Co-create with Ideas2IT










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We'd love to brainstorm your priority tech initiatives and contribute to the best outcomes.
Healthcare
Our client offers a web-based Electronic Health Record (EHR) system tailored for behavioral health and human services. Their platform integrates with clients, payers, labs, and test centers via a unified web portal. A key competitive advantage is their user-friendly design, promoting worker and user engagement, along with efficient tracking and accessibility features.
Recognizing the need to update their outdated systems and move away from legacy dependencies, the client initially engaged with Intuitive. We joined the project as infrastructure partners, focusing on a comprehensive infrastructure assessment, gap analysis, and remediation plan.
While Intuitive evaluated hardware, network, security, and database infrastructure, we concentrated on application layers, identifying outdated
Improved Response Time
Faster Transaction Speeds
Healthcare
Our client offers a web-based Electronic Health Record (EHR) system tailored for behavioral health and human services. Their platform integrates with clients, payers, labs, and test centers via a unified web portal. A key competitive advantage is their user-friendly design, promoting worker and user engagement, along with efficient tracking and accessibility features.
Recognizing the need to update their outdated systems and move away from legacy dependencies, the client initially engaged with Intuitive. We joined the project as infrastructure partners, focusing on a comprehensive infrastructure assessment, gap analysis, and remediation plan.
While Intuitive evaluated hardware, network, security, and database infrastructure, we concentrated on application layers, identifying outdated
Improved Response Time
Faster Transaction Speeds
We'd love to brainstorm your priority tech initiatives and contribute to the best outcomes.
From Platform Bottlenecks to Performance Gains: A Case Study in Behavioral Health EHR Modernization
A legacy EHR platform was buckling under performance, stability, and scale issues. The ask: a clear modernization strategy and a path to the cloud.
A behavioral health EHR platform was buckling under performance issues, outdated infrastructure, and recurring incidents. In collaboration with Intuitive, Ideas2IT conducted a deep-dive audit of the application stack uncovering hidden inefficiencies across job workflows, UI rendering, and security posture. The result: a +30% boost in response time, -40% job duration, and a 25% drop in critical incidents laying the groundwork for future modularization.
The client’s core monolithic EHR system was becoming a liability:
While infrastructure and network assessments had already been completed by Intuitive, the real drag on performance lived within the application tier, and that’s where Ideas2IT came in.
Ideas2IT evaluated four major components: classic web services (monolith), partially decoupled service layers, analytics/reporting, and mobile, using a three-pronged diagnostic framework:
From this, we created a high-impact modernization roadmap with clear tactical recommendations:
Problem | Recommendation |
Appointment delays | Implement parallel appointment processing + CDC triggers |
ECR document lag | Refactor query logic; avoid unnecessary Hibernate flushes |
Slow claim batch jobs | Enable concurrent execution; apply record fetch limits |
Full-page reloads | Shift to HTML-driven rendering with tight backend coupling |
Connection pool issues | Upgrade JDBC + optimize pool parameters |
Legacy SQL procedures | Use oracle_loader with XML for better performance |
Secrets in GitLab | Vaultize all secrets and credentials |
Outdated libraries/JDK | Upgrade to secure, modern versions |
Rendering performance problems | Use AJAX, compress scripts, reduce layout reflows |
Once implemented, the changes delivered:
The EHR platform stabilized significantly and more importantly, became future-ready for a gradual migration to modular services.
A legacy EHR platform was buckling under performance, stability, and scale issues. The ask: a clear modernization strategy and a path to the cloud.
Modernization is about reducing operational friction before thinking about transformation. For healthcare platforms like behavioral EHR systems, velocity and reliability depend on app-layer visibility. The real unlock came from pairing technical diagnostics with business context to prioritize fixes that mattered.