Hematology, Chemistry, Microbiology. Clinical Pathology and Anatomic Pathology. Hospital Information System or Practice Management System

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2 Take your laboratory to market and stay competitive. Harvest the power of laboratory outreach and connectivity to your clients EMRs with Orchard Copia. Today, for laboratory outreach, EMR integration and web-based access for remote order entry and result delivery is a necessary facet for success and revenue growth. Orchard Copia is a very flexible and powerful outreach and connectivity tool that makes doing business with your lab easy! With Copia, your lab is more convenient and accessible to your clients either via the web or directly through their EMRs. With electronic access, you not only retain clients; in addition, you will eliminate paper requisitions, reduce errors, save time, improve efficiency, and increase revenue. Copia is designed for complex outreach business scenarios like those found in hospitals and independent laboratories serving multiple business entities. Designed to work with Orchard s various laboratory systems or as an add-on to your existing lab system, Copia s Java-based application is a front-end, web-based outreach system designed to increase your lab s marketability by providing easy web-based access and direct integration to your clients EMRs and other information systems. ARRA/HITECH is Driving EMR Interoperability In 2009, the ARRA/HITECH Act incentivized EMR/EHR adoption and required use in a meaningful way. Interoperability and the portability of clinical data is a driving force behind these incentives, and a portion of Meaningful Use criteria requires electronic lab order entry and result delivery from and to the EMR. To stay competitive, laboratories serving as a reference lab for their provider community need connectivity to their client providers EMRs. Hospital Information System or Practice Management System ADT Electronic Medical Record (EMR) Billing System DFT ORDERS/ADT DFT CLIENT EMR/PMS ORDERS/ADT ORDERS REFERENCE LAB 1 CLIENT EMR/PMS ORDERS/ADT ORDERS REFERENCE LAB 2 CLIENT EMR/PMS ORDERS/ADT ORDERS REFERENCE LAB 3 Clinical Pathology and Anatomic Pathology Hematology, Chemistry, Microbiology POINT OF CARE TESTING & BEDSIDE COLLECTION PATHOLOGY EQUIPMENT MAIN LABORATORY INSTRUMENTS

3 Within Orchard Copia, many electronic interfaces can be monitored easily. With the appropriate security access, users have the ability to view activity within the interfaces and address any potential problems due to cancelled or failed results delivery. They can also query the system for information, as well as monitor scheduled delivery and various audit logs. Experts in Information Systems Integration With more than 1,000 customers, Orchard has successfully interfaced thousands of instruments, host systems, and reference laboratories for our laboratory customers. In addition, as a member of the international IVD Industry Connectivity Consortium (IICC), EHR-Lab Interoperability and Connectivity Specification (ELINCS), and the international initiative Integrating the Healthcare Enterprise (IHE), Orchard is actively involved in the creation of interfacing standards and the only LIS vendor participating in all three organizations. Connecting the Laboratory to the EMR Orchard Copia serves as the industry s best overall laboratory outreach and integration system. As shown in the diagram on the previous page, Copia integrates seamlessly with all laboratory departments including clinical and anatomic pathology, hematology, chemistry, microbiology, and other specialties such as molecular diagnostics. This robust interoperability provides a single electronic patient record for all laboratory results that can be automatically transmitted to any provider s EMR via an electronic interface. Copia is capable of handling multiple EMR interfaces from a variety of EMR vendors, and with the proper training and knowledge, Copia provides you with the tools to complete these interfaces on your own as you desire. Automated Order Routing Within a laboratory network with multiple lab locations, ordering tests can be a complicated process. In many cases, order entry involves multiple lab systems, even multiple workstations, and the user has to review patients insurance before routing the test. With Copia as the central test management system and master patient index, users place orders in their EMR or in a single order entry screen from any web-enabled PC, and Copia handles the location-dependent test codes, patient insurance, and lab routing preferences automatically.

