Healthcare Software Modernization: A Comprehensive Guide

Posted in Healthcare

Legacy systems are more than just outdated software; they are a liability to the healthcare industry. Beyond causing operational inefficiencies, they risk patient safety and data security. Even with the availability of advanced solutions, over 73% of healthcare organizations continue to rely on these technologies, increasing their vulnerability to cyberattacks and data breaches. 

Such incidents disrupt patient care, lead to financial losses, and land organizations in legal trouble. Modernizing legacy systems strengthens cybersecurity and improves data privacy, leading to better patient outcomes and reduced costs. This guide explores the benefits, challenges, and processes of healthcare software modernization, providing a roadmap to a more secure and efficient future in healthcare.

What is Healthcare Software Modernization?

Healthcare software modernization is a process of upgrading outdated systems, like electronic health records (EHRs), to make healthcare safer, efficient, and patient-centric. Many organizations still use old technology to save up on costs and fail to keep up with the demands of medical care today, which is why healthcare software modernization is so important.

By adopting new features such as cloud integration and AI, along with user-friendly interfaces, healthcare providers can safely manage patient data to cultivate trustworthiness. This shift not only streamlines the workflows of healthcare providers but also gives patients real-time access to their medical records, improving their overall experience. 

Modernizing legacy systems helps healthcare organizations deliver better care while staying relevant in a fast-evolving digital world.

5 Reasons Why Healthcare Organizations Need Software Modernization

Healthcare organizations have numerous challenges to face, from managing large volumes of data to adhering to strict regulations, all the while improving patient care.

Unfortunately, outdated software often stands in the way of effectively addressing these issues, making healthcare software modernization essential. Let’s dive into it deeper: 

1. Outdated Technology

Legacy systems significantly slow down operations and do not support new tools and features that improve healthcare delivery. With healthcare software modernization, organizations can improve efficiency and streamline their workflow. This will not only reduce administrative burden but also give doctors more time to spend on patients, increasing satisfaction rates.

2. Regulatory Compliance

The healthcare sector is constantly under regulatory changes, and legacy systems struggle to cope with or scale up to the latest laws and standards. This puts organizations at risk of legal repercussions. Healthcare software modernization assures the organization’s compliance, safeguarding them from potential penalties.

3. Evolving Patient Expectations

It’s all about convenience nowadays, even in healthcare. Patients demand easy access to medical care with services like online scheduling and telemedicine options. Legacy healthcare systems often fail to support these modern conveniences, leading to dissatisfaction and a poor patient experience. Healthcare software modernization supports organizations in meeting these expectations and improving overall patient engagement.

Explore more about home health software 

4. Data Management Challenges

The sheer volume of data in healthcare is quite high, with all sorts of information from patient records to billing information. Legacy healthcare systems are often ill-equipped to manage this data efficiently, resulting in errors and delays. Modernization of healthcare software can effectively handle large datasets through cloud infrastructure. 

5. Enhanced Security

Old software typically lacks robust security features, making sensitive patient data vulnerable to cyber threats. With the modernization of healthcare systems, organizations can incorporate advanced security technologies like encryption and cloud solutions to protect patient information and maintain data integrity.

Examples of Legacy Systems

Legacy systems are present in multiple forms and present multiple challenges for patient care and organizational efficiency. Common legacy systems examples include: 

1. Electronic Health Record (EHR) Systems

Basic versions of EHR systems focus on essential patient record-keeping and may lack modern functions, interoperability, and user interfaces.

2. Hospital Information Systems (HIS)

Legacy HIS manages administrative, financial, and clinical operations and usually struggles with problems like interoperability, real-time data access, and reporting.

3. Laboratory Information Systems (LIS)

Old LIS supports laboratory data and workflows. Its common issues are seen with data standardization and integration with newer diagnostic tools.

4. Picture Archiving and Communication Systems (PACS)

Outdated PACS for medical image storage and retrieval mostly have limited storage limits, lagged retrieval speeds, and compatibility issues with advanced imaging models.

5. Radiology Information Systems (RIS)

These old systems can monitor radiology workflows, scheduling, and billing but lack capabilities such as automatic appointment scheduling. Not only that, legacy RIS presents integration issues with other systems, leading to duplicated entries, billing errors, etc. 

Read more: Medical billing software features

6. Telemedicine Systems

Legacy telemedicine systems need an upgrade to provide secure communication and effective services. They lack scalability, struggle with interoperability, pose security risks, and fail to meet the demands of modern healthcare.

7. Claims Processing Systems

Claims processing systems facilitate billing and reimbursement between providers and payers. However, legacy systems often fail to adapt to evolving billing regulations and complex payer requirements, leading to delays and errors.

