1. One or more non-transitory computer storage media having computer executable instructions embodied thereon, that when executed by one or more computing devices, cause the one or more computing devices to perform a method of providing cloud rules and an alerting framework, the method comprising: receiving one or more rules associated with an alerting framework and one or more healthcare information systems, the one or more rules each designating an initiating application and at least one target application, each of the at least one target applications being subscribed to the alerting framework; associating one or more actions to the at least one target application, the one or more actions comprising initiating a change in a workflow associated with at least one target application; and monitoring the initiating application for a trigger associated with the one or more rules; wherein the initiating application and the target application are not integrated except through the alerting framework.