McKesson Lab Analytics Reference lab interface for orders, results return, status return 20% installed installed Other reportable diseases (blood, lead, immulogy, etc.) yes yes yes Diagsis and other data for tumor registry**** yes yes 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 Beckman Coulter, Siemens, Ortho Clinical Diagstics, Beckman Coulter, Siemens, Labotix Automation, Thermo can interface to any LAS that works with Data Thermo Scientific, Roche, Abbott, Sarstedt Scientific, Olympus America, Roche Diagstics, Abbott Invations Instrument Manager LIS allows third-party updates of tables and rules yes (Bio-Rad, LOINC, SNOMED, others) yes (AMA, CMS, Regenstrief Institute, others) LIS allows for image capture, display, reporting yes yes Provide LOINC dictionary for each new installation yes yes LIS supports use of SNOMED CT yes yes yes Use third-party middleware for instrument interfaces (interface directly) yes (use third-party middleware for all instrument interfaces) 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) ad hoc query tools, user-defined interfaces, dictionary settings, rules engine, others interfaces, dictionary settings, others ad hoc query tools, dictionary settings, McKesson Lab s Lab Link Standard software maintenance fee covers periodic updates to LIS yes yes yes Cost for software modifications to comply with federal regulations and laws standard ( charge) standard ( charge) may be charges for implementation services, interfaces, and new modules provided with upgrade (ASP model under development) ; the latter based on per case pricing based on case type 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) standard user license includes fully integrated tools for molecular diagstics, histopathology, microbiology, biobank, research powerful workflow-management tools that improve customer service and streamline lab costs can quickly address new business and techlogy requirements; user-friendly configuration tools includes all modules and interfaces a modern anatomic or clinical pathology laboratory requires up-front capital investment; pay per case upgrade program new features deployed to current customers on a quarterly basis at 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

8 52 CAP TODAY NOVEMBER 2015 Part 8 of 12 Netlims NJ, LLC Orchard Software Corp. Orchard Software Corp. Chen Yurista [email protected] Kerry Foster [email protected] Kerry Foster [email protected] 300 Frank W. Burr Blvd. 701 Congressional Blvd., Suite Congressional Blvd., Suite 360 Teaneck, NJ Carmel, IN Carmel, IN See captodayonline.com/productguides for an interactive version of guide Name of laboratory information system Autolims Orchard Harvest LIS Orchard Sequoia First ever/most recent LIS installation (based on August 2015 survey deadline) 1996/March /August / Last major product release or update for featured LIS February 2015 (version 3.3.4) June 2015 (version 10.0) new product Total No. of contracts for sites operating LIS 23 1,485 0 Hospital/Independent lab contracts in U.S. 0/9 247/222 0/0 Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 0/0 866/24 0/0 Contracts for other U.S. sites/contracts for foreign sites 0/ (nursing home, correctional facility, student 0/0 health center, research lab, others)/0 No. of these contracts that went live between August 2014 August Contracts signed but LIS t yet operational (hospitals/independent labs/other sites) 2 (1/1/0) 57 (8/19/30 physician office lab, health network, 2 (1/0/1 health care network) student health centers, public health department) Total No. of sites operating LIS/No. of these sites that are outside U.S. 38/29 (Israel, India) 1,604/0 0/0 Percentage of high-volume* sites installed/low-volume** sites installed 95%/5% 40%/60% Provide list of installed client sites to potential customers on request yes (complete list but prospective client must sign a yes (partial list) yes (will provide partial list) ndisclosure agreement) No. of employees in entire company No. of employees dedicated to LIS development, installation, and support Range in No. of user workstations in sites operating LIS (average, 120) (average, 30) Central hardware or service type IBM, Dell, Hewlett-Packard, others