Healthcare | Database Managed Services

HealthTech leader saves $700K/yr outsourcing database management

With over 1,900 database assets, this global healthtech provider struggled with a lack of in-house Oracle Exadata expertise, fragmented vendor support, and inadequate proactive monitoring. This resulted in reactive issue management, impacting the stability of their critical manufacturing systems.

The company sought a unified strategy to enhance reliability, standardize operations, and acquire specialized technical skills. Pythian's strategic database management enabled operational resilience, improved system performance and scalability, enhanced customer satisfaction, and produced significant cost savings. Pythian's expertise supported sustained business operations across the healthcare leader's global footprint.

Pythian aided a medical device leader in modernizing its database, enhancing operations, and boosting system performance and reliability.
$700K

Annual savings, replacing fragmented systems

Over $700K in annual savings with better database support management and boosted performance.

98%

Closure rate on 1,600 tickets per month

Operational efficiency increased through unified ticket management across technologies (processing over 1,600 tickets monthly with a 98% closure rate).

65

PostgreSQL instances standardized

Pythian provided the specialized Exadata expertise the internal team lacked, standardizing configurations across PostgreSQL instances.

Customer

Industry

Healthcare technology

Location

Global (150+ countries), headquartered in Minnesota, United States

Platform

Oracle
  

Overview

The customer—a global healthcare technology provider renowned for its advanced medical devices and patient care solutions—serves hospitals, clinics, and healthcare professionals worldwide. The organization is dedicated to driving innovation that improves patient outcomes and enhances healthcare efficiency. With over 1,900 database assets, the company's IT infrastructure is critical to supporting its global manufacturing and business operations.

The healthcare technology provider faced significant challenges managing its complex and extensive database ecosystem supporting critical manufacturing and business applications. They lacked deep in-house expertise for their mission-critical Oracle Exadata environments, including new ExaCC systems.

Their database management and support was fragmented across multiple vendors, leading to operational inefficiencies and inconsistent quality. Furthermore, inadequate proactive monitoring across diverse database platforms (Oracle, SQL Server, PostgreSQL) resulted in reactive issue management, impacting stability, particularly for high-availability manufacturing systems requiring minimal downtime. The company needed a unified strategy to enhance reliability, standardize operations, and gain specialized technical skills for its complex environment.

Pythian's full service approach to database management enabled operational resilience and supported sustained business operations across the healthcare leader's global footprint. Pythian optimized database performance and set up infrastructure for easier scalability. As a result of the health-tech company outsourcing database management to one single partner, they saw significant cost savings, and strengthened capabilities to drive innovation globally.

  

The challenge

Lack of Oracle Exadata expertise caused healthcare tech organization’s database instability

The organization faced several interconnected challenges with its extensive and increasingly complex database ecosystem, comprising numerous Oracle, SQL Server, and PostgreSQL databases supporting critical manufacturing and business applications. The company lacked the deep technical Oracle Exadata expertise required to manage mission-critical environments effectively, including their new Oracle / OCI Exadata Cloud at Customer (ExaCC) implementation, hindering tasks like storage rebalancing, database patching, and optimizing performance.

Furthermore, database support was fragmented across multiple vendors without a unified approach, creating operational inefficiencies and inconsistent support quality. A lack of standardized, proactive database monitoring across these diverse platforms resulted in reactive issue management rather than prevention, exacerbated by reliability issues in the existing monitoring infrastructure where alerts sometimes failed to generate proper ServiceNow tickets. This inconsistent support and monitoring escalated operational risks, particularly for manufacturing systems requiring extremely high availability with minimal downtime.

Lack of Oracle Exadata expertise

Lack of deep technical Exadata expertise hindered management of mission-critical environments.

Fragmented database support

Database support across multiple vendors led to operational inefficiencies and inconsistent quality.

Reactive issue management

Lack of standardized, proactive monitoring resulted in reactive issue management instead of prevention.

Escalated operational risk

Reliability issues in monitoring infrastructure caused alerts to sometimes fail in generating ServiceNow tickets, escalating operational risks.

  

The solution

Pythian provided 24/7 support, monitoring, and Oracle Exadata expertise

Recognizing the urgent need to resolve these challenges, the company partnered with Pythian to implement a comprehensive database management strategy. Pythian’s full service approach to database managed service includes 24/7 support, monitoring and continuous performance optimizations across their database technologies Oracle, SQL Server, PostgreSQL. Pythian provides the healthcare providers with consistency and centralized oversight crucial for their complex database environments. Pythian's team created standardized processes for database creation, retirement, and operational tasks, backed by clear escalation procedures and a well-documented approach to proactive monitoring.

A major focus involved enhancing the monitoring infrastructure, implementing NFS monitoring for Exadata, improving Oracle Enterprise Manager (OEM) alerting, integrating SolarWinds DPA for performance analysis, deploying Prometheus and Grafana for PostgreSQL, and automating ServiceNow ticket creation from alerts.

Crucially, Pythian provided the specialized Oracle Exadata expertise the internal team lacked, performing critical optimization tasks such as resolving SAP memory configuration issues impacting manufacturing, setting up FastRecovery Area monitoring, establishing dynamic CPU scaling, and standardizing configurations across PostgreSQL instances.

Unified 24/7 database management

Implemented unified 24/7 support and monitoring across Oracle, SQL Server, and PostgreSQL databases.

Standardized database processes

Established standardized processes for database management tasks with clear escalation procedures and proactive monitoring.

Enhanced database monitoring

Enhanced monitoring infrastructure, including Exadata NFS monitoring, OEM alerting improvements, and integrated performance analysis tools.

Critical database performance optimization

Provided specialized Exadata expertise and critical optimization tasks such as resolving SAP memory issues and dynamic CPU scaling.

  

Technologies used

  • Oracle Database
  • Oracle Exadata
  • Oracle Exadata Cloud at Customer ExaCC
  • Oracle Enterprise Manager
  • Microsoft SQL Server
  • PostgreSQL
  • Prometheus
  • Grafana
  • SolarWinds DPA
  • ServiceNow (Ticketing Integration)
  • AWS RDS
  

Key outcomes

Over $700K in annual savings with better database support management, boosted performance

Pythian's database management solution delivered significant, measurable improvements, transforming the healthcare leader's database operations from a reactive to a proactive model. The company experienced enhanced system performance and reliability, evidenced by reduced P1 incidents. Proactive optimization and proper resource configuration significantly improved manufacturing system stability, addressing critical SAP ME performance issues in production facilities—all while generating over $700K in annual savings by replacing fragmented systems.

The engagement provided essential specialized Oracle Exadata skills previously lacking internally, enabling proper maintenance and performance tuning. Operational efficiency increased through unified ticket management across technologies (processing over 1,600 tickets monthly with a 98% closure rate) and standardized change management and lifecycle procedures across the 1,900+ database assets.

Security and compliance were also strengthened through verified backups, successful quarterly SOX restore testing, regular patching, and secure access protocols, ensuring the company meets strict healthcare industry requirements.

Enhanced system reliability

Transformed database operations from reactive to proactive, reducing P1 incidents and enhancing system reliability.

Replaced fragmented systems

Generated over $700K in annual savings by replacing fragmented systems and improving resource configuration.

Increased operational efficiency

Enhanced operational efficiency with unified ticket management and standardized change management across 1,900+ database assets.

Strengthened security

Strengthened security and compliance through verified backups, successful SOX testing, regular patching, and secure access protocols.

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