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Healthcare Software Modernization: How to Give Your Legacy System a New Life

Oleksandr Hutsulyak
Team Lead & Senior Front-End Engineer at TechMagic. Member of Solution Architecture Group. Passionate about JavaScript and AWS.
Healthcare Software Modernization: How to Give Your Legacy System a New Life

Updating a legacy system is like trying to teach an old dog new tricks. Only this dog is still running Windows 95 and is highly vulnerable in terms of cybersecurity.

Legacy healthcare systems, like early EHRs or HIS platforms, can make day-to-day tasks feel like working with a locked toolbox. You may have noticed that data doesn’t flow smoothly, and new tech like telehealth or mobile apps can be a struggle to integrate.

So, in this guide, we’ll walk you through why modernizing these systems is worth the effort, offering strategies for overcoming challenges and making the most of today’s tech.

Key Takeaways:

  • Find out why legacy healthcare software modernization is essential for better patient care, stronger security, and smoother operations.
  • Read about a scalable, compliant, and data-driven setup that helps healthcare providers shift to a proactive, patient-centered approach.
  • Check the solid plan for tracking the efficiency of new challenges, phased approaches, and best modernization strategies to meet changing regulations and tech advancements.

What Is Legacy Healthcare System?

In the healthcare sector, a legacy system refers to outdated software or technologies that a healthcare organization keeps using, even though there are newer, more advanced options available. We see from our experience that they are often so deeply integrated into daily workflows that switching to something new may feel daunting and look like a huge risk.

However, while they may still work, legacy systems in healthcare can create issues, like not being able to connect smoothly with newer tech, being tough to update, or having security gaps.

what is legacy system in healthcare

Common types of legacy healthcare IT systems

Such systems come in all shapes and sizes, and each type has its own set of challenges that can impact patient care and efficiency. Here’s a rundown of the most common options.

types of legacy healthcare IT systems
  • Electronic Health Record (EHR) Systems. Early EHRs were designed mainly for basic patient records. Many lack modern features, aren’t user-friendly, and don’t easily operate with newer systems, making it hard to update or share patient information.
  • Hospital Information Systems (HIS). Older HIS platforms handle hospital administration, finances, and some clinical operations. However, they often struggle with real-time data access, reporting, and working with newer systems, which can slow down hospital processes.
  • Laboratory Information Systems (LIS). Legacy LIS software manages lab data and test results, but it often requires a lot of manual data entry. These systems may also have trouble communicating with newer EHRs or other digital health records, creating data entry redundancies and delays.
  • Radiology Information Systems (RIS) and Picture Archiving and Communication Systems (PACS). RIS tracks radiology records, while PACS handles medical images. Older versions of RIS and PACS often work in isolation, meaning they don’t easily share images or reports with other departments, which can slow down collaboration and treatment planning. And healthcare communications infrastructure is critical.
  • Telemedicine Systems. Early telemedicine systems may not support secure or efficient remote care, making it challenging to keep up with the growing demand for virtual patient visits and telehealth services.
  • Claims Processing Systems. These systems manage billing and reimbursement but may struggle to keep up with modern billing rules and changing regulations, causing delays and inefficiencies in the billing process.
  • Patient Engagement Systems. Patient engagement systems help patients manage their care, communicate with providers, and stay informed. However, legacy versions can lack mobile compatibility and smooth integration with other healthcare technologies, leading to low patient engagement and missed opportunities to improve health outcomes.
As you can see, outdated healthcare software of various types can be a significant problem. Let’s dive deeper into the specific reasons why modernization is worth considering.

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Challenges and Implications of Legacy Healthcare Systems

Our team has often encountered situations where taking the leap toward change was something that really needed to happen "yesterday." And to be honest, modernizing healthcare legacy systems is a necessary step for healthcare providers to mitigate many risks. Why? Here are some of the most important reasons.

