FHIR Patient Engagement Platform on AWS — 8-Week Implementation

Close care gaps, engage patients, and meet federal interoperability mandates — without multi-year systems integration.

Kriv AI's FHIR-Native Patient Engagement Platform is a production-grade 8-week implementation that stands up HealthLake, Bedrock, Comprehend Medical, Lake Formation, Glue, and QuickSight as a cohesive patient engagement stack. We deploy in your AWS account, hand over operations, and leave a documented runtime averaging roughly $360–$450/month in AWS infrastructure after teardown of pilot resources.

Why IDNs, payers, and ACOs engage Kriv AI

The ONC Cures Act Final Rule, CMS Interoperability and Patient Access Rule, and the Prior Authorization Final Rule (CMS-0057-F) have moved FHIR from a strategic option to an operational requirement. CMS-0057-F API provisions are effective Jan 1, 2027 with compliance ramping through 2026. Most health systems already license a FHIR gateway but have not operationalized it for patient engagement, care-gap closure, or payer-provider API flows. We bridge that activation gap.

What we deploy

HealthLake ingestion + normalization for FHIR R4 resources from Epic, Cerner/Oracle, MEDITECH, athenahealth, or HL7 v2 feeds via Glue pipelines Five Amazon Bedrock agents with Guardrails (PHI filtering + denied medical-diagnosis topics): PatientEngagementCoordinator — segmentation, channel selection, outreach cadence CareGapAdvisor — evaluates 15 preconfigured care-gap rules (mammography, colonoscopy, A1C, immunizations, annual wellness, depression screening) and surfaces candidates ProviderFinder — NPI-verified in-network provider matching by specialty, geography, language, acceptance status PatientEducator — condition-specific education grounded on CDC/NIH literacy sources ComplianceMonitor — logs agent actions, PHI access, policy exceptions for audit Comprehend Medical for unstructured clinical note entity extraction Lake Formation row + column-level access control over the FHIR data lake QuickSight dashboards — 5 views: Population Health, Care Gaps, Patient Engagement, FHIR Interop Monitor, Security + Compliance AgentCore HIPAA-eligibility (Feb 10, 2026) — unlocks agentic workflows on PHI without custom compensating controls

8-week engagement. Weeks 1–2 Design (BAA, FHIR sources, US Core data model, IAM + Lake Formation). Weeks 3–5 Build (HealthLake, Glue medallion, 15 care-gap rules + NPI provider index, Bedrock agents, Comprehend Medical). Weeks 6–7 Evals + validation (QuickSight, UAT, MITRE ATLAS red-team, Cures Act $export bulk-FHIR conformance, load test). Week 8 Cutover (production go-live, runbook, knowledge transfer, 30-day hypercare).

Three tiers. Starter ($75K) for <500-bed hospitals or single-payer pilots: 1 care-gap use case + 2 agents + 1 dashboard. Professional ($100K) for 500–1,000-bed IDNs, ACOs, mid-market payers: 5 care gaps + 3 agents + 3 dashboards + Epic FHIR integration. Enterprise ($150K) for 1,000–1,500-bed IDNs, national payers: 15 care gaps + 5 agents + 5 dashboards + Epic + Cerner/Oracle integration + multi-tenant Lake Formation + 30-day hypercare. Optional 90-day Hypercare Extension ($35K).

Important disclosures. AWS infrastructure costs are billed separately by AWS. Kriv AI delivers platform engineering, agent configuration, and methodology only — this platform is NOT a clinical decision support system and does not replace clinician judgment. Customer retains ownership of all HIPAA Business Associate Agreements, patient data, regulatory filings, and ongoing operational responsibility post-handover. Not legal, regulatory, or clinical advice. "Anthropic" and "Claude" are trademarks of Anthropic PBC; Anthropic does not endorse this specific solution.