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Healthcare Load Balancing & Security with VMware Avi

VMware
07/23/2026
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We provide all levels of healthcare from emergency room, long-term care facilities, family medicine, women's health. We chose AVI Load Balancer due to the need to find a new product for our team to provide load balancing services and Web Access Firewall for applications that we're serving. It easily met the needs, it scaled well for what we're looking for. It's provided tremendous amount of visibility and capability to the teams, and we're looking forward to implementing it further in our environment. The aha moments that we've had with AVI and being able to bring something in new, the ease of implementation for our team and the ease for our team to understand how to utilize it to not just load balance in front of an application, but to add so much more value from a visibility perspective was key. And building on the visibility, it added to our security posture and the assistance in implementing other security products from the VMware stack that was not expected. It was a happy find and has helped us iterate our security posture, not just provide our applications in a cleaner and more efficient manner. We're really looking to condense our tool set to partners that we have strong partnerships with, and that meets our roadmap into the future, and AVI fit that niche perfectly. The migration process, being a small environment, was quite quick. The tool was easy to consume, and we spent a little more than six hours implementing the tool for all of the workloads that we were balancing. For us on the Web Access Firewall component of AVI, something that we use it for a lot is presenting legacy applications to the clients. In healthcare, there are unfortunately a lot of applications that are not up to some of the modern security standards, and using the Web Access Firewall features of AVI, we've been able to ask the clients for a higher level of crypto. We can set A-plus level templates for what we're expecting them to connect to, and then pass through at what the application is expecting, and we can do so from a secure location that we can see all of the traffic, and make sure that we can troubleshoot and understand how that's operating to keep those services running. In the healthcare space, there is data that is critical. For us, that data is patient information. The AVI load balancer solution, it gives us great visibility, great capabilities to ensure that it does have a protection layer around it, and that we can move forward with confidence that we're doing our best to keep their information safe. Microsoft Mechanics www.microsoft.com.au

TL;DR

  • St. John's Health deployed VMware Avi Load Balancer to consolidate load balancing and Web Application Firewall capabilities while protecting patient data across their healthcare system.
  • The solution provided unexpected security benefits, including enhanced visibility and integration with VMware's security stack, improving their overall security posture beyond initial expectations.
  • Legacy healthcare applications that don't meet modern security standards can now be presented to clients with A-plus level encryption while maintaining backend compatibility through Avi's WAF features.

Summary

St. John's Health, a comprehensive healthcare system providing services from emergency care to family medicine, implemented VMware Avi Load Balancer to modernize their application delivery infrastructure while protecting sensitive patient data. The organization needed a solution that could provide both load balancing and Web Application Firewall capabilities for their diverse application portfolio. The implementation delivered unexpected benefits beyond basic load balancing, including enhanced visibility into application traffic, improved security posture, and seamless integration with other VMware security products. A particularly valuable capability has been the ability to present legacy healthcare applications—which often don't meet modern security standards—to clients with enhanced encryption requirements while maintaining compatibility with backend systems. The migration was completed in just over six hours for their entire workload portfolio, demonstrating the solution's ease of deployment and consumption for their team.

Chapters

0:00 - St. John's Health Introduction
0:13 - Why Avi Load Balancer
0:36 - Unexpected Security Benefits
1:27 - Rapid Migration Experience
1:41 - Securing Legacy Healthcare Applications
2:23 - Protecting Patient Data

Key Quotes

0:36 "The aha moments that we've had with AVI and being able to bring something in new, the ease of implementation for our team and the ease for our team to understand how to utilize it to not just load balance in front of an application, but to add so much more value from a visibility perspective was key."
0:55 "And building on the visibility, it added to our security posture and the assistance in implementing other security products from the VMware stack that was not expected. It was a happy find and has helped us iterate our security posture, not just provide our applications in a cleaner and more efficient manner."
1:54 "In healthcare, there are unfortunately a lot of applications that are not up to some of the modern security standards, and using the Web Access Firewall features of AVI, we've been able to ask the clients for a higher level of crypto."

FAQ

How does VMware Avi Load Balancer help healthcare organizations protect legacy applications?

Avi's Web Application Firewall features allow healthcare organizations to enforce modern security standards (like A-plus level encryption) for client connections while translating to the older protocols that legacy healthcare applications expect. This creates a secure intermediary layer that protects outdated applications without requiring application modifications.

How long does it take to migrate to VMware Avi Load Balancer in a healthcare environment?

St. John's Health completed their entire migration in just over six hours for all workloads. The solution was designed for ease of consumption and implementation, allowing their team to quickly understand and deploy the technology with minimal disruption to healthcare services.


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