Case Studies eCareSoft Enhances Healthcare Software Deployment with LiveRebel
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eCareSoft Enhances Healthcare Software Deployment with LiveRebel

Application Infrastructure & Middleware - API Integration & Management
Functional Applications - Enterprise Resource Planning Systems (ERP)
Healthcare & Hospitals
Business Operation
Quality Assurance
Continuous Emission Monitoring Systems
Predictive Maintenance
Remote Asset Management
Software Design & Engineering Services
System Integration
Product releases were very carefully planned and typically launched every two months to minimize downtime. The effort took about 15 engineers and 36 hours on average to see the process through. It included informing customers about a release window that lasts as long as 4 hours, updating the application, database, and dependent artifacts after-hours, and staging and monitoring the release for about 12 hours prior to taking it live. The challenge was to find a way to deploy applications into staging and production environments without impacting end users, ensuring 24/7 service uptime, which is critical for healthcare operations.
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eCareSoft, Inc., based in Austin, Texas, offers hospitals and physicians cloud-based electronic health records software - eCS Nimbo and eCS Cirrus - which combines clinical, revenue cycle, financial management, and business intelligence on one platform. Its affiliate eCareSoft Mexico, S.A. de C.V. is the largest provider of electronic medical records (EMR) software in Mexico. The company's mission is to provide healthcare executives with the information they need to make the right decisions in a timely manner. With patients’ lives and critical operations on the line, 24/7 service uptime is critical.
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eCareSoft chose LiveRebel when it was looking for a safe and automated means to deploy applications into staging and production environments, without impacting end users. By integrating LiveRebel with Jenkins, the team has been able to deploy new product releases with zero downtime, and without disrupting active user sessions in most cases. With LiveRebel, Miguel’s team has been able to mostly eliminate after-hours release windows. Release windows were shortened by 90% when they included manually run database migrations. However, when updates involved code changes, the team released them during business hours, with no downtime. The team was encouraged to release more frequently, pushing updates every 3 weeks, which resulted in happier customers. Releasing updates now takes 10 engineers over 24 hours, a reduction of 66% over releasing without LiveRebel. By releasing minor updates more frequently, eCareSoft reduced the risk of releasing bugs. By testing continuously, the team was able to identify and repair errors before customers saw them. Furthermore, there has been about a 45% reduction in support tickets logged.
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Mostly eliminated after-hours release windows, reducing the need for late-night work.
Release windows were shortened by 90% when they included manually run database migrations.
Updates involving code changes were released during business hours with no downtime.
Release windows shortened by 90%.
Reduction of 66% in the number of engineers required for releases.
45% reduction in support tickets logged.
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