8. Patient Engagement Systems

Legacy systems that handle patient engagement support communication, education, and self-management for patients. Old systems usually lack mobile compatibility, user-friendly interfaces, and integration with other healthcare technologies. This results in lower engagement rates, less adherence, and poor health outcomes.

9. Pharmacy Management Systems

Pharmacy management systems handle prescription, inventory, and compliance. Legacy systems struggle with real-time inventory tracking, e-prescribing, and EHR integration, increasing the risk of errors and inefficiencies.

10. Scheduling Systems

Legacy scheduling systems lack automation, patient self-scheduling capabilities, and real-time updates, leading to scheduling conflicts, inefficiencies, and reduced patient satisfaction.

Approaches to Healthcare Software Modernization

Common approaches to modernizing healthcare systems include:

Encapsulation

Encapsulation is basically wrapping legacy systems, such as EMR/EHR, with new interfaces or APIs. This enables seamless integration with systems like wearable devices or insurance companies, allowing healthcare organizations to modernize legacy systems without altering their core code. By doing so, legacy systems in healthcare can interact with newer technologies, enhancing interoperability and data sharing across multiple platforms.

Rehosting (Lift and Shift)

Often known as “lift and shift,” rehosting is moving an application or system to a new setup, like shifting from on-premises servers to the cloud without altering the application’s code. This way of healthcare software modernization is useful when an existing application runs well yet could benefit from the advantages of modern infrastructure. Cloud hosting enhances security, ensures HIPAA compliance, and simplifies integration with other systems.

Refactoring

Refactoring is a healthcare software modernization process of reorganizing and improving the existing code, UI/UX, and user flows without changing how it behaves on the outside to make it run better, easier to maintain, and more scalable. This method is for old, hard-to-manage codebases to reduce technical debt while boosting overall performance.

Rebuilding

Rebuilding in healthcare software modernization involves rewriting an application or system, often with modern technologies while retaining its core functions and business logic. This approach is ideal when a legacy system is too outdated or costly to fix. It also allows for new workflows, design updates, the addition of new user personas, etc., giving the old system a fresh life.

Replacing

Replacing involves removing an old system and creating a new one that better fits the organization’s current and future requirements. This can include replacing outdated features with AI-enabled ones like automated data analysis or predictive analytics to meet evolving demands. This scenario indicates making a complete replacement not only more cost-effective but also a better long-term choice.

Rearchitecting

The rearchitecting approach of healthcare software modernization is redesigning how an existing system is built, often changing from a single-unit structure to a microservices approach or cloud-native setup. This shift improves scalability, flexibility, and maintainability, meeting today’s needs for quick feature updates and cloud-based solutions.

9-Step Guide to Healthcare Software Modernization

Modernizing legacy systems requires careful planning, execution, and continuous monitoring to make sure that a process is successful. Here are the essential steps involved in a well-executed healthcare software modernization.

1. Evaluation and Record-Keeping

Start by thoroughly assessing the current legacy system and documenting its reliability, function, and data structures. Then, specify integration objectives while considering security and scalability.

2. Specify Integration Goals

Clearly plan out the integration goals like improvement of data flow, enhancing functionality, or compliance with modern technologies. These goals must align with the broader objectives of the healthcare organization.

3. Choose an Integration Method

Select an appropriate integration method to cater to individual needs and existing infrastructure. Options include data migration, APIs, middleware, or a combination of all, focusing on long-term sustainability.

4. Integration of Middleware 

If using middleware, make sure it facilitates communication between modern applications and legacy systems, allowing for smooth data transfer and interoperability.

5. API Integration

Develop or select APIs that support contemporary and legacy systems in healthcare while implementing robust authorization and authentication measures to secure data during integration.

6. Data Migration 

Plan and execute the migration of data from legacy systems to new environments, ensuring the accuracy and consistency of data post-migration.

7. Testing

Thoroughly test the integrated systems to confirm they function as they are meant to. This includes user acceptance testing, integration testing, and unit testing to identify and resolve any issues.

8. Implementation

Adopt a phased implementation approach to minimize disruptions to regular operations, monitoring the process closely to address any challenges that arise.

9. Monitoring and Optimization

Utilize monitoring tools to track user feedback and system performance continuously. Ongoing adjustments should be made in response to changing business needs and user experiences.

Benefits of Healthcare Software Modernization

Advantages of modernizing legacy systems include: 

• Boosting Operational Efficiency: When legacy systems in healthcare are modernized, it leads to smoother operations and faster processing times. Healthcare providers can serve patients more effectively, ensuring timely and reliable care.