4 Configurable Screen and Report Formats by Client Copia enables system administrators to configure screens and reports to fit the needs of individual clients. You can design Copia s order entry screen to appear in many ways, even down to what individual users see when they sign in. And, the laboratory can brand the system as their own portal product for marketing and business growth. In addition to the order entry screen, you may also configure column views seen throughout the program. This is a huge benefit to reference laboratories with multiple customers and types, allowing the reference lab to control what each of their customers see. Orchard Copia allows you to configure the look and functionality of many different screens in order to fit the needs of each of your clients. Flexible Rules-based Decision-making Technology Flexible rules reduce errors and aid in communication and decision-making, and they exist throughout the system for order entry, splitting orders, auto-approval of patient results, reflexing to additional testing, automatic comments, clinical follow-up recommendations, result delivery, and billing/cpt codes. You can define rules based on numerous data fields, such as by user, order location, test, or day of the week. Automatic Diagnosis Code Checking For those clients ordering via the Internet portal, during order entry, Copia reviews each order and identifies potential issues with reimbursements. Copia checks medical necessity, frequency, and ICD-9 codes for acceptability and flags questionable orders for review. When necessary, Copia prints an ABN in either English or Spanish. These checks happen automatically, saving time and maximizing reimbursements. During order entry, users can find valid diagnosis codes using an easy-touse search feature. This feature shows the user the previously used diagnosis codes for that patient as well as frequently used codes. Once selected, Copia will inform the user if it will pass ICD-9 screening by highlighting the code in either red or green.

5 Safe and Secure As for security, various settings in Copia provide all the necessary flexibility for maintaining HIPAA compliance. Username and password protection, along with the industry s highest level of data encryption, protect information from unauthorized access. Access To Results 24/7 Copia can be configured to automatically notify your providers by when new results are available. If necessary and with proper security clearance, results can be viewed outside of the EMR from any PC with web access. Providers can view the current result, the result with previous history, or even display a graph comparing all current and past results. Patient results display in an easy-to-use location inbox for anyone with appropriate security clearance to review, acknowledge, or print. Improve Access, Link Your Labs, Keep Your LIS Copia is designed to work with most existing laboratory information systems, allowing your organization to capture all the advantages of web-based outreach and EMR integration without investing in a new LIS. For multiple lab locations with different LISs, you can also use Copia to link the disparate lab systems and create a single depository database for patient results. Data Mining & Management Reports Copia s integrated data browser tools allow you to create ad hoc statistical and management reports directly from your PC without the requirement of a third party report generator. You can schedule reports to run automatically, as well as save specific criteria for future use. Additionally, the user-friendly interface does not require complex programming or the help of the IT department. Create reports in PDF format for printing or save them as a delimited file for further manipulation in spreadsheet or database applications. And because Copia utilizes a SQL database, if you choose, you can use any compliant third-party data mining tool. Using Copia s robust data browsers and built-in reporting tools, maintaining administrative reports is quick and easy. Browsers can be built and saved to run automatically on a pre-defined schedule to minimize user interaction. Additionally, you may run browser reports and deliver them directly to a provider s inbox to save time.

6 Accurate Remote Sample Collection With Copia, your phlebotomists can review patient orders from any PC with web access, and preview a draw list, generate 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. Sample collection can happen at any remote location with access to the Internet and valid security access to the Copia system. From the sample collection screen, users can print ABNs, labels, and requisitions, as well as add items to a collection list. Configurable Patient Report Formats and Consolidated Reporting Copia also offers configurable patient report formats to help distinguish your lab from that of competitors. You may also configure your reports to the needs of specific clients. Within a lab network, Copia automatically combines patient test results from one or more laboratories into a single report. With authorized access, providers may review current and historical results, both in quantitative and line graph formats. This improves the quality of reporting and facilitates informed decision-making. Report formats within Copia are configurable at the client level to fit their needs. Printed result reports may include colors, graphs, logos, and even patient photos. Historical result graphs within the system are configurable to show exactly what the client needs and can change on the fl y depending on the criteria selected.

