Azure-Native Modernization for a US Healthcare Provider

Azure-Native Modernization for a US Healthcare Provider Boosts Performance by 300% and Ensures HIPAA Compliance

Industry Healthcare Technology

  • Annual Recurring Revenue

    $250M+ ARR

  • Successful Years

    12+ Successful Years

  • Global Employees

    1500+ Global Employees

  • Successful Projects

    5000+ Projects

Client's Testimonial

"Developers.dev didn't just migrate our application; they re-imagined it for the cloud. Their deep expertise in both Azure and HIPAA regulations was the key to our success. The new platform is incredibly fast, secure, and has drastically reduced our infrastructure overhead. They are a true strategic partner."

David Chen, CTO, SecureHealth Solutions

David Chen, CTO, SecureHealth Solutions

Client Overview

A leading US-based healthcare provider with a network of over 50 hospitals and clinics. Their existing patient portal and electronic medical record (EMR) system was built on an aging ASP.NET Web Forms application, hosted on-premise. The system was slow, difficult to maintain, and posed significant challenges in ensuring ongoing HIPAA compliance and interoperability with modern healthcare APIs.

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Problem with Legacy EMR System

Problem

The client's legacy EMR portal was hindering their ability to provide efficient patient care. It suffered from frequent downtime, slow performance during peak hours, and its monolithic architecture made adding new features a slow and risky process. Furthermore, maintaining HIPAA compliance on their aging on-premise servers was becoming increasingly costly and complex.

Key Challenges

Data Migration Challenge

Data Migration

Securely migrating millions of sensitive patient records (ePHI) to the cloud without any downtime or data loss.

Compliance Challenge

Compliance

Architecting a new solution that met all the stringent security and privacy requirements of HIPAA.

Interoperability Challenge

Interoperability

Integrating the new system with various third-party labs, insurance providers, and new healthcare standards like FHIR.

User Adoption Challenge

User Adoption

Ensuring a smooth transition for thousands of doctors and nurses who were accustomed to the old system.

Our Azure Modernization Solution

Our Solution

Developers.dev assembled a dedicated DevSecOps POD to execute a full-scale modernization of the application.

☁️ Azure-Native Re-architecture

We re-architected the monolithic application into a set of secure microservices using .NET 8 and hosted them on Azure App Services and Azure Kubernetes Service (AKS).

🛡️ HIPAA-Compliant Infrastructure

We leveraged Azure's HIPAA-compliant services, including Azure SQL with Transparent Data Encryption (TDE), Azure Key Vault for managing secrets, and Azure Policy to enforce security rules.

🔗 Secure API Layer

A robust API gateway was built to manage all internal and external data exchange, ensuring all integrations were secure and auditable.

✨ Modern Front-End

The outdated Web Forms UI was replaced with a responsive Blazor WebAssembly front-end, providing a fast and intuitive experience for clinical staff on any device.

Implementation and Execution

Security-First Design

Security-First Design

Conducted a thorough discovery phase, mapping all existing workflows and data models.

Phased Rollout

Phased Rollout

Established a secure CI/CD pipeline in Azure DevOps, embedding security scanning tools directly into the workflow.

EHR Integration

EHR Integration

Executed a phased data migration strategy using Azure Data Factory, with multiple validation stages to ensure data integrity.

Role-Based Access Control

Role-Based Access Control

Developed the new microservices and Blazor front-end in agile sprints, with regular demos for clinical stakeholders.

Patient-Centric UX

Patient-Centric UX

Performed rigorous penetration testing and a third-party HIPAA compliance audit before going live.

Secure Communication

Secure Communication

Rolled out the new platform to a pilot group of users, gathering feedback before a full network-wide launch.

Positive Outcome

🚀 300% Performance Improvement

Page load times were reduced from an average of 8 seconds to under 2 seconds.

🔒 Enhanced Security

The new architecture and Azure's built-in security tools provided a much stronger, continuously monitored security posture, simplifying HIPAA audits.

💰 Reduced Operational Costs

Migrating to Azure PaaS and serverless components reduced infrastructure and maintenance costs by 40%.

⚡ Accelerated Feature Development

The new microservices architecture allows the client to develop and deploy new features in weeks instead of months.

Positive Outcome of Azure Modernization

Why Choose Us

🧠 Domain Expertise

Deep understanding of Healthcare and HIPAA.

✅ Process Maturity

CMMI Level 5 approach ensured a smooth, predictable migration.

🔒 Security First

ISO 27001 and SOC 2 certifications guided our secure architecture.

🏅 Microsoft Gold Partner

Unmatched expertise in the Azure ecosystem.

👨‍💻 In-House Talent

A stable, experienced team handled the complex project.

🤝 Ecosystem Support

Leveraged internal security experts for compliance checks.

🤖 AI-Augmented QA

Used AI tools to accelerate testing of the new system.

👁️ Transparent Process

Client had full visibility via Azure DevOps.

🏆 Proven Results

Delivered tangible improvements in performance, cost, and security.

Conclusion

By partnering with Developers.dev, the healthcare provider successfully transformed its core EMR system from a liability into a strategic asset, improving patient care, ensuring compliance, and creating a scalable foundation for future innovation.