Cloud Program Governance and Sustainment
You made it to the cloud. Now you need someone to make sure it stays that way.
Most organizations treat go-live as the finish line. The ones that struggle find out it was just the beginning.
Who This Is For
You’ve completed a cloud migration — or you’re in the middle of one. The infrastructure is in place or coming together. But now you’re realizing that someone needs to be watching it, and no one on your team has the bandwidth or the background to do it well.
Costs are harder to predict than expected. Your HIPAA posture didn’t stop being your problem when the servers left the data center. Your team doesn’t know what they don’t know. And the gaps that matter most are the ones you won’t find until an auditor or an incident finds them for you.
You don’t need a full-time cloud architect on staff. You need a seasoned program leader who understands both the technical landscape and the operational realities of a healthcare organization…
…and can provide the ongoing oversight that keeps your cloud environment secure, compliant, and under control.
What I Do
I serve as your ongoing cloud program advisor on a fractional retainer basis — part of your team without the cost of a full-time hire. Each month, I’m inside your AWS environment reviewing what matters across five domains:
Cost and Spend Management — Monitoring cloud spend against budget, identifying waste and over-provisioned resources, and keeping your investment aligned with what you’re actually running. Most clients find recoverable savings in the first 90 days.
Security and Compliance — Continuous review of your security posture against the CIS AWS Foundations Benchmark, HIPAA technical safeguards, and your own configuration baselines. I’m looking at new threat detection findings, access control gaps, and configuration drift — before an auditor does.
PHI and Data Protection — Confirming that ePHI in your environment is encrypted, monitored, and backed up. This includes scanning for PHI in places it shouldn’t be — application logs, development environments, staging buckets — which is more common than most teams expect.
Operational Health — Monitoring your workloads for availability and performance issues, tracking patch compliance, and making sure the things that should be alarming on are actually alarming on. Including certificate expirations, which cause the most avoidable outages in healthcare cloud environments.
Infrastructure Governance — Keeping your environment tagged, documented, and compliant with your own configuration standards so you can always answer the question: what do we have, where is it, and who owns it?
This isn’t advisory-only. Depending on the access model we establish, I’m making low and medium-risk changes directly and coordinating with your team on anything higher-risk — with everything documented in a change log before it happens.
Tools we evaluate, shortlist, and recommend
What You Can Expect
A consistent fractional engagement on a retainer basis — not a one-time project. Every month you receive a Governance Health Report: findings across all five domains, actions taken, your environment’s governance score and how it’s trending, cost movement, and recommendations for the next 30 days. Every quarter, a deeper review that includes an IAM access audit, cost optimization analysis, and a backup restoration test.
You’ll have a dedicated point of contact who knows your environment, understands your organization, and is watching the things that matter before they become problems.
No scrambling when something goes wrong. The oversight is already in place.
A Note On What Comes Next
If your migration isn’t complete yet and you need someone to lead it, Cloud Migration Services is where to start. If you’re earlier in the process want to understand where you stand before committing to anything, that conversation starts with a Discovery Call.