Dbvisit Standby Case Study - Orion Health


With Dbvisit Standby deployed as part of the platform, Orion Health’s SaaS HIE is a reliable, resilient, fully redundant and scalable environment that targets availability of 99.95%

Orion Health is a leading provider of health software with proven experience in delivering interoperable, connected solutions for healthcare facilities, organizations and regions.

As Orion Health has grown and extended into new markets, the solutions they offer have evolved.  From supplying clients with pure software solutions, they now provide a wide range of systems and services, including subscription-based Software as a Service (SaaS) platforms for some of their key products.

A major growth market for Orion Health is the Health Information Exchange (HIE); an electronic network that integrates healthcare organizations within a region, community or hospital.  Orion Health’s HIE provides a single unified view of patient data across and between healthcare providers, via an easy-to-use web-based interface that is accessible anywhere, anytime.

Orion Health provides their HIE solution via a Software as a Service (SaaS) platform.  This allows clients to implement an HIE more quickly, with lower risk and without the up-front capital cost of hardware and software licenses required when they host the solution themselves.

By deploying DBVISIT STANDBY as part of its HIE SaaS platform, Orion Health has been able to significantly reduce its costs and thereby offer clients a more cost-effective SaaS solution.

The Challenge

The Orion Health HIE facilitates patient-centric care by making complete and up-to-date patient information available where and when it's needed, enabling provider organizations to more easily coordinate patient care.

The passage of the American Recovery and Reinvestment Act (ARRA), and the implementation of the Health Information Technology for Economic and Clinical Health (HITECH) Act provisions within ARRA has accelerated the development of HIE’s in the United States.  Identifying this opportunity, Orion Health has focused on taking a leading role in HIE’s, including innovations such as SaaS-based delivery.

Orion Health realized that its HIE clients needed to be able to deploy a solution quickly, with lower risk and without the up-front cost of hardware and software licenses associated with an on-premise system.  To support this, they set about designing a SaaS platform which would host its HIE product for a growing number of clients.

The SaaS platform is a critical piece of infrastructure for Orion Health, with SaaS clients representing an increasing proportion of their overall business.  Over 70% of sales in North America are based on the SaaS platform, and platform usage is growing at a rate of 200% per annum.

To be commercially viable, the HIE SaaS platform had to be cost effective to deploy, operate and grow as new clients were added.  The clinical data managed by the system, and the resulting requirements for security and privacy, mean that the platform had to comply with a range of health and IT standards.  It also needed to provide a high performance, resilient and reliable service that supported around-the-clock access to the critical patient data it contains.

Dbvisit Case Study - Orion Health (logo)

The Solution

The SaaS environment needs to provide three fundamental features to ensure business continuity for clients; High Availability (HA), Scalability and Disaster Recovery (DR).  These require redundancy both within the primary data center, as well as at a remote data center which can be activated in the event of significant failure at the primary site.

While the Orion Health software can operate on a range of database management systems, Oracle was selected for the SaaS platform based on its scalability and its favored status within the US market.  Running on HP hardware, the Orion Health HIE uses Oracle RAC under a Standard Edition license.

In order to provide disaster recovery, a copy of the production database needs to be maintained at the secondary (DR) site, typically by replicating data updates to the DR site as they occur in production. 

Orion Health initially considered Oracle’s Data Guard product for this role, however the requirement for Enterprise Edition, with its significant additional license costs, quickly eliminated it as an option.  They also considered SAN replication, however this required an expensive dedicated link between the primary and DR sites.

Orion Health also considered Dbvisit Standby as a smart alternative to Data Guard.  They found that by using Dbvisit Standby in conjunction with Oracle Standard Edition they could attain the same levels of performance and reliability as Data Guard, but at a fraction of the cost.  Dbvisit Standby uses a combination of efficient data packaging and compression to minimize the data passed between the sites, removing the need for expensive high-bandwidth links between sites.

Orion Health has bundled Dbvisit Standby into their SaaS solution and configured it to mirror its production database at the DR site.  In the event that the primary site becomes unavailable, the failover process will switch to the DR site.

The Result

The Orion Health SaaS platform supports over 25 HIE’s across the United States.  These HIE’s link over 700 facilities and support over 170,000 end users who care for a combined population of over 35 million lives.

With DBVISIT STANDBY deployed as part of the platform, Orion Health’s SaaS HIE is a reliable, resilient, fully redundant and scalable environment that targets availability of 99.95%.