HP Business Class HP Business Class system continues uninterrupted system continues uninterrupted Programming language(s) C++, JavaScript 4D, C, C++, HTML, Java SQL, Java Operating system(s) Windows server 2003 and higher Windows 7+, Windows Server Microsoft Windows Enterprise Edition Databases and tools Microsoft SQL 2005 and higher, Oracle 10 and higher, 4D Microsoft SQL MySQL System includes full transaction logging yes yes yes Languages (other than English) offered on system Hebrew Chemistry and hematology/bar-coded collection labels 95%/100% 100%/100% anticipated availability in 2016 (both) Microbiology/Public health microbiology 85%/25% 35%/20% anticipated availability in 2016 (both) Blood bank dor/blood bank transfusion 30%/30% t available/t available t available/t available Surgical pathology/cytology 30%/40% 10%/10% anticipated availability in 2016 (both) Molecular pathology/cytogenetics/flow cytometry 40%/40%/30% 10%/2%/5% anticipated availability in 2016 (all) EHR interface for admission/discharge/transfer (ADT) 75% 95% anticipated availability in 2016 EHR interface for order entry/results reporting 65%/65% 65%/70% anticipated availability in 2016 (both) EHR interface for packaging results into PDF format 15% 15% anticipated availability in 2016 EHR interface for packaging results into CDA1 format/cda2 format available/available t available/t available anticipated availability in 2016 (both) Ad hoc reporting/rules-based system 100%/100% 100%/100% anticipated availability in 2016 (both) Management and statistical reporting 100% 100% anticipated availability in 2016 Outreach and/or commercial laboratory 60% 35% anticipated availability in 2016 Compliance checking/billing and accounts receivable 50%/60% 100%/t available anticipated availability in 2016/t available Materials management and inventory available installed anticipated availability in 2016 Test partition/remote faxing or printing 100%/100% 35%/100% anticipated availability in 2016 (both) HIPAA-standard transaction formats 100% 100% anticipated availability in 2016 Web-based remote inquiry of reports/web access for order entry 50%/50% 65%/60% anticipated availability in 2016 (both) Specimen management and tracking 60% installed anticipated availability in 2016 Compliance and quality assurance tools/environmental health 70%/50% 100%/installed anticipated availability in 2016 (both) Business analytics 60% 35% anticipated availability in 2016 Reference lab interface for orders, results return, status return 90% 60% anticipated availability in 2016 Other reportable diseases (blood, lead, immulogy, etc.) yes yes yes Diagsis and other data for tumor registry**** yes yes yes Other lab-related IT vendors systems to which software has an interface Allscripts, GE Healthcare, SCC Soft Computer, Siemens, Sunquest, Orchard, NovoPath, Cerner, others Beckman Coulter, Siemens, Ortho Clinical Diagstics, Olympus America, Roche, Abbott, Bayer, Sysmex Sunquest, Allscripts, Aprima, CPSI, Epic, GE Healthcare, Greenway, Healthland, many others Beckman Coulter, Siemens, Ortho Clinical Diagstics, Thermo Scientific, Olympus America, Roche, Abbott ne (TBD; new product) available but t yet operational to Beckman Coulter, Siemens, Ortho, Thermo Scientific, Olympus, Roche, Abbott LIS allows third-party updates of tables and rules yes (Info X, AMA, SNOMED, CodeMap, others) LIS allows for image capture, display, reporting yes yes yes Provide LOINC dictionary for each new installation LIS supports use of SNOMED CT yes yes yes Use third-party middleware for instrument interfaces (interface directly) (will interface directly) 70% (75% of total use Netlims PPID software/25% 25% (100% of total use third-party PPID software) 0 (clients will be able to use third-party PPID software) of total use third-party PPID software) Source code/user group that meets regularly escrow/yes (meets via webinar) escrow/yes (meets via webinar and in person) escrow/yes (will meet via webinar and in person) interfaces, dictionary settings, others ad hoc query tools, dictionary settings, custom programming, user-defined security, rules, others ad hoc query tools, user-defined interfaces, dictionary settings, custom programming, rules, others