Orchard’s laboratory information systems provide you with tools to help maintain a productive laboratory despite staffing challenges, tightening reimbursements, and changing healthcare environments. Utilizing process automation, robust interfaces, and rules-based decision-support technology, Orchard’s systems address regulatory issues, improve efficiency, reduce errors, and increase reimbursements. The design and development of Harvest LIS, with ongoing input from our diverse user base, includes many powerful, flexible features capable of handling a variety of laboratory workflows and business situations. Orchard is committed to developing, installing, and supporting the very best laboratory information systems, and, as healthcare continues to progress, Orchard will continue to respond to the needs of the laboratory and provide the strategic partnership needed for laboratory success.

 

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Round Table Discussions: The Future of the Lab in Healthcare (May 2017)

In a collaborative effort to discuss the future of the laboratory in healthcare, Bob McGonnagle, Publisher of CAP Today, gathered with Orchard Software’s Curt Johnson, Chief Operating Officer, and Matt Modleski, Chief Operating Officer, American Health Network. This “round table discussion” was recorded in May of 2017 and edited into a series of seven short videos on various topics surrounding the laboratory’s role in the future of healthcare.

Watch the videos

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Rules-based Decision-support Technology

Orchard’s advanced configurable rules improve workflow efficiency and error-proofing by aiding in decision making throughout the total testing process. This ensures the consistent execution of procedures and increases the productivity of your laboratory. Use rules to promote accurate processing of orders, enhance test utilization, develop advanced testing algorithms, auto-verify “normal” results, automate QC, and streamline billing processes.

Orchard’s system’s decision-support rules allow users to work closely with ordering providers to eliminate obsolete testing, avoid unnecessary test combinations, and eliminate non-value added tests; contributing to overall improvements in the quality of patient care. Cross-panel rules allow rule conditions to be based on results from multiple tests within a panel or order, supporting testing cascades that promote the most efficient testing sequences for providers and their patients. This ensures that that only necessary testing is performed, eliminating waste and saving healthcare dollars.

Improve productivity by using Orchard’s result evaluation rules to set up auto-verification of “normal” results, freeing up valuable tech time, and allowing you to increase productivity without adding FTEs. Depending on your lab menu and patient population, from 40% to 80% of results may qualify for auto-verification.

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Data Analytics & Business Intelligence

Orchard knows that one of the most important functions in any laboratory information system is the ability to use the data contained in the system for various reporting needs and quality assurance initiatives. Orchard’s systems provide the ability to easily and efficiently report information on any field in the database via an easy-to-use graphical user interface built directly into the software. Orchard’s administrative reports that track key performance indicators and display clinical data analytics are paramount for healthcare organizations to make educated business decisions. This allows managers to focus less on administrative paper trails and more on improving productivity and quality in their organization.

The numerous monitoring and reporting tools made available by Orchard’s data mining strengths can generate valuable laboratory analytics. For example, you can monitor patient means by analyte to discover shifts between reagent lot numbers, or track specific diagnoses or abnormal test results to manage disease populations and identify patients who need follow-up testing.

Orchard supports laboratory efforts to demonstrate value by providing helpful analytics for monitoring turnaround times, provider utilization statistics, testing volumes, staffing levels by shift, billing data, correlation reports, population data by diagnosis, and much more. Transform your data into useful business intelligence and provide valuable reports to administration, contributing to consistent and superior service for your providers and patients.

View Sample Harvest LIS Administrative Reports 

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Integration & Interfaces

Careful programming and a team of interface specialists make Orchard the clear choice for “best-of-breed” integrated systems. Orchard specializes in seamless integration, which makes host system, EHR/HIS, billing, HIE, and reference laboratory interfaces standard, and linking multiple sites possible. Orchard is an expert in information systems integration and has successfully completed thousands of interfaces for our laboratory customers.

