Region
India
                  
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- 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

 
 - 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
 
 
                                
                                
                                
                                
                                
                                
                                        
                                        
                                        
                                        
                                        
                                        