Company | . | Name of anatomic pathology system | wdt_ID | Contact | City, State | Phone, Web | How AP system functionality is deployed | Configuration of AP system | Year company began selling AP systems (any brand or model) | Most recent installation of this AP system* | Last product release or update for featured AP system* | Total No. of contracts for sites operating AP system | • No. of sales and sites that went live on system between Dec. 2021–Nov. 2022 | No. of sites operating AP system (hospitals/independent labs/clinics or group practices/other U.S. sites/foreign sites) | Foreign locations where company actively markets AP system | Human languages (other than English) supported by AP system | Approximate No. of employees in entire company | Company provides list of client sites to potential customers on request | Clients restricted from sharing their experience with company or software | Range in No. of surgical pathology cases per year in installed sites | Range in No. of gynecologic cytology cases per year in installed sites | Programming languages and development applications or environments | Operating systems | Databases | Features/modules incorporated in product: | • Surgical pathology information system/Cytology information system | • Autopsy information system/Autopsy measurements, organ weights | • Molecular pathology testing and reporting | • Scan and store manual requisitions | • Specimen tracking/Specimen storage and retrieval | • Entry of block IDs | • Print linear barcodes/Print two-dimensional barcodes | • Print histology worksheets | • Word processing with pathology templates | • Voice entry of gross description/Voice entry of final diagnosis | • Gross images integrated in reports/Microscopic images integrated in reports | • Remote microscopy | • Electronic signature | • Remote printing of completed reports | • Automatically fax reports to clients without manual intervention | • Web-based remote inquiry of reports | • Physician Web access for order entry | • Natural language search capability | • Sound-alike (e.g. Soundex) retrieval of patient history | • Produce tumor board reports/Produce management reports | • Reports sufficient to comply with CLIA ’88 regulations | • Automatically collect and record PC and TC charges for billing | • Comprehensive billing and accounts receivable | • Interface to billing company that produces bills and invoices, follows up for payment | • Inbound result-reporting interface to receive discrete results from an external lab and store them in patient record | • EHR interface: admissions/discharge/transfer (ADT) | • EHR interface: result reporting/Report sent to EHR as PDF for clinician | • EHR interface: incoming clinical results | • Partin tables/Gleason score calculations | • Synoptic reporting for microscopic examination/For gross examination | • CAP electronic cancer checklists automatically embedded | • Client services module/Consultation management and reporting | • LIS manager or lab employee can create ad hoc reports accessing all data elements in AP system | • LIS manager or lab employee can determine schedule under which management and patient reports are automatically compiled and run | • Business analytics/Management dashboard | • Telepathology | Percentage of sites using result-reporting interfaces to external systems based on transmission of fully formatted (e.g. PDF or CDA) results | Software provides indexed field in each test definition for LOINC code | AP system supports use of SNOMED CT | System can auto. send tumor diagnoses to regional or state tumor registry using NAACCR Pathology Lab Electronic Reporting, vol. V, version 4.0 | Company uses third-party middleware for AP system-instrument interfaces | Other IT vendors’ lab systems to which AP system bidirectionally interfaces | Voice-recognition products or partners that system uses | Digital pathology or WSI systems that interface to AP system | Client gets copy of source code/User group that meets on a set schedule | Qualified users or third parties can modify or augment AP system functionality or features | Methods by which users can tailor AP system in their own setting | Distinguishing product features (supplied by company) | . | . | Additional Features | |
---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
Clinisys | Clinisys CoPathPlus† | 1 | Amber Kazansky | amber.kazansky@clinisys.com | Tucson, AZ | 520-570-2261 www.clinisys.com | available as local server/software and an ASP | available as a standalone product designed to interface with any company’s LIS and EHR | 1982, as Sunquest | Nov-19 | March 2022 (version 8.0) | 129 | — | 119 (90/18/2/0/9) | Canada (installed in UK, Ireland, Canada, Bermuda, Bahamas, Saudi Arabia, United Arab Emirates) | — | 1,400+ | yes (partial list of comparable sites with no restrictions) | no | 700–500,000 | 0–600,000 | C++, Visual Basic, PowerBuilder | Microsoft Windows, Linux, AIX | Sybase, Microsoft SQL server | installed at client sites/installed at client sites | installed at client sites/installed at client sites | available via Clinisys Laboratory Platform | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | not available for this software | installed at client sites | installed at client sites | installed at client sites | available via Clinisys physician portal for AP | available via Clinisys physician portal for AP | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | available via a third party/available via a third party | available via a third party/available via a third party | available via a third party | not available for this