As with every healthcare organization, Hospice of the Western Reserve was facing significant cost pressures due to the passing of the Affordable Care Act, while they were also deploying a new version of their Electronic Medical Record
(EMR) patient care system that supported mobile healthcare professionals. Due to this, Hospice of the Western Reserve needed to allocate the time and attention of their already over-stretched IT system administrators to this EMR rollout.
In addition to the EMR upgrade, there were other IT indicatives that were requiring additional Windows Server capacity, which had to be duplicated at the organization’s off-site disaster recovery location. This was driving an up-front capital expense that didn't fit in their budget.
Also, the organization, at this time, was also completing the business plans and activities to bring to market their new At Home subsidiary, but for compliance purposes had to initially be on a separate, isolated network from the traditional corporate entity, yet still be HIPAA compliant.
Hospice of the Western Reserve engaged Stratus Innovations Group to complete a requirements gathering session and develop an IT business plan to address IT issues and opportunities. From this, Hospice of the Western Reserve decided to first migrate to Office 365 for organization-wide collaboration and communication functionality. We then designed and implemented a migration plan that included developing a "hybrid configuration" where mailbox migrations could be completed at a comfortable pace while allowing co-existence between users who have been migrated and those who have not.
we designed an Active
Directory Federation Service (ADFS) solution for the new At Home organization that was
deployed in Microsoft Azure IaaS and provided SharePoint Online-based
document libraries where the At Home resources could scan business documents and
store them for archival purposes.
Finally, we also planned and completed the migration of
the recently acquired Hospice of Medina organization from a Google platform to
Hospice of the Western Reserve's Office 365 environment.
By off-loading the enterprise Email administration and maintenance
activities, the Hospice of the Western Reserve's IT system administrators were
able to allocate more time to the new EMR rollout, as well as a recently planned
enterprise-wide systems management rollout. Decommissioning the
previous Email server allowed the organization to re-purpose this hardware and
storage for the up-coming systems management rollout as well as allocate
additional resources to the new EMR upgrade.
Hospice of the Western
Reserve also benefitted from deploying the At Home ADFS infrastructure in a
Microsoft Azure Virtual Network because it allowed them to maintain HIPAA
compliance with Office 365 Single Sign-On, while having this ADFS infrastructure
in a load-balanced, highly available from off the corporate network and eliminating the need for an additional hardware purchase.