1	Calculating ROI for Lab Solutions or How Much is Enough?
2	"LIS RESOURCES:" LIS RESOURCES: Supply Never Satisfies Demand
3	LIS As Percent of Operating Budget
4	LIS Cost/Test
5	LIS as Percent of Capital Budget
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7	Advocate and Aurora 22 Hospitals 6,193 Beds 8,350 Physicians 49,000 Employees $5.1 Billion in net revenue
8	ACL Laboratories Profile 65 Clinic Laboratories $200 Million Operating Budget $350+ M hospital laboratory revenue. $32 M commercial net revenue. 2 Central Laboratories. 2,100 Associates/Employees. 82 Pathologists. 13 M tests annually
9	Product Lines Hospital Services Ambulatory Services Nursing Homes Anatomic Pathology Forensic Toxicology Heavy Metal Testing Molecular Diagnostics Cytogenetics
10	ACL Third Party Systems Hospital LIS Misys Lab V 5.3 Commercial LIS Misys Commercial Lab Billing and Finance Misys Financial
11	ACL Third Party Systems SAMSHA System Misys Commercial Lab Éclair Lab Portal SAI (Sysmex) CoPath Mumps/ CoPath+ Cerner/DHT
12	ACL Third Party Systems Document Image and Archive Lorris FileNexus Decision Support/DW SQL Server Document Control System Microsoft SharePoint
13	ACL Applications Help Desk/Change Management HEAT by FrontRange Electronic Report Distribution RELAY – ACL Developed ACL Standing Orders ACL Developed Application
14	ACL Applications Interface Integration Engine Sybase e-Biz Impact Point-Of-Care Integration RALS, Telcor Remote Fax LANE Passport Fax Server
15	ACL Network & Technical Environment Local Area Network design, support and management. Shared support of Wide Area Network Services. DS3 Connectivity between core facilities in IL and WI Private circuit connectivity between facilities.
16	ACL Network and Technical Environment 1600 Client Devices (PC’s) 1300 Print Devices 1500 Remote print clients 50 Compaq Proliant server class devices 45 Handheld devices 3 Remote access modem banks EVA5000 Storage Array
17	ACL Responsibilities Data Center Hardware System Administration Software and Operating System Management Help Desk / Call Center 50 calls/day System Integration Interface Engine Support 42 System Interfaces
18	LIS As Percent of Operating Budget
19	LIS as Percent of Capital Budget
20	The Demand Side Lab Portal – Sales Commercial Lab System – Sales & Ops Disaster Recovery – Management Automation – Operations Image Management - Pathology Decision Support - Management Document Management – Compliance Replacement of CoPath M – Pathology Off-site Laboratory - Operations
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23	ROI METRICS
24	Commercial Lab Assumptions for ROI
25	Commercial Lab Assumptions
26	Commercial Lab Financial Analysis
27	Commercial Lab Financial Analysis
28	Tools for Allocation Influence/ clout Risk Avoidance Strategy ROI Assumptions Calculations
29	Goal - (ACL’s Strategic Profile) ACL will serve all of the laboratory needs of all our medical staff members and their patients by having:
30	Challenges IT systems to support seamless processes and service. Provider Contracts Space/Capacity Culture of Service – Everybody’s Job
31	The New Order Disaster Recovery – Risk Replacement of CoPath M – Risk Off-site Laboratory – Strategy Commercial Lab System – Strategy Lab Portal – Strategy Decision Support – Strategy Image Management – Strategy Document Management – ROI Automation - ROI
32	Our Approach Risk avoidance trumps strategy. Strategy trumps ROI. Return on investment is a tie-breaker.