Managed Services That Scaled a Healthcare Salesforce Org from Startup to Enterprise
Healthcare
What They Were Facing
HealthFirst's Salesforce Health Cloud instance had grown organically over three years with no dedicated admin team, accumulating technical debt, broken automations, and security vulnerabilities. The organisation was growing rapidly — from 200 to 1,400 users — but could not hire Salesforce talent fast enough, and platform stability issues were affecting patient care coordination across their expanding network of clinics.
How We Solved It
AQBEE provided a comprehensive managed services engagement, beginning with a full platform health assessment that identified 147 technical debt items, 23 security gaps, and 34 broken automations. We deployed a dedicated team of Salesforce architects, developers, and administrators who stabilised the platform within the first 60 days and then shifted to a continuous improvement model. Monthly enhancement sprints delivered new features prioritised by business impact, while proactive monitoring via custom dashboards and automated alerts ensured platform health. MuleSoft integrations were optimised, Data Cloud was tuned for performance, and Service Cloud was configured for the growing patient support operation.
The Impact
Achieved 99.8% platform uptime after inheriting a system that was experiencing weekly outages, through proactive monitoring and technical debt remediation.
Delivered over 200 platform enhancements per year through monthly sprint cycles, continuously improving workflows for clinical and administrative teams.
Reduced total Salesforce support costs by 45% compared to HealthFirst's previous model of ad-hoc contractor engagements and reactive break-fix support.
“When AQBEE took over, our Salesforce org was a mess — broken flows, security issues, and users who had lost trust in the platform. Within 60 days they had it stabilised, and within a year it became the backbone of our clinical operations. Having a dedicated team that understands both Salesforce and healthcare has been invaluable as we've scaled from 200 to 1,400 users.”
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