• Cost Savings and Lower Maintenance: Outdated systems often come with high maintenance costs due to frequent issues and inefficiencies. Organizations can significantly reduce these long-term expenses by modernizing and freeing up resources for other critical areas.

• Scalability for Future Growth: Modern systems are designed to grow with your organization. They allow easy integration of new features, ensuring that your technology can adapt as your needs evolve.

• Enhanced Security and Compliance: Upgrading software brings in advanced security measures to protect sensitive patient data. This not only fortifies your organization against cyber threats but also maintains compliance with essential regulations like HIPAA, saving you from legal issues.

• Access to Innovative Technologies: Healthcare software modernization opens the door to high-end technologies that transform patient care for the better. For example, integrating AI can help with smarter clinical decision-making skills and more efficient workflows, ultimately improving patient outcomes.

• Improved User Experience: Healthcare software modernization makes it easier for both healthcare providers and patients to navigate the system. A better user experience means higher satisfaction rates.

• Seamless Data Integration: Modern software solutions often come with improved capabilities for data sharing across different platforms. This interoperability is required for holistic patient care, allowing healthcare professionals to access comprehensive patient histories without barriers.

• Significant Return on Investment (ROI): Organizations that invest in healthcare software modernization typically see impressive returns. Many report an average ROI of 124%; healthcare modernization is not just a smart move but a financially savvy one as well.

Risks of Delaying Software Modernization

Funding shortages and other challenges may seem to keep legacy healthcare systems the right thing to do. However, delaying healthcare software modernization escalates the risk of security vulnerabilities, hampers system performance, and drives up maintenance costs. 

With 2023 being a record-breaking year for security breaches and attacks, as noted by The HIPAA Journal, modernizing healthcare infrastructure is now more critical than ever to protect patient safety and privacy. 

Risks of keeping legacy healthcare systems:

• Compromised patient safety: Legacy systems increase the risk of medical errors, misdiagnoses, and adverse events. This is mainly due to inaccurate or incomplete patient data, ineffective communication, and lack of interoperability between healthcare providers.
• Data breaches and compliance risks: Legacy systems do not have sturdy security measures and become vulnerable to cyber threats and data breaches. These breaches can lead to hefty fines and legal repercussions for non-compliance with data privacy regulations.
• Inefficient operations and workflow disruptions: Old healthcare systems are prone to downtime, slow performance, and compatibility issues. These issues disrupt workflow, increase staff frustration, and decrease productivity.
• Inability to leverage advanced technologies: If you hold on to legacy systems, you risk falling behind in leveraging cutting-edge technologies such as AI and ML. These technologies can significantly enhance patient outcomes, streamline processes, and reduce healthcare costs.
• Competitive disadvantage: The demand for convenient experiences and advanced services is increasing. Failing to meet these expectations can result in losing patients and revenue to more technologically savvy competitors.

Read more on HIPAA compliance software checklist

5 Challenges of Healthcare Software Modernization

Modernizing legacy systems in healthcare is complex and involves many stakeholders, including healthcare providers, patients, payers, and government agencies. The process of modernization requires significant changes to existing infrastructure and processes, which can present the following challenges.

1. Interoperability

Legacy healthcare systems often struggle with interoperability, making it difficult for multiple systems to communicate and share data effectively. This lack of integration can hinder patient care and data accessibility.

Solution: Folio3 Digital Health implements middleware solutions and utilizes standardized data formats, such as Fast Healthcare Interoperability Resources (FHIR), for better data exchange. 

2. Outdated User Interface

Many legacy systems feature outdated user interfaces that negatively impact user experience and operational efficiency. Healthcare workers may find these interfaces taxing, which can affect their productivity.

Solution: Folio3 Digital Health offers UI/UX design services to develop intuitive, user-friendly interfaces. Our service enables healthcare professionals to navigate systems more efficiently, ultimately improving patient care.

3. Security Concerns

Legacy healthcare systems often have increased security risks due to outdated mechanisms. Protecting sensitive patient data is a top priority, yet many systems lack robust cybersecurity measures.

Solution: Folio3 Digital Health implements comprehensive cybersecurity strategies, including intrusion detection systems and encryption protocols. Additionally, modernizing legacy systems with advanced security features can help safeguard critical patient information against potential threats.

4. Patient Engagement

Legacy healthcare systems may limit opportunities for patient engagement, making it challenging for healthcare providers to foster active participation among patients in their own care.

Solution: Folio3 Digital Health develops integrated patient engagement solutions, such as patient portals and mobile applications. With accessible health information and tools for interaction, these solutions empower patients to take an active role in their healthcare journey.

5. Data Silos

Data silos are common in legacy healthcare systems, where information is trapped within specific departments or applications. This fragmentation hinders a holistic view of patient care.

