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MEDCOM's LIS was designed to provide the modern physician office laboratory (POL), private clinic, or small hospital with an easy to use comprehensive program. MEDCOM's LIS interfaces with a wide variety of clinical instruments and integrates the patient orders and results and instrument controls into a single, cohesive program, and helps the user comply with Clinical Improvement Act of 1988 (CLIA) regulations.

MEDCOM's LIS is designed to allow for multiple user interface methods including keyboard, mouse and touch screen. Each function has been scrutinized to be executed with the minimum number of steps and clicks of the mouse to provide the modern physician office laboratory (POL), private clinic, or small hospital with an easy to use comprehensive program.  Seamless integration with billing and electronic medical records systems increases accuracy and speeds processing of orders, results and billing.

System Highlights

Scalability
MEDCOM's LIS is scaleable and provides for multi-site applications.  In fact, multiple labs can be integrated to assist with workflow management.  The main lab may support remote labs where the remote lab performs some testing and the main lab performs testing for the balance of the work.   The complete order is placed on the remote lab and the system automatically determines what portion of the order is to be sent electronically to the main lab.   In effect the main lab becomes a seamless extension of the remote lab.  With this capability, growth will not be a problem.  If your initial needs are for a smaller system, you can be comfortable that the system can scale to any size needed.  The MEDCOM Lab Information Manager contains a complete database with patient demographics and full database functions such as the ability to search and edit by name, ID, or accession number and print results in many different formats. The reporting capabilities are numerous (by physician, by location and by ordering system) each with its own format.  The patient database allows the user to comply with CLIA patient record keeping requirements.

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Order Management:
With managed care, patient specimens need to be sent to predetermined labs for testing to comply with the agreements made between the insurance companies and the various labs. The physician must see to it that these agreements are supported. If not, the physician may be responsible for the lab charges. It is therefore very helpful that the MEDCOM Lab Manager integrates with the various testing labs and sends the orders to the appropriate location. This test management capability simplifies the processing of all lab work. Barcode labels, packing lists and requisitions can be produced to identify the specimens and document the orders.

MEDCOM recognized the need for this test management capability in all doctors offices and provides this test management capability as a stand-alone product. This new product is perfect for test management in any office with or without a lab. The chart below describes the interconnectivity of MEDCOM Order Manager.

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Medical Necessity
Alpha II Coder assists the user with medical necessity determination for accurate claims processing.  If the test is not covered, an Advanced Beneficiary Notification is provided for the patient to sign indicating any tests that are not covered and notification the patient is responsible for the charges. The Alpha II is uniquely embedded within the MEDCOM Lab/Order Manager to automate the alert process .  The Alpha II can be purchased from MEDCOM along with your order for the MEDCOM Lab/Order Manager Systems.  For more information see Unicor Medical Inc.'s tm. Product.

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Web Based and ASP
MEDCOM Information Systems provides a Web-based system for ordering lab tests and viewing results. Access to a browser and Internet connection is all that is needed.  The secure site is accessed with password protection and will not compromise your security plan.  Also, with multi-site labs, all remote sites can easily be linked to the central lab.  In a secure network, or Intranet, the results are available for viewing and/or printing at any time by any authorized person.

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Paperless
MEDCOM Lab Manager is used to manage all patient test orders and the storage of results. It is designed to replace paper-based systems and automate the entire process of lab work from the time a doctor orders the test to the time the results are returned to the doctor.
Without a computerized lab information system, doctors manually write out lab requisitions to order specific tests.  The requisition is then carried or faxed to the lab.  The lab performs the tests and manually enters the results on a paper document which is carried or faxed back to the doctor for review and then stored in the patient chart. MEDCOM Lab Manager streamlines the whole process by allowing the doctor or staff person to enter a lab order directly in Welford Chart Notes (or other charting system) for the patient, and the order is then automatically sent to the MEDCOM Lab Manager. The lab results from the analytical instruments are validated, released and automatically sent back to the doctor and are updated in Welford Chart Notes or other charting system. The whole process can be totally paperless eliminating manual entry errors and greatly reducing the turnaround time.   In addition, lab charges can be automatically sent to Edimis Practice Manager (or other practice manager system) for automatic posting saving more time and potential for errors.