Structured diagnostic data, discrete and codified, is essential to the future of healthcare and the development and utilization of personalized medicine. Orchard’s systems store data in discrete fields that enable EHR integration and enhance data mining for evaluations, correlation studies, and analytics, as well as for regulatory and quality assurance reporting. With Orchard, instrument and system integration provides an automatic and seamless flow of data, allowing your laboratory to improve patient care by reducing errors, saving time, and speeding up the delivery of results.

Orchard’s systems use Logical Observation Identifiers Names and Codes (LOINC) and/or Systematized Nomenclature of Medicine— Clinical Terms (SNOMED CT) in HL7 messages to facilitate the exchange and pooling of results, and to optimize clinical care, outcomes management, and research.

Available Interfaces

Host Interfaces

Reference Lab Interfaces

Instrument Interfaces

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Workflow Management & Sample Tracking

Orchard’s systems’ audit trail, statuses, and sample tracking features provide laboratories the tools to organize and track laboratory samples and specimens throughout the testing process and into storage, making it easy for laboratorians to locate specimens during testing as well as facilitating quick retrieval of stored samples.

From order entry to result delivery, through accessioning, quality control, and sample storage, you can configure every detail of the process to your laboratory’s specific needs and track them with Orchard’s user action and change logs. Orchard’s systems employ modifiable statuses to categorize samples by department, analyzer, review status, etc. and you can automatically route samples to an updated status based on bar code, parsed results, or result approval.

The sample tracking tool organizes and tracks the storage of laboratory samples and specimens to facilitate quicker, easier retrieval. At the time of order entry, sample storage is integrated into your system, making retrieval easy. Rather than pulling out tubes or slides to review dates, you can easily track expired items in the sample tracking system, and the system can alert users when items have reached their expiration.

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Quality Control & Quality Assurance

With Orchard Harvest LIS, sophisticated quality control features make QC management quick, efficient, and easy. Configurable Westgard rules and extensive support for qualitative and quantitative QC help you get the most from your quality control data and perform well on inspection.

Orchard’s systems maintain and display detailed Levey-Jennings graphs in conjunction with intuitive rules to monitor QC, saving time and ensuring that your lab’s QC is inspection-ready. Eliminate bulky, hard copy QC files by using Orchard’s system to electronically store your qualitative and quantitative QC data, making it easy to retrieve current and expired QC records for review.

Save valuable time by reviewing Levey-Jennings graphs for multiple levels or multiple graphs on one screen. For parallel QC requirements, you can display multiple QC lot numbers simultaneously for easy comparison and inspector review. Linked to the QC file, you can scan QC assay sheets so that when the inspector reviews your QC in Harvest LIS, the assay values are easily accessible.

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Result Delivery & Patient Reporting

Patient data is electronically stored in a consolidated patient record that can quickly and easily be accessed using a variety of search criteria. The system can present historical results in a graphical format so that providers can track changes or shifts in a particular test to clearly define a patient’s progress and facilitate their treatment plan. Incorporate color graphs to visually document result trends, highlight abnormal and critical values, and enhance patient education. Orchard’s systems also allow you to annotate linked images and add descriptive text on reports.

Orchard’s rules-based result delivery technology and reporting options give you the flexibility to set up auto-delivered reports and courtesy copies to providers in the format each prefers including print, fax, email, and web. Because both the diagnostic data provided in a graph format and the import of discrete data are of significant value, Orchard’s products are capable of sending both discrete data and a PDF report. Numerous configurable options are available that allow the use of graphics to assist the clinician with a speedier diagnosis.

View Sample Harvest LIS Patient Reports
Download Harvest LIS Brochure

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Orchard Collect: Positive Patient ID Collection Solution

For patient bedside specimen collection, Orchard Software offers Orchard® Collect™, a Point-of-Care (POC) collection tool that uses a tablet, bar code scanner, and wireless printer to organize and confirm accurate laboratory specimen collection. The Orchard Collect platform integrates to Orchard® Harvest™ LIS or Orchard® Copia® to expertly handle tasks associated with bedside sample collection: including bar code scanning, label printing, positive patient ID, order entry questions, and submission of completed collections. The solution provides a comprehensive, interactive collection list, with container requirements, appropriate draw order, and images of collection containers to assist the phlebotomist in proper collection procedure.