Standard software maintenance fee covers periodic updates to LIS yes yes yes Cost for software modifications to comply with federal regulations and laws usually charge; in extreme cases, cost split among standard ( charge) standard ( charge) clients affected by change Total cost for smallest LIS installation (hardware, software, installation, training) $125,000 (annual maintenance fee, $25,000) $32,000 (annual maintenance fee, $4,000) projected: $500,000 (annual maintenance fee, $125,000) Total cost for largest LIS installation (hardware, software, installation, training) $6,000,000 (annual maintenance fee, $1,200,000) $1,400,000 (annual maintenance fee, $168,000) projected: $1,000,000+ (annual maintenance fee, TBD) unparalleled flexibility and adaptability to users workflow utilizing user-controlled tools and rules scalable from small to enterprise and complex labs integrated all lab modules, including billing, reside on a single database; single set of definitions; minimum number of moving parts expert interfacing and integration capabilities with instruments, EMR systems, host systems, departments, and reference labs robust rules-based decision support logic and datamining techlogy for data analytics an industry leader in product development, training, service, and support new enterprise-class LIS scalable to address the needs of large-volume laboratories uses Microsoft SQL Enterprise Edition to provide a high-volume, high-velocity solution for large data requirements three-tier design allows for independent updates of single segments without impacting entire application

9 54 CAP TODAY NOVEMBER 2015 Part 9 of 12 Pathagility Psyche Systems Corp. Mark McCuin [email protected] Brian Keefe [email protected] Executive Center Drive, Suite Birch St., Building B Little Rock, AR Milford, MA See captodayonline.com/productguides for an interactive version of guide Name of laboratory information system WorkPath WindoPath First ever/most recent LIS installation (based on August 2015 survey deadline) 2008/August /July 2015 Last major product release or update for featured LIS August 2015 (version ) July 2014 (version 8) Total No. of contracts for sites operating LIS Hospital/Independent lab contracts in U.S. 0/16 20/7 Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 7/0 0/6 Contracts for other U.S. sites/contracts for foreign sites 0/0 0/0 No. of these contracts that went live between August 2014 August Contracts signed but LIS t yet operational (hospitals/independent labs/other sites) 4 (0/2/2) 5 (1/4/0) Total No. of sites operating LIS/No. of these sites that are outside U.S. 35/1 (Canada) 28/0 Percentage of high-volume* sites installed/low-volume** sites installed 10%/90% 30%/70% Provide list of installed client sites to potential customers on request yes (partial list) (information is confidential) No. of employees in entire company 48 No. of employees dedicated to LIS development, installation, and support 37 Range in No. of user workstations in sites operating LIS 2 40 (average, 13) (average, 20) Central hardware or service type Amazon Web Services Intel, Intel compatible system continues uninterrupted Programming language(s) Python, Java Visual Basic.Net Operating system(s) agstic Linux, Windows, Mac, BSD, Solaris, others Windows Databases and tools agstic MySQL, PostgreSQL, SQLite, Oracle Microsoft SQL server, Hyperion Interactive Reporting, RightFax System includes full transaction logging yes yes Languages (other than English) offered on system Chemistry and hematology/bar-coded collection labels available/75% 100%/100% Microbiology/Public health microbiology available/available 80%/2% Blood bank dor/blood bank transfusion available/available t available/25% Surgical pathology/cytology 20%/20% 15%/installed Molecular pathology/cytogenetics/flow cytometry 50%/75%/20% installed/installed/installed EHR interface for admission/discharge/transfer (ADT) 50% 90% EHR interface for order entry/results reporting 50%/75% 80%/80% EHR interface for packaging results into PDF format 60% 80% EHR interface for packaging results into CDA1 format/cda2 format 20%/available 25%/t available Ad hoc reporting/rules-based system 100%/100% 100%/100% Management