TriMed Cloud Hosting

How long has Trimed been hosting client data?

How long has Trimed been hosting client data?

What were the various hosting models?

What is AWS?

What is AWS?

Brief history of AWS?

What are some other major cloud vendors?

What are some other major cloud vendors?

Why was Trimed most interested in AWS?

What are some of the major services of AWS?

What are some of the major services of AWS?

● S3

What are some of the major services of AWS?

● S3● EC2

What are some of the major services of AWS?

● S3● EC2● RDS

Where are AWS data centers located?

Where are AWS data centers located?

What are ‘regions’ and ‘availability zones’?

How atypical was the S3 outage in Spring 2017?

What about AWS and HIPAA compatibility?

What about AWS and HIPAA compatibility?

What are some measures AWS takes for security?

What does it mean to host data in a HIPAA compliant

way?

Backing up data in the cloud...harder or easier?

Why?

How often do we back up data?

How long do we keep backups?

What about recovering data in the cloud?

How is it different than traditional DB recovery?

What is data redundancy?

What is data redundancy?

What redundancy options do we offer clients?

Compare ease of moving between primary & stanDBy.

Cloud vs. Premise

Compare upgrading compute power of a DB.

Cloud vs. Premise

How do we monitor DB load for cloud clients?

Does Trimed use a multi-tenant DB for client

data?

Can clients get a full export of only their data?

Does the client own their data?

Migrating to the cloud: lift & shift vs. cloud integration.

What’s the difference?

What about documents?

Is the AWS S3 service backed up?

What is horizontal vs. vertical scaling as it relates to

compute?

How does Trimed use horizontal scaling?

What is session state?

What is session state?

How does it affect the stability of the user in the

application?

How is session state storage more stable in the cloud?

What is an ELB?

Why does it help horizontal scaling?

Has TriMed’s decision to pursue horizontal scaling

been a small or large application change?

What is an API?

What is an API?

Why has Trimed aggressively pushed for

API use?

What are some examples of API use?

How does the Message API work?

How does the Message API work?

Why was it worth it to pull all of that out of the core

app?

How will the Audit Trail API work?

How will the Audit Trail API work?

When might we see a launch of it?

Data flow diagram of Trimed’s AWS environment.