The small-footprint, self-contained application allows for easy field deployment and updates. Phlebotomists can employ a “workstation on wheels” or fit all of the components neatly and conveniently into a tote bag. Successful positive patient identification is verified by a visual indicator and can be performed by several methods including scanning a wristband, or displaying a patient picture. The Orchard Collect system streamlines the process of proper patient ID, decreasing the opportunity for patient ID errors; and provides collection information right at the phlebotomists’ fingertips to increase efficiency and accuracy.

Download Orchard Collect Brochure pdf 

 

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Harvest Webstation

Harvest Webstation, used as a module with Orchard® Harvest™ LIS, gives web access to users within a single business entity, with a focus on low-cost implementation and general simplicity. It is designed to help laboratories serve providers who need access via the Internet. Harvest Webstation provides web-based outreach and networking solutions that allow users to place orders; edit patient demographics; print labels, requisitions, and invoices; and view completed results—all from any Internet-enabled PC. Harvest Webstation brings the decision-making power of Harvest LIS’ rules-based technology to the outreach process. During remote order entry, Harvest LIS reviews each order, identifies potential issues, and automatically notifies the user of any problems, allowing users to proactively address any issues. ABNs are automatically generated when indicated by the order information. Through Harvest Webstation, Harvest LIS’ intelligent routing capability and test code management simplify remote order entry by automatically routing tests to the correct laboratory. When testing is complete, Harvest LIS gathers patient results from each testing facility and combines them into a single report that can be conveniently viewed by providers at any time from any web-enabled PC. Support for PDF patient reports is also integrated into Harvest Webstation, and PDF reports look identical to the final reports generated by Harvest LIS.

Download Harvest Webstation Brochure pdf 

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Single-platform Microbiology

The Orchard Microbiology module works in conjunction with Harvest LIS to provide your microbiology department with all the advantages of rules-based decision support and the bi-directional flow of data. This improves efficiency, reduces errors, increases reimbursements, and eliminates the use of logbooks and paper worksheets. As microbiology departments look for additional opportunities to expand their test menus and support antimicrobial stewardship, Orchard’s systems provide the necessary tools to allow laboratories to demonstrate their value.

Orchard’s systems’ electronic microbiology worksheets are intuitive and easy-to-use. To save time and simplify data management, microbiologists can quickly and easily record observations; add tests; print sample, media, and slide labels; create reports; and approve results. To improve efficiency, you can use the bar code scanning feature to locate and open the correct electronic worksheet for editing.

Write rules for automatic interpretation of manual susceptibilities, MICs, reflex testing, and deduced drugs based on lab-defined criteria. Generate valuable reports required for quality assurance, infection control committees, and public health departments, including a CLSI-compliant Antibiogram Report. Orchard’s systems provide advanced tools to support your facility’s antimicrobial stewardship efforts, including antibiograms, adhoc reporting, and epidemiology reports.

Download Orchard Microbiology Module Brochure  

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Single-platform Pathology

Orchard® Pathology is a complete diagnostic information system, where clinical and anatomic data share the same database and where data is stored in discrete data fields to simplify synoptic reporting, data mining, and analytics. The database can be utilized as a stand-alone AP system or a single system that includes pathology, clinical, and molecular.

The fully integrated, shared database used by these various diagnostic disciplines provides access to the patient’s entire history and enables the consolidation of clinical results to the cytology or pathology report. Users are able to eliminate the manual system of audit trails and paper files, thereby improving efficiency, and enabling pathology laboratories to more easily meet quality metrics and patient safety goals.

Orchard’s systems offer a high level of flexibility and configurability, and are designed for easy navigation and tracking through all phases of testing. Unlike legacy-based anatomic pathology systems developed prior to advanced integration and data mining needs, Orchard Pathology was designed to accommodate the comprehensive pathology laboratory and the future trends in diagnostics.

View Sample Reports or read more about Orchard Pathology.

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