Solution: Folio3 Digital Health addresses data silos by promoting system integration, which bridges gaps between disparate data sources. 

Case Studies: Successful Healthcare Software Modernization

Healthcare software modernization improves efficiency and ensures compliance with industry standards. Some notable case studies showcasing the successful modernization of healthcare include.

1. Mayo Clinic’s EHR Platform Modernization

Mayo Clinic invested 1.5 billion USD to modernize its electronic health records (EHR) system, transitioning from Cerner and General Electric to the Epic EHR. It all started with smaller clinics and then expanded to bigger facilities, enabling specialists to access advanced solutions and collaborative care systems linked to their records. Modernizing legacy systems significantly improves treatment quality, research capabilities, and educational efforts.

2. Siemens Healthineers’ Diagnostic Imaging System Evolution

Siemens Healthineers revamped its legacy diagnostic imaging technology by integrating artificial intelligence (AI). This healthcare software modernization improves the accuracy and efficiency of diagnostic evaluations, leading to better patient outcomes through advanced image analysis capabilities.

3. Cleveland Clinic’s Digital Transformation

Cleveland Clinic underwent a digital transformation (healthcare software modernization) over the past decade, leveraging telemedicine to improve provider efficiency and offer cost-effective alternatives to in-person visits. This implementation increases telehealth access. 

Best Practices for Healthcare Software Modernization

• Comprehensive Assessment: Evaluate current systems to identify shortcomings, user needs, and modernization priorities, creating a focused strategy.

• Define Clear Objectives: Set specific goals like improving patient care and reducing costs to guide modernization efforts and ensure success.

• Choose the Right Technology: Select scalable, secure, and regulation-compliant software that seamlessly integrates with existing infrastructure and meets organizational needs.

• Implement Gradual Changes: Apply a phased approach to test new systems, minimizing disruptions and ensuring smooth functionality before comprehensive implementation.

• Focus on User-Centric Design: Prioritize usability to enhance patient and provider experiences, including mobile-friendly solutions for accessing health records and scheduling appointments.

• Monitor and Gather Feedback: Evaluate updated systems, gather user input to address issues early, and optimize patient care and operations.

• Collaborate with IT Partners: Work with experienced IT partners for system integration, technical expertise, and project management.

• Prioritize Security Measures: Strengthen cybersecurity with steps like encryption, regular audits, and compliance with industry standards to safeguard sensitive patient data.

How to Get Started on Healthcare Software Modernization with Folio3 Digital Health?

Folio3 Digital Health is dedicated to helping organizations build, scale, and modernize their software products. With deep expertise in healthcare software development, we understand the unique challenges that come with upgrading legacy systems. Our in-house team of skilled software engineers and consultants collaborates closely to deliver a tailored strategy that aligns with your goals. We handle the complexities of implementation, allowing you to concentrate on what matters most, enhancing patient care and driving business growth.

Read more on: Benefits of Healthcare Software Development 

Conclusion

Healthcare software modernization is a daunting task, especially with complex, outdated infrastructures and strict regulations like HIPAA. Folio3 Digital Health is a trusted partner for healthcare app development. We specialize in helping healthcare organizations transform their systems for the better. Our approach to modernization is comprehensive and tailored to your specific needs.

Frequently Asked Questions

What is a legacy system in healthcare?

Legacy healthcare systems are outdated software, applications, or platforms that are in use despite the availability of modern, more advanced solutions. They may have served their purpose well over the years but now present significant challenges. Limited interoperability, increased maintenance costs, and security risks are just some of the issues that tag along with the continual use of legacy systems.

What is modernization in software development?

Software modernization is the process of application of advanced technologies and methodologies, including cloud, agile, and containerization, to an organization’s conventional IT infrastructure, architecture, and products to maximize resiliency, efficiency, agility, and speed.

What is legacy software modernization?

Legacy modernization transforms outdated systems into agile assets for the future. This process redefines how IT professionals and business leaders transform their technological past into a path that unlocks new business potential and competitive advantage.

What are the advantages of modernizing healthcare legacy systems?

Following are the 6 benefits of modernizing healthcare legacy systems:

• Improved Patient Care
• Enhanced Operational Efficiency
• Cost-Effectiveness
• Strengthened Security
• Interoperability
• Scalability

What factors must you consider before initiating your healthcare legacy system modernization process?

• Define clear goals
• Engage stakeholders
• Create a comprehensive roadmap
• Ensure scalability
• Select the right technology stack
• Evaluate security measures
• Apply a change management strategy

Which of the following is an example of a legacy system?

An example of a legacy system would be an on-premises Electronic Health Record (EHR) system.

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