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Dynamic Clinical Systems

For clinical research, the best sources of information about results of a given treatment are often the patients themselves. Dynamic Clinical Systems (DCS) of Hanover, New Hampshire, has developed software that enables researchers to capture patient-reported outcomes (PROs)through the use of customized surveys. Their Integrated Survey System® (ISS) is a Web-based application built on InterSystems Caché. DCS is an outgrowth of ground breaking work done at Dartmouth Medical School and Dartmouth-Hitchcock Medical Center, a longtime InterSystems customer. It was natural that DCS would use Caché to develop ISS. “In our industry, using Caché as our database makes a lot of sense,” says Chris Weiss, CEO of DCS. “It’s incredibly scalable, and has extremely high performance. Also, since we provide ISS in software-as-a-service mode, Caché’s ability to easily create Web services is a big plus.”

Key Benefits

  • Software-as-a-Service
  • High performance
  • Breakthrough Application

ISS is used by clinicians and researchers at academic medical centers, private practices, and health agencies across the United States. Users can create tailored surveys by including pre-written questions about general health and a variety of specialty subjects. They can also customize surveys by adding questions of their own. “Patients get frustrated if you ask them a bunch of questions that are not applicable to them,” says Sanford Emery, MD, MBA, Professor and Chairman of the Department of Orthopaedics at West Virginia University. “That’s why we have created different patient surveys for sub-specialties such as total joints, spine, sports medicine, hand, tumors, etc. ISS makes that easy to do.”

Dynamic Clinical SystemsDr. Emery continues, “Patients also like that the system is Web-based. It’s easy for them to fill out the surveys. Some of them even do it from the comfort of their own homes. That can save them a trip, and we get more and better information.”

ISS collects, sorts, and analyzes patient reported data, storing results in a common database. “As a researcher, that can be very useful,” says Dr. Emery. “If I am investigating whether or not a certain procedure has better outcomes, and I only do five of those procedures a year, it will take a long time to accumulate a significant amount of data. ISS gives me access to a great deal more outcome information.”According to Chris Weiss, “Caché’s scalability and performance are what enable us to maintain a common database for PROs. And everybody in healthcare is familiar with it.When we say ISS runs on Caché, that’s reassuring to our clients.”

InterSystems has been phenomenal at making us feel just as important as the largest customer they have.

Chris Weiss, CEO
Dynamic Clinical Systems

“But the main differentiator between Caché and other databases,” Weiss says, “is how InterSystems works with us. They have been phenomenal at making us feel just as important as the largest customer they have.”