software/installed at client sites | installed at client sites | installed at client sites | available via Clinisys Analytics (both features) | not available for this software | 48% | no | yes (for some types of cases) | yes (pathologist can also set a flag for “send this case to tumor registry” on any case record) | combination of direct interfaces and third-party systems (Data Innovations for molecular instrument interfaces) | Epic, McKesson, Cerner, Siemens, GE Healthcare, QuadraMed, Allscripts, Meditech, others | Nuance Dragon, Voicebrook, M*Modal | Roche, Leica, Philips, Inspirata; some functionality built into AP system | optional/yes (in person and via webinar) | no (all modifications made by vendor) | ad hoc query tools, user-defined interfaces, dictionary settings, field window painting, client-defined, rules-based workflows around AP processes and reflexes | Procedures for integrating molecular/genetics results into patient reports to improve care; comprehensive specimen-management for safety and efficiency | †formerly Sunquest CoPathPlus | *based on December 2022 survey deadline. Note: a dash as an answer means company did not answer question or question is not applicable | |||
Clinisys | Clinisys PowerPath† | 2 | Amber Kazansky | amber.kazansky@clinisys.com | Tucson, AZ | 520-570-2261 www.clinisys.com | available as local server/software, ASP, and cloud based | available as a standalone product designed to interface with any company’s LIS and EHR | 1982, as Sunquest (Sunquest began selling PowerPath in 2011) | Aug-22 | March 2022 (version 13.0) | 123 | — | 123 (90/24/4/1–specialty start-up/4–health organizations) | Canada (installed in Canada, Australia) | — | 1,400+ | yes (partial list of comparable sites with no restrictions) | no | 1,500–480,000 | 5,000–350,000 | C#, .Net, Delphi | Microsoft Windows | Microsoft SQL server | installed at client sites/installed at client sites | installed at client sites/installed at client sites | available via Clinisys Laboratory Platform | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | not available for this software | installed at client sites | installed at client sites | installed at client sites | available via Clinisys physician portal for AP | available via Clinisys physician portal for AP | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | not available for this software/installed at client sites | installed at client sites | installed at client sites | available via Clinisys Analytics (both features) | not available for this software | 38% | yes | yes (for all cases) | yes (pathologist can also set a flag for “send this case to tumor registry” on any case record) | combination of direct interfaces and third-party systems (Data Innovations) | Allscripts, Cerner, Epic, GE Healthcare, McKesson, Meditech, Siemens, 4medica, others | Nuance Dragon, Voicebrook, M*Modal | Roche, Leica, Philips; some functionality built into AP system | optional/yes (in person and via webinar) | no (all modifications made by vendor) | ad hoc query tools, user-defined interfaces, dictionary settings, rules-based workflows around AP processes and reflexes, customizable Crystal Reports | Integrated AP/molecular reports to enhance outcomes and improve care coordination; Case Finder: robust, user-friendly ad hoc query tool | †formerly Sunquest PowerPath | *based on December 2022 survey deadline. Note: a dash as an answer means company did not answer question or question is not applicable | |||
Comp Pro Med | Polytech for Pathology | 3 | Megan Zelenak | megan@comppromed.com | Santa Rosa, CA | 707-890-6589 www.comppromed.com | available as local server/software, ASP, and cloud based | available as a dedicated module for Comp Pro Med’s clinical LIS and as a standalone product designed to interface with any company’s LIS and EHR | 2022 (began selling Polytech for Pathology in 2022) | — | March 2022 (version 8.6.5) | 1 | 1 sale/1 site went live | 1 (0/0/0/0/1–countrywide reference laboratory) | Philippines, Africa, Bhutan, Canada, Caribbean, Ethiopia | any supported by Windows operating system | 9 | no (information is confidential) | no | 1–100 | 0 | C++, PHP, HTML, JavaScript | Microsoft Windows | MySQL | installed at client sites/available but not installed | available but not installed/available but not installed | installed at client sites | installed at client sites | installed at client sites/installed at client sites | available but not installed | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | available but not installed | available but not installed | installed at client sites | installed at client sites | available but not installed | available but not installed | available but not installed | available but not installed | available but not installed/available but not installed | available but not installed | installed at client sites | under development | installed at client sites | available but not installed | available but not installed | installed at client sites/installed at client sites | available but not installed | available but not installed/available but not installed | available but not installed/available but not installed | under development | not available for this software (both features) | installed at client sites | available but not installed | available but not installed/under development | available but not installed | 100% | yes (provide current LOINC dictionary with install) | yes (for all cases) | yes (pathologist can also set a flag for “send this case to tumor registry” on any case record) | no (interface directly) | — (can interface to HL7-compliant systems) | Nuance Dragon Dictate/Speak | none (some functionality built into AP system) | no/no | yes (client users) | ad hoc query tools, user-defined interfaces, dictionary settings, read/write privileges, system outputs | All system outputs are user-configurable using sophisticated built-in tools; real-time rules-driven, user-defined, content-based functionality | *based on December 2022 survey deadline. Note: a dash as an answer means company did not answer question or question is not applicable | ||||
