Healthcare cloud migration, designed against the audit you will face
A healthcare migration is not just a lift. It is a change to where protected health information lives, who can reach it, and what evidence you can produce — and all three need designing before anything moves.
What changes here
Cloud Solutions in healthcare is not the same engagement
HIPAA-eligible services only, under a signed BAA
Not every managed service in a cloud provider's catalogue is covered. The target architecture is drawn from the eligible list, with the agreement in place before workloads move.
Access designed as evidence, not just as control
Least privilege, break-glass procedures, and logging built so that answering who accessed which record is a query rather than an investigation.
Recovery rehearsed against a clinical clock
Downtime in care delivery is measured differently. Restores are tested and timed, and the failover plan is exercised rather than documented.
What the regime actually requires
The Security Rule expects a documented risk analysis and controls proportionate to it. A migration is the best opportunity you will get to satisfy that with architecture rather than with policy documents.
- A business associate agreement with the cloud provider before PHI lands
- Encryption in transit and at rest, with key custody you can describe to an auditor
- Audit logging of PHI access retained for your full retention period
- For Canadian organizations, residency and disclosure rules under PIPEDA and provincial law such as PHIPA
The work itself
Full cloud solutions pageAssessment, landing zone, and target architecture
An inventory of what you run, a dependency map, and a landing zone with accounts, networking, identity, and guardrails set up before the first workload moves.
Migration and modernization in waves
Applications moved in dependency order — rehost where it earns nothing to change, re-architect to managed services and containers where it pays for itself.
Cloud-native application development
Serverless and container workloads, managed databases, queues, and event-driven services built for the platform rather than ported onto it.
FinOps and cost optimization
Tagging, budgets and alerts, rightsizing, savings plans, and idle-resource cleanup — spend attributed to a team and a service, reviewed monthly.
Resilience, backup, and tested recovery
Multi-AZ design, backup policy, and restores actually rehearsed against an agreed RTO and RPO instead of assumed.
Observability and cloud security posture
Metrics, logs, and traces in one place, with IAM least privilege, encryption, and posture checks running continuously rather than at audit time.
Healthcare questions we get asked
Something more specific? Send us the situation and we’ll answer it straight.