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Enhanced Performance and 24/7 Managed Service Support for a Healthcare Service Provider

- Industry Healthcare Sector
- Customer NAMEMedrona – service provider for healthcare industry
- About CompanyMedrona offers service solutions for medical billing companies, physicians and group practices, laboratories, hospital-owned and contracted ambulatory service provider networks and outpatient services.
- WorkloadAWS DMS, Three-tier architecture, Active directory
- CloudAWS
- Project ScopeImplementation of AWS infrastructure & Managed Service 24/7
- OfferingMulti-Tier Architecture, Database migration and 24/7 managed service support
- Tools UsedAWS Management console, AWS CLI, Site24x7, Freshdesk
- Business Challenges
- They had Single Tier Architecture with App and DB running on the same server.
- Web Tier and Domain controller running on the same Windows server.
- Heavy Impact to Application Performance and their monitoring revealed throughput issues.
- Had challenges to improve efficiency and lower costs.
- Monitoring and maintaining cloud infrastructure is difficult.
- Our Approach
- By implementing three-tier architecture helped the customer to overcome performance and throughput issues.
- Proposed Solution
- The customer had been running Microsoft workloads from a single server. The solution proposed that these be hosted on multiple EC2 instances thus eliminating the persisting performance issues.
- Fresh application installation and SQL Database migration approach was followed using R-Lane migration methodology.
- All user traffic is routed via a site-to-site tunnel and NAT Gateway is used for accessing the application and Database, respectively.
- For the migration scope of the project, EC2 with Windows Server and SQL Server were launched and configured as required prior to initiating the migration.
- Setup VPN Tunnels between source and AWS and customer office and AWS.
- Promoted Windows EC2 server to Domain controller to have an AD with minimal cost and to serve as an ADC in cloud.
- Proposed managed service support for 24/7.
- Outcome(s)/results & Metrics for success
Increase Availability ,Performance Efficiency, Operational excellence through automation, Up to date Patches, Security Optimizations, Cost Optimization. - AWS Services Used
AWS Database Migration Service, Active Directory, CloudWatch and CloudTrail, VPN,Amazon EC2, Amazon EBS, and S3. - Architecture
- Managed service Benefits
- Resource Optimization, Cost Monitoring
- Backups and data integrity will be checked periodically
- Security Best Practices, Compliance Monitoring
- Proactive Communication about incidents
- Governance Policies, Automation
- Helpdesk support for 24/7
- Offering 3 ways to create a ticket
- Tollfree now supports 6 regional languages
- Server patching will be done periodically
- Monthly report will be sent to every month and call will be scheduled for further improvements and feedback
- DR Drill will be performed once in a year