CompuGroup Medical | CGM AP EASY† | 4 | Mike Henningsen | michael.henningsen@cgm.com | Owings Mills, MD | 800-647-2263 www.cgm.com/us | available as a cloud-based offering | available as a standalone product designed to interface with any company’s LIS and EHR | 2022, with acquisition of AP Easy Software Solutions (began selling CGM AP EASY in 2022) | Nov-22 | — | 695 | 24 sales/21 sites went live | — | none | — | 1,900 | yes (partial list of comparable sites with no restrictions) | no | 100–180,000 | 1,000–150,000 | Java, Apache Groovy, Spring, JavaScript | Microsoft Windows | MySQL | installed at client sites/installed at client sites | not available for this software (both features) | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | under development | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | in testing | not available for this software | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | available via CAP templates (both features) | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | 60–65% | no | no | yes (pathologist can also set a flag for “send this case to tumor registry” on any case record) | yes, for all instrument interfaces (MD Controller from Neora Health) | CPSI, Xifin, Epic, GE Healthcare, Ellkay, Meditech, eClinicalWorks, Greenway, Allscripts, others | Nuance Dragon, Dolbey, Amazon Web Services Transcribe | none | no/no | no (all modifications made by vendor) | ad hoc query tools, user- and lab-specific configurable preferences | Easy to use, easy to implement, cloud based, and affordable; easy access to customer support by phone, email, and ticketing system | †formerly AP EASY by AP Easy Software Solutions | *based on December 2022 survey deadline. Note: a dash as an answer means company did not answer question or question is not applicable | |||
Computer Trust Corp. | WinSURGE | 5 | David Liberman, MD | drdave@ctcsurge.com | Boston, MA | 617-557-9264 ext. 600 www.winsurge | available as local server/software and cloud based | available as a standalone product designed to interface with any company’s LIS and EHR | 1989 (began selling WinSURGE in 1989) | Nov-22 | November 2022 (version 57.8 server; 60.1 client) | 109 | 2 sales/2 sites went live | 135 (36/68/—†/31–multi-site enterprise/0 [sites in Puerto Rico combined with U.S. sites]) | Puerto Rico | — | — | yes (partial list of comparable sites with no restrictions) | no | 2,500–1,500,000 | 0–300,000 | Caché, .Net, Visual Basic | Microsoft Windows, Unix | Object Caché, SQL | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | installed at client sites | installed at client sites/installed at client sites | installed at client sites | 90% | yes | yes (for all cases) | yes (pathologist can also set a flag for “send this case to tumor registry” on any case record) | combination of direct interfaces and third-party systems (client’s choice; Agillaire, AIE, Cloverleaf, Orchard Copia, Ellkay) | Epic, Oracle Cerner, McKesson, Meditech, Allscripts, VitalAxis | Nuance Dragon NaturallySpeaking Professional, others | Leica Aperio; some functionality built into AP system | escrow/no | yes (client users) | ad hoc query tools, user-defined interfaces, dictionary settings, read/write privileges, WinsRULES rules-based engine, WinsALERT executive dashboard, others | Powerful and configurable functionality, flexibility, and customer service; comprehensive tracking, interfaces, rules, and alerts; paperless workflow | †included with independent lab sites | *based on December 2022 survey deadline. Note: a dash as an answer means company did not answer question or question is not applicable | |||
Company | Name of anatomic pathology system |
Company:
.:
Name of anatomic pathology system:
Contact:
Email:
City, State:
Phone, Web:
How AP system functionality is deployed:
Configuration of AP system:
Year company began selling AP systems (any brand or model):
Most recent installation of this AP system*:
Last product release or update for featured AP system*:
Total No. of contracts for sites operating AP system:
• No. of sales and sites that went live on system between Dec. 2021–Nov. 2022:
No. of sites operating AP system (hospitals/independent labs/clinics or group practices/other U.S. sites/foreign sites):
Foreign locations where company actively markets AP system:
Human languages (other than English) supported by AP system:
Approximate No. of employees in entire company:
Company provides list of client sites to potential customers on request:
Clients restricted from sharing their experience with company or software:
Range in No. of surgical pathology cases per year in installed sites:
Range in No. of gynecologic cytology cases per year in installed sites:
Programming languages and development applications or environments:
Operating systems:
Databases:
Features/modules incorporated in product::
• Surgical pathology information system/Cytology information system:
• Autopsy information system/Autopsy measurements, organ weights:
• Molecular pathology testing and reporting:
• Scan and store manual requisitions:
• Specimen tracking/Specimen storage and retrieval:
