QuadraMed Affinity System and InterSystems' CACHE speed HIS rollout time at Genesis Healthcare

Cambridge 01 May 2002Genesis HealthCare System has gone live with Web-based QuadraMed Affinity applications built on CACHE, a post-relational database with a multi-dimensional data and application server offering ultra-fast and massively scalable objects and SQL. CACHE, developed by InterSystems Corporation, features breakthrough rapid development technology for building objects and object applications in health care.


Genesis, an integrated network of 2000 health care professionals, serves more than a quarter million people in southeastern Ohio. Faced with the need to replace a legacy Health Information System (HIS) which had become unacceptably slow, Genesis evaluated multiple HIS solutions. Product functionality, performance, and scalability were key selection criteria during the six-month search, according to Ed Romito, CIO at Genesis.

"The sophisticated, comprehensive set of applications offered by QuadraMed Affinity are key to fulfilling current needs as well as supporting our organisational plans for the future", Mr. Romito stated. "This rich functionality is enabled by the high performance, scalability, and reliability delivered by the underlying CACHE database."

The implementation, which required converting 20 years of data to the QuadraMed Affinity environment and deploying a series of QuadraMed Affinity financial applications, was completed in nine months. "Our experience with HIS installs is that they typically take 12 to 18 months", explained Mr. Romito. "Clearly, the CACHE technology helped make the compressed install possible."

Genesis went live with the first QuadraMed Affinity applications including Patient Registration, Patient Accounting, Clinical Results, and Contract Management in January 2002. "Phase one of the rollout involved replacing these core applications", Mr. Romito noted. "During phase two, we will add QuadraMed Affinity's Clinician Access application and follow that with Nursing Documentation, with Web front-ends on the new applications."

The QuadraMed Affinity applications are running on a 600-PC network serving information users in two locations. Since going live, the feedback from the user population has been very positive, according to Mr. Romito. "They have gone from a legacy system where day-end processing took six hours to a QuadraMed Affinity and CACHE-based infrastructure, where that same processing is complete within about an hour", he stated.

Currently supporting about 300 concurrent users, the combination of QuadraMed Affinity's open systems architecture and the highly scalable CACHE database provides the flexibility needed to manage a growing information user base and new IT initiatives including wireless applications.

"Health care is one field in which the term mission-critical is absolutely accurate", stated Paul Grabscheid, InterSystems vice president of strategic planning. "CACHE is optimised to deliver the information health care professionals need as rapidly as possible. Our partnership with Quadramed at Genesis illustrates the success of this approach now and for the future."

InterSystems Corporation is a provider of high performance database systems for Web applications, with over four million users worldwide and CACHE in use at the majority of major hospitals and labs around the world.

QuadraMed is dedicated to developing information technology and providing consulting services which help health care professionals deliver outstanding patient care with optimum efficiency. Offering real-world solutions for every aspect of acute care information management, QuadraMed has four main product lines: Affinity Healthcare Information System, Quantim Health Information Management Software and Services, Complysource Compliance Solutions, and Chancellor Financial Products and Services.

Genesis HealthCare System, based in Zanesville, Ohio, operates a 640-bed, non-profit health system consisting of Bethesda Hospital, Good Samaritan Hospital, and several affiliated clinics and health care organisations. Bethesda and Good Samaritan have served the community for more than 100 years, providing services to a six-county region with a population exceeding 250.000. As Genesis HealthCare System, they have moved forward with fulfilling the mission of each individual organisation and seeking to realise their combined vision.

Leslie Versweyveld

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