Challenges and Implications of Legacy Healthcare Systems

Abandoned products mean no support

Sometimes, vendors pull the plug on older products, leaving you stranded with no updates, no bug fixes, and no support. It’s like having a car mechanic tell you they don’t make parts for your model anymore – you’re on your own.

But in this case, it's not just about saying goodbye to your Cadillac Eldorado. You’re losing huge amounts of money, potential and loyal clients, and facing massive fines for security breaches (more on that in a bit).

Without vendor support, security vulnerabilities stack up, functionality becomes stagnant, and troubleshooting becomes a frustrating uphill battle. Upgrading to an actively supported system protects you from these risks, ensuring your technology stays relevant and secure.

Without vendor support, security vulnerabilities in healthcare system stack up

Costly maintenance and vendor dependency

Legacy systems often come with rising maintenance costs. When you’re stuck with old software, you’re not only paying for constant repairs but also for limited options when things go wrong.

Moreover, we often see that legacy systems frequently crash, disrupt workflows, and frustrate staff and patients alike. Constant glitches are like a rickety bridge – you’re always worried about the next breakdown. With each crash, there’s a risk of losing valuable patient data, affecting data integrity and compliance.

Outdated, limited functionality

Legacy software is often stuck in the past, with limited integration, scalability, and reporting capabilities. Imagine trying to fit new tech, like telemedicine or electronic health records (EHR), with a system that’s barely keeping up.

The result? Integration challenges, data silos, and inefficiencies. Modernization offers streamlined workflows, easy scalability, and powerful reporting tools, allowing you to grow your practice without hitting a tech ceiling.

Increased security risks

Legacy systems are sitting ducks for cyber threats. Without regular security updates, they’re like a house without locks – wide open to breaches.

As healthcare data breaches become more frequent and costly, protecting sensitive patient information is non-negotiable. Modern systems come with enhanced security features, from data encryption to compliance support, ensuring that you can meet regulatory standards like HIPAA and keep patient data secure.

As a result of security risks – regulatory compliance issues

Healthcare organizations must adhere to strict regulations, such as HIPAA, GDPR, and PCI-DSS, which require robust security measures and data protection practices. Legacy systems often struggle to meet these standards, putting organizations at risk of compliance issues. Modernization makes it easier to stay on top of compliance, avoid fines, and keep your healthcare organization on the right side of the law.

Regulatory compliance issues lead to serious penalties and fines, not to mention reputational damage

Workflow inefficiencies and growing integration challenges

Legacy systems can slow down healthcare personnel, creating more hassle than help. Outdated software lacks user-friendly design and automation, making tasks like data entry and scheduling challenging and slow.

Also, integrating legacy systems with new healthcare technologies, such as telemedicine or electronic health records (EHR), can be a technical nightmare. It often results in data silos and fragmented patient information.

Scaling constraints as you grow

As healthcare organizations grow, so do their technology needs. Legacy systems can feel like a pair of shoes that are a size too small – uncomfortable and limiting. They often hit a wall when it’s time to add new locations or services, making expansion unnecessarily hard.

Old functionality can’t deal with enhanced patient expectations

Today’s patients want a digital-first experience: online scheduling, telehealth appointments, and easy access to their records. Legacy systems can’t support these features, leaving patients feeling frustrated and out of the loop. By upgrading, healthcare providers can offer these conveniences, meeting patient needs.

No access to data insights and advanced analytics

Data is crucial, and in the healthcare industry, it helps providers make smarter decisions for better care. But legacy systems often don’t support advanced data analysis, making it hard to gather valuable insights.

Modern healthcare software opens up access to these insights, giving organizations a clearer view of patient trends, treatment outcomes, and operational efficiencies. It’s the key to staying competitive, compliant, and ready for what’s next.

Data silos

Many outdated systems just aren’t compatible with new technology, creating data silos that keep important patient info isolated. It’s like having pieces of a puzzle that don’t fit together. Healthcare teams can’t get the full picture as such situations hinder communication across departments.

