These systems are used by healthcare organizations worldwide to improve patient care and streamline operations. Choosing the right electronic health record (EHR) and customer relationship management (CRM) system is crucial for healthcare organizations. Two major players in this field are Epic and Salesforce Health Cloud with Agentforce. As a healthcare specialist, I’ve had the opportunity to work with both systems, and today, I’d like to offer a comprehensive comparison to help you make an informed decision for your organization.
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Epic: The Established Healthcare Giant
Epic has been at the forefront of healthcare IT for decades. Epic’s EHR (Electronic Health Record) system has become a cornerstone for many large hospital systems globally. Its focus on deep clinical integration and specialty-specific modules has made it indispensable in complex healthcare environments.

Salesforce Health Cloud: CRM Giant Enters Healthcare
Salesforce Health Cloud brings Salesforce’s expertise in Customer Relationship Management (CRM) into the healthcare domain. While Salesforce’s roots are in customer relationship management, its entry into healthcare is transforming how organizations engage with patients and manage their journeys through the system.
Let’s dive into how these two systems compare across various healthcare domains.
Specialties
Category | Epic | Salesforce Health Cloud with Agentforce |
---|---|---|
Cardiology | Supports invasive and non-invasive procedures. Flexible structured reporting. Integration with PACS, ECG, and other imaging systems. Robust reporting capabilities. | Custom development required. Integration with third-party cardiology systems possible. Custom reporting tools using Einstein Analytics |
Emergency & Urgent Care | Comprehensive patient information display. Active decision support. Quick documentation tools. | Emergency department module available. Custom workflows for urgent care. AI-driven decision support possible with Einstein. |
Cardiology
Epic offers robust support for cardiology practices, including support for both invasive and non-invasive procedures, flexible structured reporting, integration with PACS, ECG, and other imaging systems, and comprehensive reporting capabilities.
Salesforce Health Cloud takes a different approach, requiring custom development for cardiology-specific features, offering integration possibilities with third-party cardiology systems, and providing custom reporting tools leveraging Einstein Analytics.
While Epic provides out-of-the-box cardiology solutions, Salesforce Health Cloud offers flexibility for customization to meet specific needs.
Emergency & Urgent Care
Epic shines in emergency settings with comprehensive patient information display, active decision support, and quick documentation tools.
Salesforce Health Cloud counters with an available emergency department module, custom workflows for urgent care, and AI-driven decision support powered by Einstein.
Epic’s strength lies in its purpose-built emergency care features, while Salesforce offers adaptability and AI-enhanced decision support.

Health Systems & Clinics
Category | Epic | Salesforce Health Cloud with Agentforce |
---|---|---|
Acute & Inpatient Care | Complex case management. Critical information surfacing. Informed decision-making support. | Inpatient management features in Health Cloud. AI-driven insights with Einstein. Custom dashboards for critical information. |
Primary Care | Holistic patient view. Proactive health management. Patient engagement tools. | 360-degree patient view in Health Cloud. Care plans for proactive management. Patient engagement through Communities. |
Acute & Inpatient Care
Epic provides complex case management, critical information surfacing, and informed decision-making support.
Salesforce Health Cloud offers inpatient management features, AI-driven insights with Einstein, and custom dashboards for critical information.
Both systems support inpatient care, but Salesforce’s AI capabilities and customizable dashboards may offer more flexibility in data presentation and analysis.
Primary Care
Epic focuses on a holistic patient view, proactive health management, and patient engagement tools.
Salesforce Health Cloud emphasizes a 360-degree patient view, care plans for proactive management, and patient engagement through Communities.
Both systems prioritize comprehensive patient care, but Salesforce’s Community feature may provide more robust patient engagement options.
Artificial Intelligence
Category | Epic | Salesforce Health Cloud with Agentforce |
---|---|---|
Clinician Efficiency | Message and note drafting. Patient story summarization. Predictive modeling for early action. | Einstein AI for automated documentation. Natural Language Processing for clinical notes. Predictive analytics for patient outcomes. |
Clinician Efficiency
Epic leverages AI for message and note drafting, patient story summarization, and predictive modeling for early action.
Salesforce Health Cloud utilizes Einstein AI for automated documentation, Natural Language Processing for clinical notes, and predictive analytics for patient outcomes.
While both systems employ AI to enhance clinician efficiency, Salesforce’s Einstein platform may offer more advanced natural language processing and predictive capabilities.

Conclusion
Both Epic and Salesforce Health Cloud offer robust solutions for healthcare organizations, each with its own strengths. Epic excels in providing comprehensive, out-of-the-box solutions for various specialties and healthcare settings. Its long-standing presence in the healthcare IT space means it has deep domain expertise baked into its offerings.
Salesforce Health Cloud, leveraging the power of the Salesforce platform, offers unparalleled customization capabilities and cutting-edge AI features through Einstein. Its strength lies in patient relationship management and data analytics, making it an excellent choice for organizations looking to enhance patient engagement and derive actionable insights from their data.
The choice between Epic and Salesforce Health Cloud will ultimately depend on your organization’s specific needs, existing IT infrastructure, and long-term strategic goals. For organizations deeply entrenched in traditional healthcare workflows, Epic might be the more natural choice. For those looking to innovate in patient engagement and leverage advanced analytics, Salesforce Health Cloud could be the way forward.
As healthcare continues to evolve, the ability to adapt and innovate will be crucial. Both Epic and Salesforce are committed to pushing the boundaries of what’s possible in healthcare IT. Whichever system you choose, ensure that it aligns with your organization’s vision for the future of healthcare delivery.
Remember, the best system is the one that empowers your staff to provide the highest quality of care to your patients. Take the time to thoroughly evaluate both options, considering not just the features, but also the total cost of ownership, implementation timeline, and long-term support.
In the end, the goal is clear to improve patient outcomes and enhance the overall healthcare experience. Both Epic and Salesforce Health Cloud are powerful tools in achieving this goal. Choose wisely, and you’ll be well-positioned to thrive in the ever-changing landscape of healthcare technology.
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