Founded in 2012, Augmedix is a service, powered by Google Glass, that allows doctors to focus on what matters most: patient care. Augmedix simplifies how physicians use electronic health records (EHRs) by providing a technology-enabled documentation service for health systems and doctors.
They are on a mission to re-humanize the doctor-patient relationship and address the greatest pain point in the US healthcare system – the burden of documentation. The Augmedix service saves doctors an average of 15 hours per week, enabling them to see more patients and spend more time with their existing patients. As a result, there is increased provider satisfaction, improved patient experience, higher quality patient notes, and timely note completion.
Augmedix is partnered with several national health systems, serving tens of thousands of patients per month. To learn more, go to https://www.augmedix.com/
Health Care, Hospital, Medical, Augmented Reality
San Francisco, California
Augmedix needed an automated, containerized cloud infrastructure to improve scalability, deliver new features faster, optimize costs, and enhance security.
AWS Well-Architected Review, containerization, infrastructure automation (Amazon CloudWatch, AWS Application Load Balancer), nClouds 24x7 on-call support
Optimized time to market
We selected nClouds because of their innovative culture and technical expertise in AWS. We partnered with them to build a containerized cloud infrastructure so that Augmedix could focus on new feature development.”
International Operations Manager, Head of Software Development, Augmedix
Augmedix required containerization to bring consistency across the environment, deliver the necessary scalability for their fast-growth startup, and enhance security. They wanted to optimize their time to market for new features by deploying a continuous integration and continuous delivery (CI/CD) pipeline. And, they needed to automate their web apps, services, data channel, and media streaming infrastructure to enhance performance efficiency.
Augmedix turned to nClouds, a Premier Consulting Partner in the Amazon Web Services (AWS) Partner Network and certified AWS Well-Architected Partner, to perform an AWS Well-Architected Review. The Review is an assessment of their infrastructure using best-practices guidelines from the AWS Well-Architected Framework. The Review revealed opportunities to improve the company’s infrastructure across the five pillars of the Framework: cost optimization, security, reliability, performance efficiency, and operational excellence.
After the Review, Augmedix asked nClouds to partner with them to remediate key issues.
A well-architected infrastructure enables faster updates and decreased time to market. nClouds performed an AWS Well-Architected Review with Augmedix, which revealed architecture remediations that could be implemented to drive best practices in CI/CD. Following the Review, Augmedix asked nClouds to perform the remediations.
Augmedix’s new architecture has a containerized environment using Docker and Docker Compose (to bring up local environments) that employs best practices in cost optimization, performance efficiency, reliability, security, and operational excellence.
A cost-optimized system avoids or eliminates unneeded cost or suboptimal resources.
Performance efficiency best practices call for a data-driven approach, using monitoring to provide alerts on any performance deviations that require action.
A reliable system should have a well-planned foundation with scalability to handle changes in demand or requirements.
A secure system has an architecture that protects data and systems, controls access, and responds automatically to security events. The new architecture includes:
Operational excellence best practices rely on the ability to run systems and gain insight into their operations to deliver business value and to continuously improve supporting processes and procedures.
Teaming with nClouds, Augmedix implemented a modernized, secure, efficient, and scalable environment on AWS cloud. The project has yielded numerous benefits:
Augmedix’s architecture now has best-practices reliability, with improved scalability to handle changes in demand or requirements to support their fast-growing business. Scalability is supported by AWS Application Load Balancer, AWS Auto Scaling, and AWS OpsWorks, in concert with the Chef server.
With a localized container environment and automation, Augmedix has more flexible deployment and can deliver new features faster. Their new CI/CD pipeline enables rapid testing, spin up, and spin down. Augmedix can now quickly go from ideating new features to creating, testing, and merging into their code to ultimately deliver new features.
Using CloudWatch, Augmedix can monitor usage and spending, identify underutilized and unused resources, centrally deploy the infrastructure, and implement standardization to help control costs. nClouds recommended that Augmedix use Amazon EC2 Reserved Instances planning to save costs.
Because Augmedix works with electronic health records (EHRs), it’s imperative that they preserve privacy and confidentiality by ensuring that only authorized individuals have access to patient health information. Augmedix’s new infrastructure enhanced security by implementing AWS IAM (to control users' access) and Amazon VPC (to provide security groups and network access control lists).
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