To back up our list, let’s rely on some statistical data. A 2023 Statista study showed that over 50% of the companies surveyed indicated that boosting security and enhancing efficiency are top priorities driving the modernization of their legacy applications.

Cost reduction, smoother integration with modern technologies, and improved agility and flexibility are closely followed, with almost 50% of respondents also highlighting these factors. Regulatory compliance is mentioned by nearly 20% of the companies as a motivation for upgrading their systems.

Key Challenges in Healthcare Legacy Systems Modernization

Deloitte research shows that the main modernization challenges for healthcare organizations are

Key Challenges in Healthcare Legacy Systems Modernization
  • Data management and measuring success. Medical professionals see data interoperability and API solutions as top investment priorities – not just for meeting regulations but to improve care coordination, support value-based care, and advance health equity. They now track advanced KPIs like monthly active users and average session lengths to measure patient engagement and satisfaction.
  • Talent shortages. The lack of skilled talent to drive digital transformation is another major hurdle. With only 12% of organizations having enough full-time resources, many are making talent their top investment area. To address this, some are expanding their search for talent geographically, leveraging remote work and outsourcing healthcare IT.
  • Cost and resource limitations. Financial limits often slow down modernization as healthcare businesses juggle multiple priorities with tight budgets. Even so, two-thirds of survey respondents still expect to see more of their IT budgets going to digital transformation. In this context, ROI becomes a key factor, helping organizations focus resources where they’ll make the biggest impact.
From our perspective, these are not the only challenges you may face. Here are some other milestones to overcome.
No Less Important Challenges in healthcare modernization
  • Security and data privacy risks. Old systems often have security weaknesses, making them easy targets for growing cyber threats. As healthcare organizations upgrade, protecting sensitive data from breaches and unauthorized access is essential to keep trust and meet privacy requirements.
  • Regulatory compliance. Keeping up with complex and changing healthcare regulations is key to modernization. New systems need to build in compliance from the start so they’re set to meet current rules and easily adapt as standards evolve, helping avoid costly issues down the line.
  • Data migration and integrity. Moving data from older systems to new ones can risk accuracy and completeness. Ensuring smooth, accurate transfers is crucial to avoid data loss or mistakes that could disrupt patient care and affect the organization’s reputation.
  • Change management and user adoption. New tech only works if people actually use it. Gaining buy-in, providing good training, and making sure new systems fit naturally into current workflows are essential for encouraging widespread adoption and unlocking the full benefits of modernization.
The question you may ask: is it really worth it? Yes. And here is why.

Benefits of Modernized Healthcare Systems

Grand View Research estimates that the global healthcare IT market reached about $663.0 billion in 2023 and is expected to grow at a compound annual growth rate (CAGR) of 15.8% between 2024 and 2030.

 the global healthcare IT market reached about $663.0 billion in 2023

Markets and Markets, at the same time, predict that the market will surge from $394.6 billion in 2022 to $974.5 billion by 2027, reflecting an impressive CAGR of 19.8%. This growth is driven by several factors, including heightened government initiatives to promote healthcare IT (HCIT) solutions, attractive returns on investment associated with these technologies, and a growing emphasis on patient-centric healthcare delivery.

The healthcare market will grow to $974.5 billion by 2027

Modernizing outdated healthcare IT systems plays a crucial role in this growth. And here’s why.

Benefits of Modernized Healthcare Systems

Saving time and money

Updating legacy systems cuts down on costly maintenance, freeing up cash for new tech and patient care. And let’s face it: healthcare organizations don’t want to pour money into old systems when they can upgrade and save.

Better care = happier patients

Modern systems make it easy for healthcare professionals to access real-time data, which means faster, more accurate care. Plus, features like virtual visits bring the doctor’s office to your couch – no waiting room required. It’s a win-win for both patient care and medical personnel convenience.

Room for growth with scalability

Modern healthcare systems are flexible and adaptable. They’re designed to grow with you, handling more patients and incorporating new applications without needing a complete overhaul. Having the ability to scale up isn’t just a bonus but essential.