and statistical reporting 100% 100% Outreach and/or commercial laboratory 80% 60% Compliance checking/billing and accounts receivable 80%/t available 80%/t available Materials management and inventory t available installed Test partition/remote faxing or printing 100%/80% 100%/100% HIPAA-standard transaction formats 100% 100% Web-based remote inquiry of reports/web access for order entry 100%/100% 45%/80% Specimen management and tracking 100% installed Compliance and quality assurance tools/environmental health 100%/available installed/t available Business analytics 20% installed Reference lab interface for orders, results return, status return 30% installed Microbiology data (culture and sensitivity) yes yes Other reportable diseases (blood, lead, immulogy, etc.) yes yes Diagsis and other data for tumor registry**** yes yes Other lab-related IT vendors systems to which software has an interface Sunquest, custom-developed systems, others Siemens, Orchard, Epic, SCC, McKesson, others ne (planned for future) Beckman Coulter, Siemens, Ortho Clinical Diagstics, Olympus America, Roche Diagstics, Abbott Diagstics LIS allows third-party updates of tables and rules yes (CodeMap, CAP) LIS allows for image capture, display, reporting yes yes Software provides indexed field in each test definition for LOINC code yes Provide LOINC dictionary for each new installation yes LIS supports use of SNOMED CT yes yes Use third-party middleware for instrument interfaces (interface directly) 10% (100% of total use third-party PPID software) Source code/user group that meets regularly / escrow/yes (meets via webinar, conference call, and in person) ad hoc query tools, case type property tools ad hoc query tools, 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 ( charge) standard ( charge) yes (only option); based on implementation and monthly or annual subscription fee structure ; the latter based on concurrent user licenses Total cost for smallest LIS installation (hardware, software, installation, training) $24,000 (annual maintenance fee, $500) Total cost for largest LIS installation (hardware, software, installation, training) $1,500,000 (annual maintenance fee, $118,000) molecular diagstics friendly system softwareas-a-service; fast implementations; low total cost of ownership direct-to-patient report delivery new feature giving the laboratory the ability to provide reports securely to patients full menu of integrated connectivity and distribution options for laboratories and other providers fully cloud-based hosted deployment option for Web outreach, EMR integration, LIS, microbiology unique, advanced mapping tools for deployment of EMR/PMS order and result interfaces minimizes cost and turnaround time surgical pathology, cytopathology, molecular pathology, clinical pathology, and microbiology in a single system formerly LabWeb

10 56 CAP TODAY NOVEMBER 2015 Part 10 of 12 Quality Software Systems SCC Soft Computer Jeff Caspari Ellie Vahman 252 Old Nyack Turnpike 5400 Tech Data Drive Spring Valley, NY Clearwater, FL See captodayonline.com/productguides for an interactive version of guide Name of laboratory information system LabHealth SoftLab First ever/most recent LIS installation (based on August 2015 survey deadline) 1984/ /August 2015 Last major product release or update for featured LIS 2015 (version 4.3) February 2015 (version 4.0.7) Total No. of contracts for sites operating LIS Hospital/Independent lab contracts in U.S. 1/47 264/15 Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 6/0 6/3 Contracts for other U.S. sites/contracts for foreign sites 0/0 0/34 (universities, hospitals, regional/public health authorities, commercial labs) No. of these contracts that went live between August 2014 August Contracts signed but LIS t yet operational (hospitals/independent labs/other sites) 7 (5/2/0) Total No. of sites operating LIS/No. of these sites that are outside U.S. 54/0 951/120 (Belgium, Brazil, Canada, Hong Kong, Jamaica, Malaysia, Singapore, Switzerland) Percentage of high-volume* sites installed/low-volume** sites installed 70%/30% 60%/40% Provide list of installed client sites to potential customers on request (information is confidential) yes (partial