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Connectivity
MEDCOM's experience with a wide variety of nationally known laboratory instrument manufacturers resulted in the development of a unique programmable data-stream "translator" for instrument communication and is the heart of the MEDCOM Laboratory Information System. This exclusive "easy-link" concept permits the CLIA software and other ancillary programs to be instantly tailored to virtually any number of laboratory instruments or instrument combinations.
The Translator III is a unique BI-DIRECTIONAL TRANSLATION engine developed to make the PC - INSTRUMENT READY. It provides the user an economical alternative to expensive consultants and programmers previously associated with instrument interfacing.  The Translator III is designed to permit remote configuration via modem or the Internet.  If an instrument manufacturer changes the interface protocol used by the MEDCOM LIS, the communications will break down.   MEDCOM can remotely connect to the LIS and correct the problem in minutes with the Translator III interface engine.

Full bi-directional integration with billing and electronic medical records systems is equally simple using the Translator III interface engine.
MEDCOM Information Systems, Inc. has interfaced to numerous systems and promotes ASTM/HL7 standards to make communications a simple and faster process.  If those standards are not being used, Translator III is equally capable of handling the task.
Look to MEDCOM Information Systems, Inc. for your instrument interfacing for a totally automated clinical laboratory.

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Quality Control
The software integrates quality control functions, instrument calibrations and the patient database into one comprehensive program assisting in compliance with federal laws.  Quality control results are sent from the laboratory instrument to the MEDCOM Lab Manager quality control database. By appropriate menu selection, the laboratorian is given the opportunity to run and store all controls in the database before patient results are received, or....quality control can be performed along with the patient orders for specific tests. The software has been designed with flexibility to satisfy a wide variety of individual user operations and time saving options.
Out-of-Range QC is flagged and the system warns the user of the condition and also suggests appropriate action to be taken. The user can also include any comments within the warning message and these comments will appear in the records for review.  Any test whose QC has failed and has not been repeated is automatically taken out of the run.  A predefined range is used to determine whether the QC level passes or fails. The user also has the option of using the Westgard rules for monitoring QC's.   Correlation studies can also be run simultaneously with the primary controls.   Mean and standard deviation are calculated automatically.
Automatic Levey-Jennings Graph Presentation
No more manual plotting of graphs...QC results are automatically plotted in crisp, clean and easy to understand Levey-Jennings color graphs. Additional run statistics on each and all QC points are also shown with mean and CV automatically calculated. Information on each run of all QC's is clearly identified both graphically and numerically.

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Summary
The MEDCOM Lab Manager:

  • Reduces the time to automate the laboratory.
  • Limits the need for a multitude of programmers and consultants.
  • Includes a complete patient database to receive instrument data unique to each patient.
  • Provides an integrated result verification system which allows the user to review test results and hold samples needing to be repeated before releasing and permanently storing them.
  • Has provisions for printing numerous reports for complete data management.
  • Has internal "translation software" which is re-programmable as the need for additional interfacing arises.
  • Interfaces up to 16 instruments to a single PC.
  • Includes full system support.
  • Can be integrated with a LAN (Local Area Network) and/or Intranet.
 Easy Daily Startup  Flexible Report Creation  Fast Order Entry
 Flexible Worklist Configuration  Versatile Report Routing Web Based Ordering and Reporting
 User definable patient demographic storage  Test statistics by location, physician and payor  System scalability to any size lab for long term usability
Embedded Translator III Interface Engine User Friendly Test Compendium Management Simple Quality Control Management with Graphing

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HARDWARE
MEDCOM's Instrument Ready PC's are certified and are complete with the required communication ports to provide quick and easy connection to a wide variety of clinical instruments. MEDCOM's expertise in instrument interfacing and the processing of medical information with integrated database software brings to the physician and clinical laboratories PCs that are engineered to provide the greatest reliability possible.  MEDCOM burns-in the systems before they are shipped to eliminate delays during installation in the lab.  The Instrument ReadyPC is a Pentium computer system that includes MEDCOM's proprietary Translator III interface engine to provide the user a cost effective alternative to expensive and complicated instrument interfacing. With the Instrument Ready PC, analytical instruments (chemistry, hematology, immunology, etc), are connected to the system via the RS232 communication ports. Other computers may also be connected to the Instrument Ready PC, directly, or as part of a network interface to billing and medical records systems. Call MEDCOM for further details on hardware specifications and certification for user supplied computers.

To see how easy it is to automate your laboratory,...and to comply with CLIA regulations. 
If you would like to receive a free demo copy of the MEDCOM Lab/Order Manager please send an e-mail to medcom@emirj.com or please call 1-800-213-2161.

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