Orchard® Trellis™ is an advanced POCT management and integration software solution that provides remote administration of all POCT activities across multiple locations, including device and operator competency assessment tracking. It transmits POCT results to the LIS and EHR, reducing manual entry errors and automating POCT billing. Trellis offers a high level of flexibility in its implementation for various POCT scenarios that enable your POCT program to help providers make faster clinical decisions, include POCT results in analytics, and promote patient satisfaction.
Manage POCT from Your Desk
Trellis is designed for remote oversight of POCT, supporting centralized governance of a comprehensive POCT program across patient testing locations. Trellis solves many of the problems associated with POCT management by enabling remote oversight to track patient testing, devices, operator certifications, and QC.
✓ View Dashboard Display
Trellis offers a real-time visual dashboard that displays patient result volume, pending orders, instrument statuses, operator certifications, and QC statistics.
✓ View Dashboard Display
Trellis offers a real-time visual dashboard that displays patient result volume, pending orders, instrument statuses, operator certifications, and QC statistics.
✓ Track Patient Orders & Review POCT Results
Trellis automates security features, allowing POC coordinators to ensure quality testing and promote patient safety. Trellis offers variable ordering options, including:
Computerized provider order entry (CPOE) from an EHR
Trellis accommodates monitoring of all POCT patient results, including:
✓ Sophisticated Rules Engine
Trellis offers decision-support rules for result evaluation, order entry, and QC that streamline POCT workflow, improve efficiency, and increase productivity. Rules can be used to:
✓ Central Repository for QC & Reagent Lot Tracking
Trellis tracks qualitative and quantitative POCT QC across all remote sites. Quantitative QC is monitored via Levy-Jennings graphs and Westgard Rules.
Trellis automates security features, allowing POC coordinators to ensure quality testing and promote patient safety. Trellis offers variable ordering options, including:
Computerized provider order entry (CPOE) from an EHR
- Placing orders directly in Trellis
- Creating orders based on unsolicited results from a handheld device
- Support of standard bar code label printing for positive sample ID
Trellis accommodates monitoring of all POCT patient results, including:
- Review of criticals
- Triggered rules, delta flags, instrument flags, and previous results
- Snapshots of pending results via “heat bar”
✓ Sophisticated Rules Engine
Trellis offers decision-support rules for result evaluation, order entry, and QC that streamline POCT workflow, improve efficiency, and increase productivity. Rules can be used to:
- Transmit designated normal results to the EHR through auto-approval
- Route orders to specific testing locations as needed
- Prevent the release of patient results without acceptable QC
✓ Central Repository for QC & Reagent Lot Tracking
Trellis tracks qualitative and quantitative POCT QC across all remote sites. Quantitative QC is monitored via Levy-Jennings graphs and Westgard Rules.
- QC can be ordered manually or set up to auto-order at the desired frequency
- QC rules can prevent the release of patient results without acceptable QC
- Intuitive filters are available to ease tracking of numerous QC graphs
- Reagent lot tracking is available
✓ Centralized Management of Operator Certifications
Trellis tracks certification due dates for POCT operators in various locations across the organization.
Trellis tracks certification due dates for POCT operators in various locations across the organization.
- Auto-calculate certification expiration dates and notify operators of upcoming due dates
- Leadership can add notes for training and scan completed competency assessments
- Allows for bulk changes (e.g., recertify all staff selected for a specific date)
- Associate certified personnel with specific devices and locations
- Designate personnel authorized for software access versus POCT device access
- Restrict operators who are not current on their certifications
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✓ Instrument Linearity Studies
Trellis makes it easier to comply with regulatory requirements for installation studies by offering linearity/calibration verification graphing for POCT.
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✓ POCT Data Mining
Trellis offers user-friendly data mining tools with a menu of standardized report formats. In addition, users can create configurable, detailed ad hoc data queries to maintain inspection-readiness.
Trellis offers user-friendly data mining tools with a menu of standardized report formats. In addition, users can create configurable, detailed ad hoc data queries to maintain inspection-readiness.
Operator Functionality
Trellis functionality specific to operators allows users to access and view exactly what they need to perform quality POCT and ensure result capture. Operators get a personalized view of the POCT information that is pertinent to them.
✓ Review POCT Results Prior to Approval
Near-patient operators can review POCT results prior to approval and EHR transmission. Manual entry is available to complete POCT documentation requirements.
✓ Review POCT Results Prior to Approval
Near-patient operators can review POCT results prior to approval and EHR transmission. Manual entry is available to complete POCT documentation requirements.
✓ Operator-specific Snapshot of POCT Status by Location
In addition, operators can perform a QC analysis—allowing selection of applicable devices to create a location-specific snapshot of overall POCT QC status. Operators have a comprehensive view of all device certifications, providing personalized ownership of their training statuses.
In addition, operators can perform a QC analysis—allowing selection of applicable devices to create a location-specific snapshot of overall POCT QC status. Operators have a comprehensive view of all device certifications, providing personalized ownership of their training statuses.
POCT Connectivity
Advances toward an interoperable healthcare system include integration of POCT results in the patient EHR. Handwritten processes and EHR manual entry for POCT results are eliminated with Trellis’ POCT connectivity. Centralized device management and connectivity add efficiency for managers and operators through time reduction and patient safety improvements. Trellis connectivity allows POCT data to be included in analytics projects and population health management initiatives.
✓ Superior Connectivity for Diverse POCT Devices
The Orchard Device Engine (ODE) provides a secure method for connecting disparate devices and vendorware, and is vendor agnostic, helping laboratories address the unique challenges of numerous diverse POCT situations. The ODE allows for rapid deployment across locations and monitoring from a central location.
✓ Ensure POCT Billing Capture
Trellis supports automated capture of POCT billing to maximize reimbursements.
✓ Flexible POCT Implementation
Orchard realizes that every lab situation is unique and each POCT device has varying capabilities. Trellis is flexible enough to meet unique POCT scenarios in both bedside testing and near-patient testing, including the option to work with your existing LIS. Trellis offers a high level of flexibility in its implementation to allow those managing POCT to oversee it from the convenience of a central location.
✓ Superior Connectivity for Diverse POCT Devices
The Orchard Device Engine (ODE) provides a secure method for connecting disparate devices and vendorware, and is vendor agnostic, helping laboratories address the unique challenges of numerous diverse POCT situations. The ODE allows for rapid deployment across locations and monitoring from a central location.
✓ Ensure POCT Billing Capture
Trellis supports automated capture of POCT billing to maximize reimbursements.
✓ Flexible POCT Implementation
Orchard realizes that every lab situation is unique and each POCT device has varying capabilities. Trellis is flexible enough to meet unique POCT scenarios in both bedside testing and near-patient testing, including the option to work with your existing LIS. Trellis offers a high level of flexibility in its implementation to allow those managing POCT to oversee it from the convenience of a central location.
Trellis offers multiple deployment options and uses the Orchard Device Engine (ODE) to support cloud connectivity between laboratory instrumentation and the LIS application.