list based on environment type and modules of interest) No. of employees in entire company 10 1,800 No. of employees dedicated to LIS development, installation, and support 9 1,620 Range in No. of user workstations in sites operating LIS ,000+ (average, 80) Central hardware or service type Dell servers IBM System p (AIX/Unix) system continues uninterrupted Programming language(s) Visual Basic.Net C, C++, Java,.Net Operating system(s) Windows AIX (Unix), Windows Databases and tools SQL Oracle, OAS, Tomcat, WebLogic, JBoss, ServiceMix System includes full transaction logging yes yes Languages (other than English) offered on system French, ABN forms available in Spanish Chemistry and hematology/bar-coded collection labels 0/90% 100%/100% Microbiology/Public health microbiology 50%/25% 90%/6% Blood bank dor/blood bank transfusion t available/t available 7%/51% Surgical pathology/cytology available/installed 48%/48% Molecular pathology/cytogenetics/flow cytometry t available/t available/t available 10%/6%/20% EHR interface for admission/discharge/transfer (ADT) 30% 99% EHR interface for order entry/results reporting 30%/30% 90%/90% EHR interface for packaging results into PDF format t available 15% EHR interface for packaging results into CDA1 format/cda2 format t available/t available t available/t available Ad hoc reporting/rules-based system 100%/100% 100%/100% Management and statistical reporting 100% 100% Outreach and/or commercial laboratory 100% 100% Compliance checking/billing and accounts receivable 100%/100% 30%/30% Materials management and inventory 100% installed Test partition/remote faxing or printing 100%/100% 100%/100% HIPAA-standard transaction formats 100% 100% Web-based remote inquiry of reports/web access for order entry 100%/100% 15%/15% Specimen management and tracking 100% 100% Compliance and quality assurance tools/environmental health 80%/t available 100%/t available Business analytics 100% Reference lab interface for orders, results return, status return 100% Microbiology data (culture and sensitivity) yes yes Other reportable diseases (blood, lead, immulogy, etc.) yes yes Diagsis and other data for tumor registry**** yes Other lab-related IT vendors systems to which software has an interface Cerner, Allscripts, Eclipsys, others 4Medica, Allscripts, Cerner, Healthland, CPSI, McKesson, Mediware, NextGen, Siemens, many others planned for future to Beckman Coulter, Siemens, Ortho Clinical Diagstics, Olympus America, Roche Diagstics, Abbott Diagstics Beckman Coulter, Siemens, Ortho Clinical Diagstics, Labotix Automation, Thermo Scientific, Olympus America, Roche Diagstics, Abbott Diagstics, Tecan, others LIS allows third-party updates of tables and rules yes (3M/Info X, LOINC, CAP, Microscan, others) LIS allows for image capture, display, reporting yes yes Software provides indexed field in each test definition for LOINC code yes yes Provide LOINC dictionary for each new installation yes yes LIS supports use of SNOMED CT yes yes Use third-party middleware for instrument interfaces (interface directly) (interface directly) 25% (50% of total use Quality Software Systems PPID 30% (90% of total use SCC Soft Computer s PPID software/50% of total use third-party PPID software) software/10% of total use third-party PPID software) Source code/user group that meets regularly yes/ escrow/yes (meets in person) wraparound programming, ad hoc query tools, dictionary settings ad hoc query tools, dictionary settings, rules engine, workflow engine, highly configurable fields Standard software maintenance fee covers periodic updates to LIS yes yes Cost for software modifications to comply with federal regulations and laws optional (extra cost) standard ( charge) Total cost for smallest LIS installation (hardware, software, installation, training) $20,000 (annual maintenance fee, $6,000) Total cost for largest LIS installation (hardware, software, installation, training) $95,000 (annual maintenance fee, $30,000) true browser-based LIS with comprehensive lab and billing modules complete toxicology and pain-management module totally integrated ability to customize software compliant with ONC 2014 edition criteria and certified as an EHR module by the CCHIT label layout complies with Clinical and Laboratory Standards Institute s Auto12-A specimen label standard complete multi-site, multi-module specimen tracking (full chain of custody) across all locations

