reference deployment

Providence Health Care IPAC-CLABSI on AWS

Scale and expedite reviews of central line-associated bloodstream infection cases

This Quick Start deploys Providence Health Care Infection Prevention and Control (IPAC) for central line-associated bloodstream infections (CLABSIs) to the Amazon Web Services (AWS) Cloud. It is for health care organizations that want to improve their surveillance of CLABSIs. 

This deployment retrieves patient data in Microsoft Excel format from an on-premises source. AWS Lambda functions transform data into individual infection cases that are displayed to case reviewers using Amazon SageMaker Ground Truth. Infection control practitioners review cases and label those that meet clinical criteria as confirmed CLABSIs.


This Quick Start was developed by Providence Health Care in collaboration with AWS. Providence Health Care is an AWS Partner.

  •  What you'll build
  •  How to deploy
  •  Cost and licenses
  •  What you'll build
  • This Quick Start sets up the following:

    • AWS Storage Gateway to retrieve bulk patient data from an on-premises source and deposit it into an Amazon Simple Storage Service (Amazon S3) bucket.
    • Four Amazon S3 buckets to store the following artifacts.
      • Bulk patient data.
      • Partitioned data.
      • Output data from Amazon SageMaker Ground Truth.
      • Confirmed infection cases for reporting.
    • Three AWS Lambda functions 
      • A function to retrieve and partition bulk data into individual review cases and save them to an S3 bucket.
      • A function to process the input manifest for GroundTruth. It retrieves data from the partitioned data S3 bucket and transforms it into the JavaScript Object Notation (JSON) format required by Ground Truth.
      • A function to retrieve and process Ground Truth output data. It sends cases with no decision to the partitioned data S3 bucket and initiates another review job in Ground Truth. It deposits cases labeled as confirmed infections to a reporting S3 bucket.
    • Ground Truth to provide the user interface.
    • AWS Key Management Service (AWS KMS) to encrypt data (not shown).
    • Amazon Cognito to provide authentication, authorization, and user management for the Ground Truth user interface (not shown).
    • AWS Identity and Access Management (IAM) to enforce the principle of least privilege on each processing component (not shown).
    • Amazon CloudWatch Logs to monitor Storage Gateway for errors (not shown).
  •  How to deploy
  • To deploy Providence Health Care IPAC-CLABSI on AWS, follow the instructions in the deployment guide. The deployment process takes about 30 minutes and includes these steps:

    1. Sign in to your AWS account. If you don't have an account, sign up at
    2. Launch the Quick Start. Before you create the stack, choose the AWS Region from the top toolbar.
    3. Test the deployment. 

    Amazon may share user-deployment information with the AWS Partner that collaborated with AWS on the Quick Start.  

  •  Cost and licenses
  • You are responsible for the cost of the AWS services and any third-party licenses used while running this Quick Start reference deployment. There is no additional cost for using the Quick Start. This Quick Start does not require additional licenses for deployment.

    The AWS CloudFormation templates for this Quick Start include configuration parameters that you can customize. Some of these settings affect the cost of deployment. For cost estimates, see the pricing pages for each AWS service you use. Prices are subject to change.

    Tip: After you deploy the Quick Start, create AWS Cost and Usage Reports to track costs associated with the Quick Start. These reports deliver billing metrics to an Amazon Simple Storage Service (Amazon S3) bucket in your account. They provide cost estimates based on usage throughout each month and aggregate the data at the end of the month. For more information about the report, see What are AWS Cost and Usage Reports?