RUNNING A MODERN LABORATORY WITH LIMITLIS

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1 RUNNING A MODERN LABORATORY WITH LIMITLIS Paper records and simple spreadsheets are no longer sufficient to manage my laboratory and its operations. I need something more to effectively serve my clients. Today s laboratories face many challenges in their day to day operations. Staffing shortages, increasing turnaround times (TAT), time intensive certification audits, insufficient sample monitoring methods, and inaccurate billing all must be managed while staying fully compliant with CLIA and HIPAA regulations. For a modern clinical laboratory to remain competitive, adopting a laboratory information system (LIS) has become an economic necessity. Effective software management of this kind is essential for meeting regulatory guidelines, providing timely and accurate test results and test result interpretations to physicians, and thriving in the clinical testing market, while avoiding potential negative audit findings. Identifying your laboratory s needs and challenges will help you in determining which laboratory information system (LIS) fits your specific requirements. To get you started, consider whether you or anyone in your laboratory has said: I can t track progress of my samples through various tests in the lab. Are all of the tests completed? Entering billing data and sending faxes is taking too much time away from lab work. Where is the final test result report? Did we ever send it to the client? Who performed quality checks on this instrument, and when?

2 What is LimitLIS and how does it help the modern clinical testing laboratory? LimitLIS is a modern, automated, and cloud-based laboratory information system designed to manage samples and test orders, track samples and test results in the lab, publish results and reports to your lab s clients in their preferred formats; integrate directly with analyzers, EMR/EHR providers, billing providers and reference laboratories. LimitLIS centralizes all of your laboratory data and operations information and consolidates it in a single solution. Perhaps most importantly, LimitLIS is using its modern software architecture to offer a streamlined, pleasant lab user experience and professional appearance to lab customers accessing its inbuilt Client Portal feature. RURO designed LimitLIS to address and resolve a multitude of issues impacting your lab s daily laboratory operations. How can LimitLIS add value to your business? Keep valued clients and grow your client base by achieving faster turnaround times Improve quality through enhanced data accuracy Increase efficiency by centralizing information and tools in a single software package Reduce staffing costs with automated billing, EMR integration and notifications Figure 1. Reducing operational costs with LimitLIS

3 Figure 2. How LimitLIS helps increase client satisfaction and improve data quality LimitLIS Feature E-requisitions and test order validation Automatic QC and Levey-Jennings charts. Benefit Validation at the time of ordering ensures complete and free of error execution, with correct billing data; improving cash flow. LimitLIS automatically flags test results that exceed configured QC ranges; facilitating CLIA compliance. Direct instrument, EMR, Billing provider Direct integration eliminates manual data integration transcription errors. Sample monitoring Configurable, real-time alerts focuses staff and customers on areas of need more quickly and without staff involvement. Easily accessible audit logs for every record Compliance with 21 CFR Part 11 Client Portal Role based access control Patient Portal Providers can retrieve results as soon as they are available; improving turnaround times (TAT). Easy to use, simplified UI is tailored towards the needs of each user; eliminating visual clutter and associated time wasted by staff. Individual patients can securely login and monitor their test result progress from anywhere in the world. Client-specific result reports and test panels. Reports and test panels can be configured per client, along with test interpretations; improving physician satisfaction. Powerful configurable ad-hoc and reusable saved queries Data in LimitLIS can be easily queried, processed and displayed in user configurable reports and graphs; increasing operational awareness and reducing the time needed to retrieve data. Electronic patient and physician signatures Rule-based reflex tests Reduces paperwork for physicians while remaining compliant with federal regulations Automatic ordering of follow-up tests may improve the accuracy of diagnoses, patient care and laboratory efficiency.

4 Automatic rule-based accessioning Reduces the number of keystrokes needed to accession a sample; improving turnaround times (TAT). Anatomy of LimitLIS In this section we highlight a few of the key features of LimitLIS, but a complete listing of all features is available at Client/Patient Portal LimitLIS features secure portals for your own laboratory s clients and/or individual patients, enabling those parties to submit orders or requisitions and view results directly in LimitLIS via permission-controlled access. Individual patients with system access will login and see only their own test results. Laboratory clients with login access create orders and submit information directly, minimizing time wasted and potential data error. Similarly, your clients view their test results immediately after your lab approves them for release. The time it takes to transfer information, as well as the risk of rework and even loss of customers due to data inaccuracy is reduced with LimitLIS. Laboratory Dashboard LimitLIS laboratory management dashboard features easily understood, key analytical data displays and charts for your laboratory. Staff testing volumes, laboratory turnaround time performance (TAT), sample volumes, EMR/billing reports and analyzer status are examples of what your lab may select for its home screen dashboard content in LimitLIS. With these information tools, laboratory managers can gain better, quicker insight and make decisions on improving the performance of their lab; while identifying opportunities to reduce expenses. Paperless E-Requisitions LimitLIS helps your organization eliminate waste and transcription errors through its paperless e-requisition functionality. Your clients submit requisitions securely though LimitLIS directly to your lab. Your clients enter all information directly, as well; including patient information, billing details, ordered tests, barcode on the sample, point-of-care tests and comments. Your laboratory doesn t utilize all of this data? No problem LimitLIS can be configured to hide unnecessary data types and workflows to make its user interface fit for your lab and clients. Sample Tracking & Storage Receive samples in the laboratory, assign accession numbers, print and design 1D, 2D and RFID barcode labels, track samples through your testing process with LimitLIS. Once testing is completed, store samples in perpetuity or for a defined timeframe using our Storage Module. With LimitLIS, in these workflows and other, the user will always know where their samples are

5 at any given moment. Not sure when to discard? LimitLIS posts a system alert indicating samples are past their expiration date - never struggle with a cluttered freezer again! Test Results Acquisition With direct unidirectional and bidirectional integration support, analyzers receive test orders from LimitLIS and report test results back out to LimitLIS automatically. If the auto-verification option is enabled, normal results are automatically finalized; requiring analysts to simply monitor for exceptions/abnormal results. If the instruments at your lab are not integrated, LimitLIS can accept and process instrument result file uploads and test results can be entered manually, as a backup. Integration LimitLIS supports direct unidirectional and bidirectional integration with a variety of EMR/EHR and billing providers through the HL7 Messaging Standard. Its HL7 interface designer ensures that LimitLIS will be able to integrate with your systems. Using bidirectional EMR integration, LimitLIS receives test orders from your EMR, creates requisitions and returns results back to the physician as soon as they are released. Integration with billing providers insures that the patient is automatically billed for the performed procedures as tests are completed, improving cash flow. Quality Control & Levey-Jennings Charts LimitLIS quality control module tracks control sample lots, lot expiration dates and equipment used in each quality control run. QC runs can be redone when out of range and test results that exceed configured QC ranges are automatically flagged for verification. Levey-Jennings charts are generated for a specified timeframe enabling identification of trends. LimitLIS supports both qualitative and quantitative QC. Scalable, Easy to Use and Mobile Friendly LimitLIS is a cloud based solution that will grow with your lab and can be accessed anywhere, on any device by your staff and clients. In addition to the above features, LimitLIS offers your laboratory sample maintenance (accessioning, tracking, and storage); report generation and delivery, including amended reports; document management; microbiology management; point of care tests; patient scheduling; advanced data security and much more. How can I learn more about LimitLIS? For additional information on LimitLIS please contact RURO at RURO or visit our website at Notes: Timery S. DeBoer, Ph.D. is a Project Manager and Sasha Brocato is a Product Manager at RURO in Frederick, MD, US. Timery can be reached at and Sasha can be reached at

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