11 58 CAP TODAY NOVEMBER 2015 Part 11 of 12 Schuyler House SimpleLIMS Janet Chennault Kannan Fremont Court, Suite B St., #2020 Valencia, CA San Diego, CA See captodayonline.com/productguides for an interactive version of guide Name of laboratory information system SchuyLab SimpleLIMS First ever/most recent LIS installation (based on August 2015 survey deadline) 1994/August /June 2015 Last major product release or update for featured LIS July 2015 (version 3.2.3) August 2015 (version 2015_08) Total No. of contracts for sites operating LIS Hospital/Independent lab contracts in U.S. 131/286 0/12 Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 470/0 0/0 Contracts for other U.S. sites/contracts for foreign sites 45 (vet, vendors, schools)/44 (hospitals, physician 0/2 office labs, reference lab) No. of these contracts that went live between August 2014 August Contracts signed but LIS t yet operational (hospitals/independent labs/other sites) 0 3 (0/3/0) Total No. of sites operating LIS/No. of these sites that are outside U.S. 976/142 (Guam, Caribbean, Canada, Africa, Pacific 14/2 (India) Rim, South East Asia) Percentage of high-volume* sites installed/low-volume** sites installed 30%/70% 20%/80% Provide list of installed client sites to potential customers on request yes (partial list, as permitted by client/contract) No. of employees in entire company No. of employees dedicated to LIS development, installation, and support 21 8 Range in No. of user workstations in sites operating LIS 1 75 (average, 3) (average, 50) Central hardware or service type any PC (Dell recommended) cloud, ASP manual intervention necessary to restore operation system continues uninterrupted Programming language(s) C Python, PHP, JavaScript Operating system(s) Windows XP, Vista, 7, 8, 10 browser-based client, Linux servers Databases and tools FairCom C-Tree, Pervasive, Btrieve SQL, NoSQL System includes full transaction logging yes Languages (other than English) offered on system ABN forms available in Spanish Chemistry and hematology/bar-coded collection labels 100%/60% /100% Microbiology/Public health microbiology 70%/1% (via WhoNet) 100%/ Blood bank dor/blood bank transfusion t available in U.S./t available in U.S. Surgical pathology/cytology 10%/15% 100%/100% Molecular pathology/cytogenetics/flow cytometry t available/t available/1% 100%/100%/100% EHR interface for admission/discharge/transfer (ADT) 50% 100% EHR interface for order entry/results reporting 50%/50% 100%/100% EHR interface for packaging results into PDF format 50% 100% EHR interface for packaging results into CDA1 format/cda2 format t available/t available 100%/100% Ad hoc reporting/rules-based system 100%/installed 100%/100% Management and statistical reporting 100% 100% Outreach and/or commercial laboratory 30% 100% Compliance checking/billing and accounts receivable 50%/50% installed/100% Materials management and inventory t available 100% Test partition/remote faxing or printing t available/40% /100% HIPAA-standard transaction formats 100% 100% Web-based remote inquiry of reports/web access for order entry 30%/40% 100%/100% Specimen management and tracking t available 100% Compliance and quality assurance tools/environmental health t available/t available 100%/ Business analytics t available 100% Reference lab interface for orders, results return, status return 50% 100% Microbiology data (culture and sensitivity) yes yes Other reportable diseases (blood, lead, immulogy, etc.) yes yes Diagsis and other data for tumor registry**** yes Other lab-related IT vendors systems to which software has an interface GE Healthcare, Healthland, McKesson, NextGen, Cerner, McKesson, Medical Manager, Xifin eclinicalworks, Allscripts, Greenway, others Roche Diagstics, Bayer Beckman Coulter, Siemens, Thermo Scientific, Olympus America, Roche Diagstics LIS allows third-party updates of tables and rules yes (CodeMap, others) LIS allows for image capture, display, reporting yes Software provides indexed field in each test