Healthcare · Salesforce Health Cloud + EMR Integration
Global Nephrology SolutionsGlobal Nephrology Solutions
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Cloud Nerd

Global Nephrology Solutions Builds a Patient 360 on Salesforce Health Cloud

A nephrology practice management company needed to connect its EMR, telephony, marketing, and SMS systems into a single care coordination platform. Cloud Nerd architected and delivered a full Salesforce Health Cloud implementation — including bidirectional EMR integration — in sixteen weeks.

Engagement at a glance

Industry
Healthcare
Duration
16 weeks
Services
Strategy & Roadmap · Architecture & Design · Build & Implement · Integrations
Stack
Salesforce Health CloudSalesforce Health CloudSalesforce Marketing CloudSalesforce Marketing Cloud
16 weeks

Discovery through production deployment

4 systems

EMR, telephony, marketing automation, and SMS integrated

Patient 360

Complete care coordinator view built on Health Cloud

Bidirectional

EMR sync with data warehouse for real-time patient data

The challenge

Global Nephrology Solutions coordinates care across a network of nephrology practices, but its operations were fragmented across disconnected tools. Patient data lived in the EMR, communications went through a disconnected telephony system, marketing ran in a separate platform, and SMS was not integrated with any patient record. Care coordinators had no unified view of a patient's status or care history.

The approach

Cloud Nerd configured Salesforce Health Cloud for the Patient 360 and Care Coordinator workflows, then architected bidirectional data sync between Salesforce, the EMR, and a data warehouse. Cloud Nerd also integrated a CTI telephony adapter, marketing automation platform, and SMS system — all feeding patient interaction data back into Health Cloud. The engagement ran on two-week agile sprints with a sprint retrospective after each cycle.

The outcome

GNS care coordinators now have a single platform showing every patient touchpoint — care history from the EMR, call logs from the CTI integration, marketing communication history, and SMS interactions — all surfaced inside Salesforce Health Cloud.

The problem

What was actually broken

01

Fragmented care coordination across four systems

Patient clinical data, call center interactions, marketing outreach, and SMS communications each lived in a separate system. Care coordinators had to navigate four tools to understand a patient's current status — a process that was slow, error-prone, and unscalable.

02

No bidirectional EMR integration

Clinical data in the EMR was not available in Salesforce, and actions taken in Salesforce were not reflected in the EMR. Any changes required double-entry, creating data integrity risk and wasted coordinator time.

03

Telephony with no CRM context

Call center agents had no patient context when calls came in. Without CTI integration, agents couldn't see patient history during a call, couldn't log call outcomes to the patient record, and couldn't trigger care workflows from a call result.

How we did it

The work, phase by phase

  1. 01
    Weeks 1–5

    Discovery & Integration Platform Selection

    Cloud Nerd ran structured discovery sessions to map all patient care workflows, documented the full requirements backlog, and led GNS through the evaluation and selection of an integration middleware platform for the EMR and data warehouse sync.

    • Full backlog of user stories across Health Cloud, EMR integration, and third-party systems
    • Integration middleware platform selected and procured
    • Patient 360 and Care Coordinator configuration design completed
    • CTI adapter, marketing automation, and SMS integration design finalized
  2. 02
    Weeks 4–12

    Health Cloud Build & System Integration

    Cloud Nerd configured Health Cloud for Patient 360 and Care Coordinator workflows, then built and tested all four system integrations using agile sprint cycles.

    • Salesforce Health Cloud: Patient 360 object model configured
    • Care Coordinator view with patient timeline, case management, and task automation
    • Bidirectional EMR and data warehouse sync live via integration middleware
    • CTI telephony adapter integrated: incoming call screen pops and call logging active
    • Marketing automation platform connected to Health Cloud patient records
    • SMS integration with patient record write-back
  3. 03
    Weeks 8–16

    QA, Data Migration & Production Deployment

    Cloud Nerd ran regression testing at the end of each sprint, executed data migration into Health Cloud, completed UAT with GNS care coordinators, and deployed to production.

    • Sprint regression testing executed after every two-week cycle
    • Full end-to-end UAT completed with care coordinator team
    • Patient data migrated from legacy system into Health Cloud
    • Production deployment and go-live support completed
The results

What changed for Global Nephrology Solutions

Patient 360

Every care touchpoint — EMR, calls, marketing, SMS — in one view

Bidirectional

Real-time EMR and data warehouse sync with Salesforce

4 integrations

CTI, EMR, marketing automation, and SMS live in production

16 weeks

Discovery through full production deployment

What's next

Global Nephrology Solutions is expanding into Phase Two, exploring Salesforce Health Cloud population health management features and automated care gap identification.

Technologies in this engagement

Salesforce Health CloudSalesforce Health Cloud
Salesforce Marketing CloudSalesforce Marketing Cloud

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