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| Name of anatomic pathology system | WinSURGE |
| Configuration of AP system | available as a standalone product designed to interface with any company’s LIS and EHR |
| Year company began selling AP systems (any brand or model) | 1989 |
| Most recent installation of this AP system* | October 2018 |
| Last product release or update for featured AP system* | November 2018 (version 53.3 server; 4.8.5 client) |
| Total No. of contracts for sites operating AP system | 106 |
| • No. of sales of this system between Dec. 2017–Nov. 2018 | 2 |
| No. of sites operating AP system (hospitals/independent labs/clinics or group practices/other U.S. sites/foreign sites) | 130 (36/64/—†/30–multi-site enterprise/0–Puerto Rico combined with U.S. sites) |
| Market this AP system outside the U.S. | yes (in Puerto Rico) |
| • Foreign locations in which system installed | Puerto Rico |
| No. of employees in entire company | — |
| Provide list of client sites to potential customers on request | yes (partial list of comparable sites) |
| Clients restricted from sharing their experience with company or software | no |
| Range in No. of surgical pathology cases per year in installed sites | 2,500–1,500,000 |
| Range in No. of gynecologic cytology cases per year in installed sites | up to 300,000 |
| Programming languages | Caché, .Net, Visual Basic, SQL |
| Databases and tools | Object Caché, Crystal Reports, Microsoft Word document templates, many user “bolt-ons” via SQL/Java, others |
| Operating systems | Windows, UNIX; browser functions user’s choice |
| Features/modules incorporated in product: | |
| • Surgical pathology information system/Cytology information system | installed at client sites/installed at client sites |
| • Autopsy information system/Autopsy measurements, organ weights | installed at client sites/installed at client sites |
| • Specimen log-in/Ability to scan and store manual requisitions | installed at client sites/installed at client sites |
| • Specimen tracking/Specimen storage and retrieval | installed at client sites/installed at client sites |
| • Entry of block IDs | installed at client sites |
| • Specimen labels/Histology slide labels | installed at client sites/installed at client sites |
| • Barcoded slide labels/Barcoded cassettes | installed at client sites/installed at client sites |
| • Linear barcodes/Two-dimensional barcodes | installed at client sites/installed at client sites |
| • Histology worksheets | installed at client sites |
| • Word processing—vendor specific | installed at client sites |
| • Voice entry of gross description/Voice entry of final diagnosis | installed at client sites/installed at client sites |
| • Gross images integrated in reports | installed at client sites |
| • Microscopic images integrated in reports | installed at client sites |
| • Electronic signature | installed at client sites |
| • Remote printing of completed reports/Direct fax reports | installed at client sites/installed at client sites |
| • Web-based remote inquiry of reports | installed at client sites |
| • Physician Web access for order entry | installed at client sites |
| • Natural language search capability | installed at client sites |
| • Multi-site or multi-facility–wide area network | installed at client sites |
| • Sound-alike retrieval of patient history | installed at client sites |
| • Tumor registry reports/Management reports | installed at client sites/installed at client sites |
| • Reports sufficient to comply with CLIA ’88 regulations | installed at client sites |
| • Comprehensive billing and AR/Interface to external billing system | installed at client sites/installed at client sites |
| • Inbound result-reporting interface to receive discrete results from an external lab and store them in patient record | installed at client sites |
| • EHR interface: admissions/discharge/transfer (ADT) | installed at client sites |
| • EHR interface: result reporting/Report sent to EHR as PDF for clinician | installed at client sites/installed at client sites |
| • EHR interface: incoming clinical results | installed at client sites |
| • Partin tables/Gleason score calculations | installed at client sites/installed at client sites |
| • Synoptic reporting for microscopic examination/For gross examination | installed at client sites/installed at client sites |
| • CAP electronic cancer checklists automatically embedded | installed at client sites |
| • Client services module/Consult management and reporting | installed at client sites/installed at client sites |
| • LIS manager or lab employee can create ad hoc reports accessing all data elements in AP system | installed at client sites |
| • Lab can define and modify schedule under which management and patient reports are automatically compiled and run | installed at client sites |
| • Business analytics and management dashboard | installed at client sites |
| • Support for molecular testing and reporting | installed at client sites |
| Percentage of sites using result-reporting interfaces to external systems based on transmission of fully formatted (e.g., PDF or CDA) results | 80% |
| Software provides indexed field in each test definition for LOINC code | yes |
| AP system supports use of SNOMED CT for all cases | yes |
| System can auto. send tumor diagnoses to regional or state tumor registry | yes |
| Other lab-related vendor systems to which software has an interface | Cerner, McKesson, Meditech, Siemens, TDS, CPSI, eClinicalWorks, Encite, Greenway, others |
| Voice-recognition products or partners that system uses | Nuance Dragon NaturallySpeaking Professional, others |
| Whole slide imaging systems that interface to AP system | — |
| Human languages (other than English) offered on system | — (languages available on request) |
| Client receives copy of source code | escrow (optional) |
| User group that meets on established schedule | no |
| Methods by which users can tailor AP system in their own setting | ad hoc query tools, user-defined interfaces, dictionary settings, custom buttons and windows, others |
| Standard software maintenance fee covers periodic system updates | yes |
| Fee for software modifications to comply with federal regs and laws | no charge (standard) |
| Functionality provided via ASP or cloud-based data center | available as a local server or a cloud-based product (client’s option); client may install WinSURGE at a cloud-based data center |
| Total cost for smallest existing standalone AP system installation** | $25,000 (annual maintenance fee, $6,000) |
| Total cost for largest existing standalone AP system installation** | $3,500,000 (annual maintenance fee, $900,000) |
| Distinguishing product features (supplied by company) | • user-controlled rules engine (WinsRULES) with real-time business intelligence executive dashboard (WinsALERTS) • continuously evolving comprehensive LIS • 30+ years partnering with some of the nation’s best and most innovative pathology labs |
| *based on December 2018 survey deadline | |
| **total cost includes hardware, software, installation, and training | |
| Note: a dash as an answer means company did not answer question or question is not applicable | |
| All information is supplied by the companies listed. The tabulation does not represent an endorsement by the CAP. | †included with independent lab sites |
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