definition for LOINC code yes yes Provide LOINC dictionary for each new installation yes LIS supports use of SNOMED CT yes yes Use third-party middleware for instrument interfaces (interface directly) 0 100% (100% of total use SimpleLIMS PPID software) Source code/user group that meets regularly escrow/yes (meets via conference call) escrow/yes (meets via webinar and conference call) user-defined interfaces (vendor provides free customization) Standard software maintenance fee covers periodic updates to LIS yes yes Cost for software modifications to comply with federal regulations and laws standard ( charge) standard ( charge) yes (only option); $10,000 per month for small labs ( users) and $25,000 per month for large labs (100+ users) Total cost for smallest LIS installation (hardware, software, installation, training) free (annual maintenance fee, optional) Total cost for largest LIS installation (hardware, software, installation, training) $160,000 (annual maintenance fee, $8,000) easy-to-use, comprehensive LIS, including electronic billing; integrates lab results with other systems optional modules that can be added any time free SchuyBase LIS, a streamlined version of SchuyLab with upgradeable modules 100% Web based built for the cloud; server installation fees or setup fees includes services of Web developers and lab technicians comes with business-analytics, sales-management, and performance-management software

12 60 CAP TODAY NOVEMBER 2015 Part 12 of 12 Sunquest Information Systems Technidata Xifin Corinne Tso Yves Charron Cor Ward 250 S. Williams Blvd. 2 E. Congress St., Suite El Cami Real Tucson, AZ Tucson, AZ San Diego, CA See captodayonline.com/productguides for an interactive version of guide Name of laboratory information system Sunquest Laboratory TD-Synergy Xifin LIS Anywhere First ever/most recent LIS installation (based on August 2015 survey deadline) 1979/August /August /August 2015 Last major product release or update for featured LIS June 2015 (version 7.3) June 2015 (version 11.91) August 2015 (version 2.7) Total No. of contracts for sites operating LIS Hospital/Independent lab contracts in U.S. 302/0 5/3 0/24 Clinic or group practice contracts in U.S./Public health lab contracts in U.S. 0/0 0/1 20/0 Contracts for other U.S. sites/contracts for foreign sites 0/10 2 (clinical research)/599 (hospitals, independent labs) 0/2 (private anatomic pathology and molecular labs) No. of these contracts that went live between August 2014 August Contracts signed but LIS t yet operational (hospitals/independent labs/other sites) 2 (1/1/0) 3 (0/3/0) Total No. of sites operating LIS/No. of these sites that are outside U.S. 312/10 (U.K., Middle East, Denmark, Ireland) 765/654 (Canada, France, U.K., Belgium, many others) 44/2 (China, Holland) Percentage of high-volume* sites installed/low-volume** sites installed 65%/35% 90%/10% 20%/80% Provide list of installed client sites to potential customers on request yes (partial list) yes (partial list; reference sites) yes (partial list; clients must agree to be a reference) No. of employees in entire company No. of employees dedicated to LIS development, installation, and support Range in No. of user workstations in sites operating LIS (average, 300) (average, 60) 2 80 (average, 40) Central hardware or service type Hewlett-Packard, IBM Windows, Linux, Unix ASP hardware independent manual intervention necessary to restore operation or manual intervention necessary to restore operation or ; virtualization system continues uninterrupted Programming language(s) Caché, Caché Script, Standard C/C++, Visual Basic,.Net, C#, Java C#,.Net Visual C++, Active X, HTML with dynamic HTML content Operating system(s) AIX, HP-UX, OpenVMS, Linux, Windows XP Windows, Linux, Unix Windows Databases and tools InterSystems Caché SQL server, Oracle SQL System includes full transaction logging yes yes yes Languages (other than English) offered on system Spanish, French, Italian, Korean, Chinese, German, others Chinese Chemistry and hematology/bar-coded collection labels 100%/100% 100%/100% 5%/100% Microbiology/Public health microbiology 100%/installed 85%/1% 5%/t available Blood bank dor/blood bank transfusion installed/80% t