Security and compliance for healthcare organizations

With data breaches on everyone’s radar, modern systems step up to protect patient information like a vault. They ensure that healthcare organizations stay compliant with important regulations like HIPAA and GDPR. This means patients can feel secure knowing their sensitive data is well protected.

Modern healthcare systems significantly outperform outdated solutions when it comes to data protection and cybersecurity. They use the latest encryption methods, two-factor authentication, intelligent anomaly detection systems, and regular updates that enhance resilience against cyber threats. Additionally, modern platforms are generally built to integrate with other solutions, enabling a unified approach to security management across various healthcare services.

Legacy healthcare software, on the other hand, often has limited update capabilities, making it vulnerable to contemporary attack vectors. Due to its complex management and lack of regular security patches, it fails to meet today’s stringent cybersecurity requirements, creating risks for organizations that continue to rely on such systems.

Welcoming future tech and personalized patient experience

Modern healthcare systems are making way for game-changing tech like AI, data analytics, and predictive modeling. Providers dive deep into data to spot trends and even predict patient risks before they become serious.

Such tools also help doctors catch signs of chronic conditions early, helping patients stay healthier in the long run. This means treatments are more personalized, designed to meet each patient’s unique needs, and there’s a bigger focus on prevention rather than just treating problems as they come up.

These advancements are reshaping what it’s like to be a patient today. Rather than just reacting to health issues, providers now have the tools to anticipate them, making healthcare more proactive and wellness-focused. Patients can look forward to faster, more accurate diagnoses and tailored care plans that keep their specific health goals in mind.

modernization is like having a “high-tech crystal ball” that helps doctors stay one step ahead

Integration and interoperability

In our experience with upgrading healthcare systems, we’ve seen firsthand how integration and interoperability are crucial benefits that organizations need to focus on. For modernized systems to effectively communicate with existing technologies, seamless data exchange is a must.

Many outdated healthcare systems struggle in this area, but by adopting standardized data formats, medical organizations can create a common language that ensures patient information flows smoothly across departments, leading to accurate and comprehensive patient records.

Modernized systems are built for interoperability, allowing data to flow freely across platforms and providing healthcare teams with a clear, unified view of patient information.

We’ve also found that using middleware solutions can effectively bridge gaps between various data sources. Addressing the data silos typical in older systems is required to achieve a unified view of patient data. Our expertise in system integration shows that adhering to interoperability standards and adopting data exchange protocols help organizations streamline this process.

How You Can Overcome Healthcare Modernization Challenges

With the right game plan, healthcare companies can upgrade smoothly, avoid major disruptions, and provide better care. Here’s how to approach it effectively.

Start with creating a proper modernization strategy.

Steps to Create Modernization Strategy

Step 1. Assess your existing system

Start by diving into the strengths and weaknesses of your current setup. How reliable, functional, and compliant is your legacy system? Knowing where you stand is crucial for deciding if it’s worth keeping or if it’s time to replace it.

Don’t know how to do this by yourself? No problem. Hire professionals to conduct a full analysis and provide recommendations on the next step.

Step 2. Decide: maintain or replace?

When it comes to outdated systems, sometimes small upgrades do the trick, while other times, a full replacement is needed. Base this choice on a deep dive into the system's condition and how well it fits your long-term goals.

Step 3. Get stakeholders involved early

Bringing key players on board from the start helps ensure that your modernization efforts address real needs. Early buy-in from stakeholders leads to smoother planning and a more successful transition.

Step 4. Go with a phases

Adopting a phased implementation strategy helps minimize disruptions during the modernization of legacy systems. It also allows teams to tackle any issues step-by-step, making it easier to maintain continuity in patient care. Think of it like ripping off a Band-Aid...but really, really slowly so it doesn’t hurt too much.