7 Patient Portal Copia s Patient Portal module allows patients to sign into the system via the web and view a PDF of the report showing their laboratory results. To ensure patient privacy, patients must be given a unique user name and password to access their reports, and providers select which results may be released to the patients on the reports. Monitor Supplies, Client Services, and Activity Orchard Copia provides the ability to track supplies with its Client Services module. This module assists reference laboratories in maintaining regulatory compliance by managing client supply inventories in accordance to the Stark Law s provisions against improper inducements. Additionally, Copia Client Services allows you to track inbound calls, collect data, monitor the quantity of supplies provided to clients, run reports, and schedule phlebotomy and courier routes. Using Copia s robust data browsers, administrative staff can create report templates and run reports on client calls, supply orders, courier routes, and many other vital pieces of information regarding client services support. Orchard Copia s Client Services module gives your customer service staff the tools they need to manage your client base quickly and effi ciently. From one area within Copia, users can track calls, place supply requests, manage courier routes, and much more. Users can click the Go button from within a client record and be directed to the client s lab orders, location inbox, pending orders, and much more, without having to go back to the Copia application menu.

8 Pick an Orchard lab system and be assured you picked the very best. About Orchard Software Orchard Software installed its first Laboratory Information System in Indianapolis, Indiana, in Since that first installation, more than 1,000 laboratories across the country have turned to Orchard Software including all types and sizes of multi-site and multi-specialty clinics and physician office laboratories, hospitals, regional reference labs, fertility clinics, veterinary labs, university student health services, and public health organizations. Improve Efficiency, Reduce Errors, and Increase Revenue Our award-winning laboratory information systems utilize process automation, medical necessity validation, robust interface and integration tools, and rules-based technology to address regulatory and integration issues, increase reimbursements, and simplify laboratory workflow. Besides Orchard Harvest LIS, Orchard also offers Microbiology and Orchard Pathology systems to eliminate paper and simplify reporting by electronically integrating these departments with the clinical laboratory. Seamless Integration, Laboratory Outreach, and EMR Connectivity As an HL7 organization member and developer of stand-alone laboratory systems, Orchard specializes in seamless integration, which makes host system, EMR/EHR/ HIS, billing, and reference laboratory interfaces routine, and makes linking multiple sites possible. With more than 1,000 customers, we are experts in integration and have successfully interfaced thousands of instruments, billing and practice management systems, EMRs/HISs, and reference laboratories for our laboratory customers. More than simply implementing interfaces, Orchard is actively involved in the creation of interfacing standards as a member of various organizations and international initiatives for systems integration. Customer-driven Product Enhancement and Development The input from our diverse user base drives the continuous development of our products and helps us improve and enhance our systems to provide the broadest set of features equipped to handle a variety of laboratory workflows and business situations. Orchard is committed to developing, installing, and supporting the very best laboratory systems. We ve been recognized for doing just that, and this commitment is the reason for our success. Award-winning Orchard Products Year after year, as researched by KLAS, Orchard Software consistently posts some of the highest scores of any of the lab system vendors. In addition, Frost & Sullivan presented Orchard Software its Customer Value Enhancement Award in recognition of Orchard s initiatives that have lead to the highest customer satisfaction rates in the LIS industry. From the seeds sown in our first 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 Orchard. Call Orchard for a demonstration of our ever-growing lab systems, and be sure you picked the very best. 701 Congressional Boulevard, Suite 360 Carmel, Indiana (800)

9 business card slots I would like to learn more about Orchard Copia! Please have someone contact me for a demonstration. Harvest the power of outreach and integration with Orchard Copia. Name Title Facility Type: Clinic Hospital Reference Lab Other Company Address City State ZIP Phone 2011COPIALIT (800)

10 701 Congressional Boulevard, Suite 360 Carmel, Indiana (800) Orchard Software Corporation