available/t available in U.S. t available/t available Surgical pathology/cytology 70%/50% 40%/40% 75%/60% Molecular pathology/cytogenetics/flow cytometry installed/installed/installed 15%/20%/65% 35%/15%/40% EHR interface for admission/discharge/transfer (ADT) 99% 60% 30% EHR interface for order entry/results reporting 99%/99% 30%/85% 40%/80% EHR interface for packaging results into PDF format installed 20% 100% EHR interface for packaging results into CDA1 format/cda2 format t available/t available 15%/10% available/available Ad hoc reporting/rules-based system 90%/100% 100%/100% 100%/100% Management and statistical reporting 100% 100% 100% Outreach and/or commercial laboratory 75% 24% 20% Compliance checking/billing and accounts receivable 30%/10% 80%/40% 100%/50% Materials management and inventory installed 2% 10% Test partition/remote faxing or printing 100%/90% 100%/40% 10%/100% HIPAA-standard transaction formats 100% 10% 100% Web-based remote inquiry of reports/web access for order entry installed/installed 24%/15% 100%/15% Specimen management and tracking 100% 5% 100% Compliance and quality assurance tools/environmental health 100%/installed 50%/t available 100%/t available Business analytics installed 2% 90% Reference lab interface for orders, results return, status return installed 10% 15% Other reportable diseases (blood, lead, immulogy, etc.) yes yes under development Diagsis and other data for tumor registry**** yes yes yes Other lab-related IT vendors systems to which software has an interface Cerner, McKesson, Siemens, Epic, GE Healthcare SCC Soft Computer, Meditech McKesson, Epic, Cerner, Allscripts, eclinicalworks, GE Healthcare, others Beckman Coulter, Siemens, Ortho, Labotix Automation, Olympus, Roche, Abbott, PVT LabSystems Beckman Coulter, Siemens, Ortho Clinical Diagstics, Roche Diagstics, Abbott Diagstics ne (planned for future) LIS allows third-party updates of tables and rules yes (3M, CAP, AMA) yes (API allows for updates of tables and rules from almost any source) LIS allows for image capture, display, reporting yes yes yes Provide LOINC dictionary for each new installation yes yes LIS supports use of SNOMED CT yes yes yes Use third-party middleware for instrument interfaces Source code/user group that meets regularly 30% (60% of total use Sunquest s PPID software/ 40% of total use third-party PPID software) escrow/yes (meets via webinar, conference call, and in person) ad hoc query tools, user-defined interfaces, dictionary settings, rules, logic, dashboards (interface directly) 1% (50% of total use Technidata s PPID software/ 50% of total use third-party PPID software) escrow optional/yes (meets via webinar and in person) interfaces, dictionary settings, table settings 5% (100% of total use third-party PPID software) escrow/yes (meets in person) interfaces Standard software maintenance fee covers periodic updates to LIS yes yes Cost for software modifications to comply with federal regulations and laws standard ( charge) standard ( charge) standard ( charge) ; the latter based on start-up and installation cost, usage fee, CPU, disk space Total cost for smallest LIS installation (hardware, software, installation, training) $150,000 (annual maintenance fee, $15,000) Total cost for largest LIS installation (hardware, software, installation, training) $3,500,000 (annual maintenance fee, $700,000) streamlines end user functions to decrease specimen-handling time and improve productivity and turnaround time easy-to-use, functionally rich multi-facility LIS with more than 2,000 application interfaces and 11,000 instrument interfaces automates and drives workflow of clinical lab from sample collection at the point of care through results biobanking solution on board alerting module dashboard concept yes (only option); based on $20,000 $150,000 installation fee, $350 per named user per month subscription fee integrated suite of products, including LIS, revenue cycle management, and business intelligence cost-effective, Web-based SAAS; major hardware or software purchases or upgrade fees includes clinical pathology, anatomic pathology, and molecular testing on a single platform formerly PathCentral AP Anywhere, etelenext AP Anywhere