From Legacy Constraints to Scalable Integration: CliniSync’s Move to Rhapsody 

CliniSync, Ohio’s only health information exchange (HIE), needed an integration solution that is as scalable, flexible, and future proof as the work they do. Serving a wide range of healthcare organizations across the state, CliniSync is at the center of efforts to securely connect hospitals, providers, and public health agencies. 

With growing data demands and increasingly complex use cases, CliniSync recognized the need to modernize its integration infrastructure. Their existing system was becoming a bottleneck to innovation and operational efficiency. The team sought a solution that could support real-time interoperability, reduce internal strain, and enable them to focus on what mattered most: improving health outcomes across Ohio. 

Before moving to Rhapsody, CliniSync operated on a legacy, on-premises integration engine that created significant operational strain. Interface developers and application analysts were also responsible for system administration, which diluted focus and made it difficult to efficiently scale or optimize resources. The platform’s rigid architecture placed constraints on how interfaces were built, often forcing teams to design around technical limitations rather than aligning with clinical or business needs. Additionally, the system required a proliferation of interfaces to handle different data types and volumes—such as Continuity of Care Documents (CCDs)—which introduced unnecessary complexity and created operational silos that limited collaboration across teams. 

CliniSync’s primary objective was to shift to a cloud-hosted integration engine that could: 

• Scale effortlessly without local hardware constraints. 

• Unify development and support workflows. 

• Handle diverse and high-volume data formats with ease. 

• Enable business-driven interface development. 

The Rhapsody team began by scoping the project to identify and analyze every interface and transformation required for migration. This helped quickly break down a large, complex project into actionable milestones and dependencies, streamlining project management and execution. Leveraging the Auto Migrate tool, this process took the Rhapsody team 1 day – even for CliniSync’s 440 interfaces. 

Even when unplanned changes emerged, the Rhapsody team kept the timeline intact and minimized disruption by turning around new solutions and resolving challenges within 24–48 hours.  

By migrating to Rhapsody, CliniSync reduced interface volume by 90% for key use cases like CCD processing, consolidated 25 error queues into one, and streamlined operations across teams – without losing functionality. Modernizing their integration environment enabled faster builds, fewer escalations, and a scalable foundation ready to support future innovation.  

These results came to life across four critical dimensions: 

Operational Efficiency and Interface Simplification 

Rhapsody enabled a dramatic reduction in the number of interfaces needed for specific use cases – enabling more straightforward maintenance. For example, where the previous system required 10 separate workflows for handling CCDs, Rhapsody handled the same workload with just one.  

Unified Dashboards and Fewer Escalations 

Rhapsody’s all-in-one platform provided real-time dashboards and a centralized error queue, enabling both developers and support staff to troubleshoot from the same environment. This visibility improved collaboration, reduced escalations, and empowered teams to resolve more issues without escalating. 

Seamless Scalability for Future Use Cases 

Whether it’s FHIR, HL7, XML, or future data formats, Rhapsody’s data-agnostic engine gives Clinisync the confidence to support any integration need. The platform’s performance with data-heavy interfaces ensures that architectural concerns no longer impede innovation. 

Standardized, Reproducible Workflows 

With the Rhapsody architecture, CliniSync now uses a single, seamless data harness and reproducible templates across workflows. This not only saves time but also accelerates onboarding and enables consistent builds.