Step 5. Seek expert assistance

Healthcare systems are complex. Not all organizations have sufficient resources, including a skilled in-house IT team, to initiate and successfully complete the modernization process. Seeking expert assistance is an excellent solution, both in terms of resource efficiency and system security.

At TechMagic, we have years of expertise in working with the most complex software products and extensive experience in modernizing healthcare applications. So, if you need assistance, we are here to provide it. Simply get in touch with us for an initial consultation.

HealthTech Development

Learn about our expertise in the industry and what we have to offer 

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Pro tips

pro tips on healthcare modernization

Take care of change management and user training

Bringing in new technology to healthcare teams is a big deal, and guiding people through it makes all the difference. Clear communication, setting realistic expectations, and hands-on training can help ease everyone into the transition.

Think of it like helping someone learn a new language – it’s all about giving them the right tools and support to feel confident. Workshops, video tutorials, and a solid support system make sure staff can hit the ground running, making the new tech feel like a smooth upgrade, not a jarring change.

Have monitoring and feedback mechanisms in place

Once the new system is up and running, the real work starts with keeping an eye on how it’s doing. Continuous monitoring helps track performance, spot any hiccups early, and capture real-time feedback from users.

This way, you’re not just flying blind but getting a live snapshot of what’s working and what could use a little fine-tuning. User feedback, whether it’s from staff or patients, gives insights straight from the people who know it best, helping refine the experience so it meets everyone’s needs.

Continuous improvement and maintenance

A modern healthcare system isn’t a “set it and forget it” kind of thing. Regular maintenance and updates keep the system aligned with the latest standards, regulations, and tech advances. Incremental improvements, like adding new features or optimizing performance, make sure the system keeps pace with what patients and providers need today and down the line.

Healthcare Modernization Solutions

Healthcare Modernization Solutions

Digital Health Platforms

Modern EHRs (Electronic Health Records), telemedicine, and mobile health apps are revolutionizing patient care by making it more accessible and efficient. These tools allow healthcare professionals to retrieve patient data in real time, regardless of location, providing insights that improve personalized care.

They also keep patients actively engaged in their health management, as they can monitor their progress, communicate with doctors, and even receive updates and reminders through mobile apps. It’s as if the doctor’s office is always within reach, creating a more connected and convenient healthcare experience.

Data Analytics and AI

The integration of AI-powered tools in healthcare is a leap forward, especially in areas like early diagnosis, predictive risk assessment, and resource planning. With machine learning algorithms, you can analyze vast amounts of data to uncover patterns that humans might miss.

This means more accurate diagnoses, early intervention for at-risk patients, and efficient use of resources. It’s like having a digital detective that finds clues in data, offering actionable insights that can improve patient outcomes and reduce overall healthcare costs.

Interoperability

When you can seamlessly share patient information across systems, it enables smoother and more coordinated patient care. Interoperability is like a universal translator, allowing different healthcare systems to "speak the same language" and ensuring all relevant information is available to every provider in the care continuum.

This eliminates redundant paperwork, reduces the risk of errors, and allows for better decision-making, as each provider has a full view of the patient’s history and needs.

Standardized data exchange

Adopting standardized data protocols enables healthcare systems to share information more effectively, eliminating the problem of "data silos" where information is stored in separate, incompatible formats. With common data standards, healthcare providers get a comprehensive view of each patient, allowing for more accurate diagnoses and treatment plans.

Patient engagement

Patient portals, mobile apps, and wearable devices empower patients to take charge of their own health journey. With easy access to their health records, test results, and treatment plans, patients can monitor their own progress, stay informed, and make proactive choices.

This level of engagement builds a stronger patient-provider relationship and leads to more successful health outcomes. It’s like handing patients the keys to their health, allowing them to drive their own care forward with confidence.

New cybersecurity measures and security protocols

As digital health platforms expand, so do the potential vulnerabilities to cyberattacks, making cybersecurity a top priority in healthcare. Strong encryption, multi-factor authentication, and continuous monitoring form the pillars of a robust cybersecurity framework.

