The healthcare revenue cycle is a potentially sensitive topic for many healthcare customers, so MDS takes a respectful, counseling approach to collections. At the same time, it strives to provide outstanding service by improving efficiencies and making ongoing technological advancements, which requires developing, managing and evolving its custom-made software.
When they recently upgraded the version of Sybase ASE, their main database, they encountered “blocking locks” during upload. These essentially stopped the file processing from occurring. Up to that point, MDS had not changed any code on its custom application. The MDS team began to recode certain aspects of the application to address the blocking lock problem. However, the team was concerned about getting into a pattern of recoding every time a database was updated. This practice, which many IT departments reluctantly embrace, tends to result in applications being written for specific databases. Ultimately, the application becomes locked in to that specific database and its vendor. This outcome would undercut the entire flexible IT strategy that makes MDS competitive.