Cerbo
Portland, Oregon
Healthcare Technology
Amazon EKS, Amazon RDS, Amazon S3, AWS Backup, Amazon GuardDuty, Amazon Inspector, AWS Secrets Manager, Amazon CloudWatch, Amazon Route 53, AWS Transfer Family, AWS Lambda, Amazon EFS, AWS Karpenter
Cerbo, a healthcare technology provider, sought to move its patient portal infrastructure from legacy virtual machines to a more scalable, secure, and cost-effective environment on AWS. Avahi leveraged Amazon EKS, Amazon RDS, and other AWS services to migrate hundreds of clinics efficiently while ensuring high availability and data integrity. This migration streamlined Cerbo’s operations, improved performance, and delivered significant cost savings over the previous hosting model.
Cerbo serves healthcare organizations by providing a robust patient portal and electronic medical records system. Operating in the health tech industry, it offers clinics and practitioners a modern, customizable platform for managing patient information, appointments, and medical records, all with an emphasis on data security and regulatory compliance.
Cerbo’s existing hosting arrangement relied on virtual machines at Atlantic.net, creating challenges with scalability, manual processes, and limited cost optimization. As the number of clinics grew to over 800, the environment’s complexity and overhead increased. Continuing on the same path risked frequent downtime, security vulnerabilities, and ballooning operational costs. Cerbo needed a flexible, reliable solution to handle the growing data volumes, ensure compliance, and support seamless patient experiences.
Cerbo selected AWS for its unmatched portfolio of services, global footprint, and proven track record in healthcare data security. Amazon EKS offered the scalability and container orchestration Cerbo required, while Amazon RDS addressed performance and availability needs for its critical patient data. AWS also provides built-in cost-optimization features, robust security services, and HIPAA-eligible offerings, making it the ideal choice for Cerbo’s modernization strategy.
Avahi brought deep expertise in AWS migrations and healthcare compliance requirements, which proved essential for handling sensitive patient data. Its team demonstrated a clear, methodical approach to re-architecting Cerbo’s environment, focusing on automation and reliability. With a strong history of successful AWS projects, Avahi was well-positioned to minimize downtime, optimize costs, and meet Cerbo’s stringent security and compliance standards.
Avahi devised a multi-phased migration plan, beginning with the assessment of Cerbo’s virtual machines and custom migration scripts. The solution included upgrading Cerbo’s container orchestration to Amazon EKS, where each clinic was isolated by namespace for security. Amazon RDS replaced in-container databases, significantly improving performance and enabling better data backup and recovery.
To enhance reliability, Avahi leveraged AWS Backup, Amazon GuardDuty, and Amazon Inspector for monitoring and threat detection. Storage was optimized by moving from EFS to Amazon S3 for configuration and data files, reducing operational overhead and improving cost efficiency. The team also introduced Karpenter to optimize resource utilization and lower EC2 costs. Finally, Avahi provided detailed runbooks, documentation, and a knowledge transfer session to ensure Cerbo could seamlessly manage its new AWS environment.
Founder, Bravo Foxtrot