With the sensitive nature of patient data, advanced security protocols are critical to maintaining trust and regulatory compliance. Regular security audits and access controls ensure that patient information remains private and protected from cyber threats.

Automation and RPA

Robotic Process Automation (RPA) is transforming healthcare administration by automating tedious and time-consuming tasks like billing, appointment scheduling, and claims processing.

While taking over repetitive work, RPA frees up healthcare staff to focus on direct patient care and more complex decision-making. It’s like having an assistant who never sleeps.

Cloud migration

Moving to the cloud has been one of the most popular modernization solutions over the past five years. In the case of healthcare, it allows organizations to store and access data securely from anywhere while benefiting from scalable resources and reduced costs.

Experts predict that by 2025, 85% of organizations will be "cloud first."

The cloud acts as a flexible and expandable storage solution that grows with the organization’s needs, allowing for real-time data access across different facilities and departments. It’s like upgrading from a small, crowded office to a spacious, flexible warehouse that keeps everything neatly organized and easily accessible.

API integration

APIs and middleware enable older healthcare systems to connect seamlessly with newer software, creating an integrated network where data flows smoothly. This connectivity extends the lifespan of legacy systems by giving them a bridge to modern applications. Imagine it as adding a hidden door between two buildings—now, resources and information can be shared effortlessly, making the whole system work more harmoniously and efficiently.

Final Thoughts

With the healthcare industry doubling down on digital, staying current isn’t just about keeping up appearances. It’s about meeting the demands of tech-savvy patients, securing sensitive health data, and ensuring that staff can access the tools they need to provide great care.

A smart approach to updating systems helps healthcare professionals dodge the risks of outdated software and embrace new technologies like AI, cloud solutions, and enhanced security measures. This is the only way for faster, more accurate, and proactive care.

Don’t let old tech keep your team stuck in the past. It is better to start changes sooner than later. We will be happy to assist you in planning a flexible, secure, and future-ready approach to changing the outdated healthcare system. That will help you keep up with tomorrow’s demands and let your staff focus on what they do best: delivering quality care.

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FAQ

phi vs pii difference FAQ
  1. What is healthcare software modernization, and why is it necessary for legacy systems?

    Healthcare software modernization is the process of updating or replacing old healthcare technology to improve performance, scalability, and security. Legacy systems can become slow, incompatible with new tools, and vulnerable to cyber threats. Organizations can stay compliant with current regulations, be more interoperable, and provide better patient care through more reliable and efficient software.

  2. How does healthcare system modernization affect patient data?

    Modernizing healthcare software is key to patient data security. Legacy systems lack the latest encryption and cybersecurity protocols, so they are vulnerable to breaches. Modernized systems have advanced encryption standards, multi-factor authentication, secure data storage solutions, and regular security updates, reducing the risk of cyber attacks and patient privacy.

  3. What are the advantages of modernizing legacy healthcare software?

    Modernizing legacy healthcare software has many benefits, including improved operational efficiency, seamless integration with other healthcare systems, better data accuracy, and a better user experience for patients and providers. It also supports advanced data analytics for better decision-making and faster updates to stay compliant with changing healthcare regulations and, ultimately, better patient outcomes and satisfaction.

  4. What challenges do organizations face during healthcare software modernization, and how can they overcome them?

    Organizations will face challenges such as data migration complexity, downtime during the transition, integration with existing systems, and total cost of modernization. Compliance with healthcare regulations like HIPAA adds complexity. Working with experienced healthcare IT professionals, setting clear project goals, and phased implementation can help mitigate these risks and make the modernization process smoother.

  5. How much does it cost to modernize a legacy healthcare software system?

    It all depends on system complexity, age, features, compliance requirements, and custom development. Working with a vendor who knows the healthcare industry can help you get the most ROI for your budget. You can get an accurate estimation after your system analysis.





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Ross Kurhanskyi
Head of partner engagement