Platform Build / Rapid Start

Real-Time Clinical Operations on Snowflake for State Health System

The Situation

A state government health shared services organization serving 50,000 to 70,000 health workers across multiple hospital networks, health service providers, and regional facilities spanning nearly 1 million square miles needed to replace legacy reporting infrastructure with a modern, real-time analytics platform. Data was fragmented across WebPAS patient administration systems, operational systems, and external health datasets. Key challenges included no real-time visibility into emergency department operations or bed occupancy; legacy reporting infrastructure unable to scale with growing data volumes; no unified governance framework across multiple health service providers with different access requirements; and operational pressures around ambulance ramping and bed management requiring faster, more reliable data access.

What We Did

Conducted a COVID-era Snowflake proof of concept, rapidly standing up a trial environment to validate the platform against WebPAS patient administration data and Snowflake data marketplace health statistics

  • Delivered a Snowflake Rapid Start as the foundation for a multi-year, multi-team enterprise data platform program
  • Architected and implemented a real-time data ingestion layer using Matillion, connecting clinical source systems and external health datasets into Snowflake with near real-time accuracy (99.6 to 99.7 percent)
  • Designed and implemented a role-based access control (RBAC) governance framework enabling concurrent multi-department access across distinct health service providers without data access conflicts
  • Built clinical data models supporting emergency department operations, bed management, patient flow routing, and ambulance ramping analytics
  • Deployed WebPAS-derived data models for production use, supporting near real-time patient administration visibility
  • Managed a sustained relationship across six years, two procurement models, and multiple competitive tender cycles within a government environment

Results

Near real-time clinical visibility achieved across emergency departments, bed occupancy, and patient routing, enabling real-time operational decisions at the central operations command

  • Data platform operational and serving 50,000+ health workers across multiple health service providers in a politically complex public sector environment
  • Emergency department analytics and bed occupancy modeling directly addressed ambulance ramping, one of the health system's most visible operational capacity challenges
  • Government Recognition 2025: Platform recognized for Best Practice in Digital Transformation
  • Multi-department access framework in place, enabling health service providers to access data with appropriate security controls and governance
  • Data access progressively extended from clinical specialists to supervisors and roster managers, broadening operational impact across the organization

What This Unlocks

For government health authorities and large health system shared services organizations managing high volumes of clinical data across multiple geographic regions, this engagement demonstrates a proven architecture for moving from reactive, legacy reporting to real-time clinical operations. The near real-time ingestion pattern, RBAC governance swim-lane model, and clinical data models for emergency department, bed occupancy, and patient flow are directly reusable for any large-scale public health authority. The government procurement and multi-year program sustainability approach is also replicable for similar state-level health system implementations.

Team

Led by a solutions director serving as program delivery lead and technical anchor, with support from a strategy director providing senior-level coordination and escalation, a data practice lead driving architecture conversations and governance practices, multiple senior data engineers building and maintaining data pipelines, and platform architects managing overall design and Snowflake capability development.

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