Back to Case Studies

How We Leveraged AWS to Build a Cloud-Native EHR for Post-Acute Healthcare

How We Leveraged AWS to Build a Cloud-Native EHR for Post-Acute Healthcare

Table of Contents

This is some text inside of a div block.

Lorem ipsum dolor sit amet, consectetur adipiscing elit. Suspendisse varius enim in eros elementum tristique. Duis cursus, mi quis viverra ornare, eros dolor interdum nulla, ut commodo diam libero vitae erat. Aenean faucibus nibh et justo cursus id rutrum lorem imperdiet. Nunc ut sem vitae risus tristique posuere.

Connect with Us

We'd love to brainstorm your priority tech initiatives and contribute to the best outcomes.

Case Study

How We Leveraged AWS to Build a Cloud-Native EHR for Post-Acute Healthcare

How We Leveraged AWS to Build a Cloud-Native EHR for Post-Acute Healthcare

Case Study

How We Leveraged AWS to Build a Cloud-Native EHR for Post-Acute Healthcare

How We Leveraged AWS to Build a Cloud-Native EHR for Post-Acute Healthcare

Connect with Us

We'd love to brainstorm your priority tech initiatives and contribute to the best outcomes.

From Monolith to Modern EHR: A Case Study in Post-Acute Care Platform Transformation

One-liner summary:
Ideas2IT rebuilt a monolithic EHR into a scalable, microservices-based system on AWS, unlocking 90% faster performance, 220% better reporting, and 28% lower operational costs.

The Problem with the Status Quo

A leading post-acute care EHR provider was constrained by a legacy application that couldn’t scale with demand or enable modern clinical workflows. Ideas2IT re-architected the entire platform on AWS, using a microservices-based architecture, real-time pipelines, and intelligent caching. Results: 90% boost in performance, 220% improvement in reporting speed, and 28% infrastructure cost savings, while staying HIPAA-compliant and highly available.

Where the Gaps Were

Even as the client led in the home and hospice care space, their legacy EHR system was becoming a liability:

  • Performance slowed under growing user loads
  • Reporting pipelines choked analytics queries on production databases
  • Feature development stalled due to the monolithic codebase
  • Infrastructure costs ballooned without fault tolerance or auto-scaling
  • Compliance risks mounted as systems aged

Innovation was bottlenecked by architecture.

What We Delivered

Ideas2IT modernized the platform into a fully cloud-native system hosted on AWS. Key architecture shifts included:

  • Monolith → Microservices: Migrated to a microservices-based architecture using AWS App Mesh for service discovery and communication
  • Real-Time Pipelines: Introduced Amazon SQS and Kinesis for backpressure-safe async processing and streaming
  • Decoupled Analytics: Built a Change Data Capture (CDC) pipeline using Kinesis to power analytics without querying transactional stores
  • High-Performance Caching: Integrated ElastiCache to reduce DB load and enhance responsiveness
  • Resilient Infra: Set up multi-region, multi-zone deployments for fault tolerance, geo-redundancy, and latency optimization
  • Security + Compliance: HIPAA and SOC2 controls were embedded into every layer of the system

Outcomes We Achieved

90% Faster Performance
Service mesh and caching reduced latency and improved user experience system-wide.

220% Improvement in Reporting Speed
CDC-based data warehouse enabled fast, decoupled reporting.

28% Lower Infrastructure Costs
Auto-scaling, modular deployments, and resource right-sizing cut spend.

Compliance-First Design
HIPAA, SOC2, and security policies were baked in from the ground up.

Key Lessons

  • Monoliths stall momentum. Innovation speed hinges on architectural flexibility.
  • Analytics shouldn’t burden transactions. Decoupling reporting boosts scale and reliability.
  • Modern infra is cheaper, if done right. Microservices + AWS primitives = cost control.
  • Compliance is not a checklist. It must be designed into the architecture from Day 1.
Industry
Healthcare
Location
USA
Tech Stacks
Challenge

A legacy cloud EHR was bloated, slow, and expensive. Performance, scalability, and compliance were all at risk.

Key Takeaways

For post-acute care innovators, platform performance is mission-critical. We helped this provider future-proof their EHR by turning a brittle monolith into a scalable, secure, and cost-efficient cloud-native platform. Now, they’re positioned to lead with speed and resilience.

Co-create with Ideas2IT

We show up early, listen hard, and figure out how to move the needle. If that’s the kind of partner you’re looking for, we should talk.
We’ll align on what you're solving for - AI, software, cloud, or legacy systems
You'll get perspective from someone who’s shipped it before
If there’s a fit, we move fast — workshop, pilot, or a real build plan
Trusted partner of the world’s most forward-thinking teams.
AWS partner AICPA SOC ISO 27002 SOC 2 Type ||
Tell us a bit about your business, and we’ll get back to you within the hour.