Healthcare Management System – Modernization and Automation

Summary

Delivered an application for a healthcare services client focusing on improving healthcare records and insurance data management.

Problem Statement

The existing Healthcare Management System struggled with inefficient maintenance and update of health records and insurance-related data. Challenges included:

  • Outdated member records leading to data inaccuracies.
  • Discrepancies and delays in the data refresh process.
  • Difficulties in accurately linking patients to their insurance plans.
  • Lack of automation resulting in manual errors and operational inefficiencies.

Project Duration

November 2023 – On going

Our Approach

1. Technology Modernization and Refactoring
  • Refactored the legacy solution using the latest .NET technologies to boost maintainability and system performance.
  • Upgraded critical NuGet packages while implementing robust retry logic to improve system resilience and fault tolerance.
2. Monitoring and Diagnostics
  • Introduced comprehensive health checks across backend services to monitor performance and promptly detect issues.
  • Enhanced logging mechanisms to track workflows end-to-end for faster error diagnosis and transparency.
3. Data Automation and Workflow Enforcement
  • Automated termination of outdated member records and ensured timely refresh of active member datasets with new information.
  • Developed strong backend services with rigorous data validation and workflow logic to maintain data integrity and seamless linking of members to insurance plans.
4. Frontend Modernization
  • Migrated the existing .NET Framework-based frontend to React, creating a modern, responsive, and efficient user interface that improves user experience and accessibility.

Technologies Used

  • Frontend: React.js, HTML5, CSS, Bootstrap, JavaScript, JQuery
  • Backend: .NET framework, ASP.NET Core, C#, Web API, RESTful Services, Entity Framework Core
  • Messaging: RabbitMQ (Message Broker), Amazon SQS
  • Caching: Redis, MemoryCache
  • Database: Microsoft SQL Server
  • Testing Tools: Swagger, SOAP UI, xUnit Test, Postman
  • DevOps & Cloud: Azure DevOps, GitHub Actions, Azure App Services, Azure Functions, Azure Storage, AWS ElastiCache, AWS
  • Task Management: Azure Boards, Microsoft Teams

Key Features

  • Implementation of Health Checks for continuous monitoring of service health and application performance.
  • Introduction of Resiliency Features, including retry logic and fault tolerance mechanisms, ensuring seamless recovery from transient failures.
  • Complete frontend migration to React, resulting in a modern, responsive, and user-friendly interface.
  • Automated workflows for member record management, including termination of stale data and linkage of member insurance plans, improving accuracy and reducing manual intervention.

Challenges Faced

  • Upgrading NuGet packages caused compatibility issues requiring intricate code adjustments and regression testing.
  • Refactoring legacy architecture was complex due to outdated design patterns and tight coupling in the original system.
  • Balancing modernization efforts while maintaining uninterrupted service for critical healthcare operations.

Outcome / Result

  • Significantly improved data integrity and automation, reducing manual errors and stale records.
  • Ensured healthcare member records were consistently up-to-date across multiple systems.
  • Reduced discrepancies and improved accuracy in linking members to their insurance plans.
  • Enhanced system reliability and performance resulting in improved overall service delivery.
  • Elevated client satisfaction through a more robust and maintainable platform that supports ongoing healthcare operations efficiently.

Conclusion

The modernization and automation of the Healthcare Management System have transformed data management workflows by applying state-of-the-art technologies and architectural improvements. These changes ensured regulatory compliance, increased operational efficiency, and improved the accuracy of vital healthcare data, setting a foundation for agile future enhancements and better patient and provider experiences.




IN THIS CASE STUDY

Get in touch with our Digital Experts

Explore more

Unified Healthcare Data and Care Management Platform

Real-Time Payment Processing Platform

Safely: Short-Term Vacation Rental Insurance and Guest Verification Platform

Get in touch with our Digital Experts