• Entry of block IDs:
• Print linear barcodes/Print two-dimensional barcodes:
• Print histology worksheets:
• Word processing with pathology templates:
• Voice entry of gross description/Voice entry of final diagnosis:
• Gross images integrated in reports/Microscopic images integrated in reports:
• Remote microscopy:
• Electronic signature:
• Remote printing of completed reports:
• Automatically fax reports to clients without manual intervention:
• Web-based remote inquiry of reports:
• Physician Web access for order entry:
• Natural language search capability:
• Sound-alike (e.g. Soundex) retrieval of patient history:
• Produce tumor board reports/Produce management reports:
• Reports sufficient to comply with CLIA ’88 regulations:
• Automatically collect and record PC and TC charges for billing:
• Comprehensive billing and accounts receivable:
• Interface to billing company that produces bills and invoices, follows up for payment:
• Inbound result-reporting interface to receive discrete results from an external lab and store them in patient record:
• EHR interface: admissions/discharge/transfer (ADT):
• EHR interface: result reporting/Report sent to EHR as PDF for clinician:
• EHR interface: incoming clinical results:
• Partin tables/Gleason score calculations:
• Synoptic reporting for microscopic examination/For gross examination:
• CAP electronic cancer checklists automatically embedded:
• Client services module/Consultation management and reporting:
• LIS manager or lab employee can create ad hoc reports accessing all data elements in AP system:
• LIS manager or lab employee can determine schedule under which management and patient reports are automatically compiled and run:
• Business analytics/Management dashboard:
• Telepathology:
Percentage of sites using result-reporting interfaces to external systems based on transmission of fully formatted (e.g. PDF or CDA) results:
Software provides indexed field in each test definition for LOINC code:
AP system supports use of SNOMED CT:
System can auto. send tumor diagnoses to regional or state tumor registry using NAACCR Pathology Lab Electronic Reporting, vol. V, version 4.0:
Company uses third-party middleware for AP system-instrument interfaces :
Other IT vendors’ lab systems to which AP system bidirectionally interfaces:
Voice-recognition products or partners that system uses:
Digital pathology or WSI systems that interface to AP system:
Client gets copy of source code/User group that meets on a set schedule:
Qualified users or third parties can modify or augment AP system functionality or features:
Methods by which users can tailor AP system in their own setting:
Distinguishing product features (supplied by company):
.:
.:
‘Doing more for less and with less’: Turning to IT
February 2023—As this year’s guide to anatomic pathology computer systems was taking shape, CAP TODAY publisher Bob McGonnagle met online with representatives of five companies and with John Sinard, MD, PhD, of Yale University School of Medicine. They talked about the cloud, CPT codes, training of pathology informaticians, and artificial intelligence, for which the time frame in pathology is far longer than it’s been portrayed, in Dr. Sinard’s view.
“It will start to impact the careers of some of our trainees, but it’s probably a 10- to 20-year time frame before it plays a major role,” he said.
The view of Joe Nollar of Xifin: “Speculation that AI will someday replace pathologists is completely overblown,” though it will help to triage cases and mitigate risk.
Their full conversation, which took place Dec. 20, 2022, follows.
Last year we talked about Oracle’s acquisition of Cerner, which led to a discussion about the cloud, its advantages, and how it seems to have entered into a prominent point of desire for customers and vendors alike. Joe Nollar, what has changed in the past year? Have you seen this deepening? And have you seen evidence from the Oracle-Cerner combination that’s of importance to the anatomic pathology marketplace?
Joe Nollar, associate vice president of product development, Xifin: The merger is an opportunity for Cerner to leverage Oracle assets to a great benefit. But it’s a long process to bring the entities together in a meaningful way, so we haven’t fully seen its impact. What I’ve seen pick up steam is people on older platforms migrating to cloud-based solutions from traditional, locally hosted environments. There’s a lot of activity in the AP sector moving from traditional on-premises systems to the cloud.
Chad Meyers, can you comment on where the Oracle-Cerner combination and the cloud stand a year later?
Chad Meyers, MBA, vice president/service line manager, global anatomic, molecular, and digital pathology solutions, Clinisys: To Joe’s point, it’s going to take time, and Cerner still has a large focus on the EHR versus the laboratory information systems space where Cerner started. They’re working to bring those two companies together, especially with their Veterans Affairs contracts and others.
We’re seeing more health systems’ chief information officers looking at their overall cloud strategy, doing five-year planning, and in some cases working with third-party partners like Accenture to plan how to move their IT assets to the cloud, including the EHR and other systems. The Cerner-Oracle deal combined with Epic’s release of Hyperdrive, a Web-based client that can better support a cloud-hosted version of Epic, is a catalyst for them to look at their overall footprint and say, If I can move my EHR to the cloud, I should plan to move the rest of my ancillary systems to the cloud.