Case study

Helping the GMDN Agency upgrade to improve efficiencies

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The GMDN Agency is a registered UK charity responsible for the ongoing maintenance of the Global Medical Device Nomenclature (GMDN) database. The agency provides health authorities and regulators, healthcare providers, manufacturers and others with a system that allows an exchange of medical device information and supports patient safety.

In late 2023 the GMDN Agency engaged Opencast on a focused project that would help its wider effort to modernise its technology and improve efficiencies to benefit its members and in-house team alike. Opencast looked to add value to the business by encouraging it to adopt an approach that would continuously improve quality and increase customer satisfaction.

  • GMDN Agency
  • Healthcare
  • Technology-optimised operations
  • Improved approach to tech development

  • Stronger in-house capability

  • Greater understanding of the value of UCD

Challenge

Update existing application and improve development processes

The GMDN provides a universal language for healthcare professionals, regulators, manufacturers and stakeholders. It is used by regulators in over 70 countries and by members in 145 countries.

The GMDN Agency is responsible for the ongoing maintenance of the GMDN database, which is designed to be flexible and adaptable to accommodate new and emerging technologies and is continually updated to reflect changes in the medical device landscape.

The agency wanted to improve the efficiency of the database to benefit its members and in-house team. Wider in-house software development capacity had previously been manual, handling all of GMDN’s software needs. So the agency sought to upgrade its development framework, starting by migrating its .NET library to a supported version.

Opencast’s three-month consultancy engagement also offered the agency the opportunity to review its internal processes. The introduction of agile methodologies would add value to the business, improving quality and, ultimately, increasing customer satisfaction.

Such changes could help the agency on its journey towards its mission to “enable safer and more effective patient care, fostering innovation and collaboration in the medical device industry, and supporting global harmonisation of regulatory requirements”.

The Opencast engagement was a part of the GMDN Agency’s 2023 strategic review and was the second phase of the agency’s investment in its digital transformation programme, following the launch of a new public-facing website in 2023.

Despite the website having been operational for some time, there were gaps to fill in processes, especially on test automation. Given the three-month limited timeframe for the project, Opencast would focus on migrating the application from the existing .NET version, creating new features, a new test automation framework and automating end-to-end use cases both for the public and admin websites.

Response

Process review and a sharper focus on users

Opencast reviewed the agency’s existing processes and practices, which were largely manual. We explained the benefits of industry-standard modern software development practices, including agile and scrum processes alongside Azure capabilities.

Through advice and coaching, we helped the agency to better understand how agile processes – automation, testing, build pipelines, scrum boards, estimating, ticket creation, tracking and reporting – could deliver significant benefits to the business. If adopted agile processes would add value to the business.

Introducing the agency to unit testing and frameworks, Opencast created a test automation framework using the PlayWright testing tool – and we automated end-to-end use cases for its public and administration websites.

Deploying our software and quality assurance expertise, we worked with the in-house team on new alerts and an Azure DevOps pipeline job to run automation tests, and integrated the Playwright tool with a LivingDoc report to generate automation reports after the job was executed. If adopted, the unit test framework could be extended in future.

To ensure a smooth handover at the end of the project, Opencast created a knowledge transfer document explaining how the framework was built and developed during its engagement. This set out how to set up the framework and run automation tests locally, generate automation reports and run the pipeline job. A design clinic helped shape what would become the MVP.

Opencast held agile ceremonies with the GMDN Agency’s small in-house tech team to ensure it could set up and run automation tests on its own. We worked closely with the delivery team to build its adherence to scrum principles for tech development, with clear requirements, procedures and timelines.

A stronger user focus would also benefit GMDN’s members and in-house team. Through a UCD-oriented design workshop, Opencast was able to share the benefits of a UCD approach, with the advantages that could deliver in terms of problem solving, identifying pitfalls and constraints, prioritisation, and crafting a minimal viable product. We recommended that the agency consider adding a UCD manager and scrum team, with process and budget attached, with clear requirements and procedures.

Impact

Upgrades demonstrate the value of agile

Opencast’s work with the GMDN Agency helped it to see the value to the business and its customers of a more modern approach to demonstrate the value of solution engineering and delivery, with testing and quality assurance at the forefront.

Our work on upgrading GMDN’s .NET framework has given the agency a supported version, with licensing, developer tools and an integrated developer environment.

Our recommendations for software and process upgrades have helped the agency recognise the value of agile processes and methodologies. The UCD workshop meant that agency could also understand the benefits of a UCD approach.

Once adopted, a new approach to development, informed by UCD, could enable the agency to be more strategic about where it needs to be, with clear timelines for improvement.

  • PlayWright: end-to-end testing tool – test automation framework

  • Azure DevOps pipeline: to run automation tests

  • LivingDoc: to integrate the Playwright tool

It’s an exciting time at the GMDN Agency as we continue our mission to be the global leader in naming, describing and unambiguously identifying medical devices for the protection of patients. The partnership with Opencast helped to strengthen our user experience and digital offering for our members and users for years to come as we continue to meet the evolving needs of all our stakeholders.

Deniz Bruce, Chief Executive

GMDN Agency

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