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Text Content

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CASE STUDY
GENETICS INFORMATION COMPANY ACCELERATES DEVOPS AND IMPROVES PRODUCT QUALITY
THROUGH QA SERVICES

QE
Healthcare
Our challenges were to reduce defect leakage, meet our growing business needs
with constant changes in requirements. The Trigent team learned our domain fast,
met our automation needs with minimal training, and stretched QA to an 18×5
cycle. They worked cohesively with our DevOps teams. Our throughput increased by
45%, and production defect leakage reduced to less than 5%. We would gladly
recommend Trigent for enterprise QA needs.


ABOUT THE CLIENT

Our client is a leading medical genetics information company with revenues of
over $200M, with a mission to bring genetic information into routine medical
practice to improve healthcare quality. They specialize in genetic diagnostics
for hereditary disorders and provide affordable and accessible genetic testing
to patients and providers. The client offers three major categories of
screenings – Diagnostics, Reproductive Health, and Proactive Health. The
screenings include hereditary cancer, neurological and cardiovascular disorders,
non-invasive prenatal screening (NIPS), pediatric developmental disorders, and
many more.


BACKGROUND

The client has an integrated portfolio of laboratory processes, software
systems, and informatics capabilities to:
Manage and maintain test catalogs, with unique workflows
Collect and process DNA samples
Test and analyze patient-specific genetic variation
Generate test reports for clinicians and patient
The software application portfolio consists of:
A web portal that allowed both patients and clinicians to place orders from a
catalog of tests. The selections ranged from curated panels to panels custom
built by a genetic counselor. The entire ordering process was transparent, with
the ability to track progress.
A laboratory information management system (LIMS) that manages and tracks
samples, test results, and associated information effectively.
A clinical reporting function that is designed to support all aspects of
clinical genetics workflow. This function provides an interface with relevant
patient information and tools for efficient clinical report writing and report
generation. A wide range of people, including scientists, genetic counselors,
client services, finishing/confirmation, and lab directors, use this function.
A Dry Lab Operations System, an internal application that automates sample
wrangling, wet lab, clinical genomics, client services, and metrics analysis.


BUSINESS CHALLENGES

As the business grew, they added emphasis on customer experience (CX), which is
simple despite the new features. And, this required the applications to work at
optimum levels without interruptions during business hours. The individual
applications underwent continuous improvements at a fast pace. As the volume of
patients and data increased, CX could not be compromised, and the entire service
had to be comprehensively tested for every change. Not only did the feature
updates have to be tested regularly, but thorough regression testing was also
required. As the organization acquired new companies, more services were added,
and the client anticipated to operate a 24/7 lab very soon. The team had to
ensure that the new capabilities were integrated and changes made to existing
workflows while existing services continued to operate consistently.

To meet this goal, the client needed agile processes, improved test execution
velocity, and high-quality releases.

This was achieved by institutionalizing DevOps, streamlined release processes,
sprint planning, environment configuration, and tooling coupled with clarity of
roles and responsibilities between developers and testers.
The approach included adopting the Software Development Engineer in Test(“SDET”)
philosophy and how they think about software quality and testing – especially
bringing proficiency at writing code and code for automated testing.


ENSURE IMPECCABLE PRODUCT QUALITY AND SUPERIOR CUSTOMER EXPERIENCE WITH
CONTINUOUS TESTING




TRIGENT SOLUTION - QA SERVICES

An aggressive growth plan required rapid software delivery, and all teams to
work in cohesion. Trigent identified the workflow of all the applications –
covering the vital business process flows, user experience, technology
integrations, and performance. We built a DevOps strategy to cover teams
distributed across the US west coast, midwest, eastern Russia, and India. The
teams were aligned to product lines, and a CI/CD pipeline was implemented. A
significant portion of testing and deployment was automated.

To support the geographically distributed development teams, Trigent QA operated
in multiple shifts covering about 18 hours a day. This reduced the feedback
cycles and increased the sprint velocity.

A sprint cycle of two weeks in the beginning, and rapidly evolving towards a
daily release model, ensuring that applications were upgraded continuously. As
feature upgrades were developed, automated regression tests were executed using
continuous integration tools, and the test results were posted directly to the
test management tools.
Test environments were dynamically set up and torn down post-testing with AWS
instances that allowed execution in a distributed manner. The testing covered
complex rules and data validation across applications, also ensured that the
applications supported multiple versions of operating systems and browsers.
Omni-channel tests for mobile devices and web browser compatibility were run
leveraging Saucelabs’ device farms.
Test and test automation became synonymous with exploratory testing,
complementing the increasing levels of automation to achieve high functional
coverage within a short time. In a minimal time of around two hours, 600+
automated test scripts were executed.

CLIENT BENEFITS:


 * Improved health interoperability ecosystem and patient engagement
 * Early detection of regression issues in nightly build ensured that issues are
   fixed prior to integration build
 * Enhanced user experience, optimized clinical workflows, also ensured
   physicians and patients gets all notifications
 * High-quality releases with reduced time to market
 * Defect leakage to production reduced to 5%
 * Functional defects were reduced by 20% through test automation
 * Significant reduction in manual testing efforts related to regression testing
 * Continuous testing at every stage increased the overall application quality
 * CI/CD pipeline execution ensured a complete end to end testing in minimal
   time

TECHNOLOGY STACK:





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