Collecting, storing and exchanging patient identifiable health information means that the Orion Health HIE, and the SaaS platform on which it is based, must comply with a wide range of standards and guidelines.  With Dbvisit Standby as part of the solution, the HIE SaaS platform meets the following United States standards:

  • SAE16 & SAS70 Type 2 – SaaS / Hosting
  • National Institute of Standards and Technology (NIST) – Federal Agency Information Systems
  • Health Insurance Portability and Accountability Act (HIPAA) – Electronic health information
  • Sarbanes–Oxley Act – Governance


To achieve economies and efficiencies, Orion Health has designed its HIE platform to also support other jurisdictions.  Consequently it supports a range of international standards including the following:

  • ISO27001 – Information Security
  • Information Governance Statement of Compliance (IGSoC) – United Kingdom NHS Connectivity


Dbvisit Standby assists Orion Health in attaining these standards.  For example, ISO27001 requires separation of duties such that database administrators need to be able to move and manipulate databases, but not access patients’ clinical data.  Dbvisit Standby supports this through its secure configuration controls.

Although the DR mode has never been initiated in production, a simulated failover to the DR site is a requirement for each go-live, as well as annually as part of the platform’s ongoing ISO 27001 compliance.  This gives Orion Health significant confidence that the solution will perform flawlessly in the event that a failover is required.

Dbvisit Standby case study - ROI for Orion Health

Return on Investment

Successfully building SaaS platforms for clients, as Orion Health has done, requires close attention to the quantum and timing of costs.  Service subscribers pay on an operating model, so it is critical that Orion Health’s costs are aligned with those revenues wherever possible, and that large capital costs are avoided.

Dbvisit Standby provides a demonstrable return on investment to Orion Health, and assists in making the HIE SaaS platform a compelling option for Orion’s clients.

Dbvisit Standby provides an extremely cost-effective up-front investment with a lower initial licensing cost than the direct competition (Oracle Data Guard, which mandates Oracle Enterprise).  The lower initial cost also delivers ongoing benefits through significantly reduced maintenance costs.  Finally, the ease of implementation, testing and deployment reduces the effort and cost of implementation services.

Dbvisit Standby, in conjunction with Oracle Standard Edition, provides Orion Health with the added benefit of more granular license upgrades than would have been possible with Enterprise Edition.

With the solution based on Dbvisit Standby, not only is the actual database-related license cost lower (Standard Edition and Dbvisit Standby compared with Enterprise Edition and Data Guard), but additional licenses can be acquired in smaller and lower cost increments.  This combination significantly reduces the up-front and ongoing cost to Orion Health in licensing the software for their SaaS platform.  This allows them to offer a more price competitive solution to their clients, and grow the platform cost effectively as demand increases.

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About Dbvisit

Dbvisit develops disaster recovery and database replication products that ensure an organization’s critical data is available and up-to-date when and where it is needed; whether on-premise, in the cloud or a combination of both.

Dbvisit was formed in 2006 to develop Dbvisit Standby, an off-the-shelf, low-cost, high performance disaster recovery solution for Oracle Standard Edition (SE) database users.  Today, Dbvisit Standby is the world's leading Data Guard alternative solution for Oracle Standard Edition.

Over 500 business, academic, and public sector organizations in 80 countries trust Dbvisit products to deliver replication for their Oracle databases.  Since 2011 Dbvisit has been ranked in the Deloitte Technology Fast 500 for Asia Pacific for the fastest growing technology companies in the region.  Dbvisit is an Oracle Gold Partner.

About Orion Health Inc.

Orion Health is a leading global, independently owned eHealth technology company. With an inherent ability to interconnect a wide variety of healthcare information systems, Orion Health has become the world’s leading provider of electronic health records (EHR) and healthcare integration solutions. Orion Health has extensive experience in the design and installation of complex systems within demanding healthcare environments.

Today, Orion Health products and solutions are implemented in more than 30 countries, used by hundreds of thousands of clinicians, and help facilitate care for tens of millions of patients. Clinicians, provider facilities and OEM partners rely on Orion Health to facilitate data exchange between hospitals, health systems, EHRs, and affiliated providers and medical devices, resulting in improved care coordination, increased cost savings and efficiencies, and enhanced quality of care. For more information, visit www.orionhealth.com


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