Confluence Health Tech Stack
Rural integrated healthcare system serving 12 communities across North Central Washington
Confluence Health operates a two-hospital integrated delivery system across 12 communities in rural Washington, staffed by 300+ physicians and 175+ advanced practice clinicians. The tech stack is classic healthcare—Epic EHR, MyChart patient portal, PACS imaging, AWS infrastructure—with heavy reliance on Windows/Citrix virtualization for clinical access. Active hiring is concentrated almost entirely in clinical roles (214 of 235 open positions), with minimal engineering and IT staffing; combined with documented pain points around staffing constraints, physician retention, and schedule compliance, this suggests acute capacity strain in patient-facing delivery rather than a technology-first organization.
Tech Stack 27 technologies
What Confluence Health Is Building
◆Challenges
- Staffing and budget constraints
- Meeting annual goals
- App department retention
- Delays in patient transfer
- Replacing retiring physician
- Expanding busy hand service
- Workforce planning
- Schedule compliance with contract guidelines
- Reducing adverse drug events
- Financial performance
▲Active Projects
- Improvement projects focused on annual goals
- Cardiology-oriented research studies
- Chvs initiatives
- Community education classes
- Implementing contrast-enhanced mammography/ biopsy in 2026
- Rapid process improvement workshops
- Kaizen events
- Infection prevention and control program
- Outbreak investigations
- Patient experience improvement initiatives
