Quarter-end questions expose every Salesforce weakness, from access creep to slow automation and unreliable dashboards, unless you check regularly now.
Salesforce Health Check gives you a security score from 0 to 100 in Setup, so you can see where settings drift from Salesforce recommended values and what to tighten first.
In this guide, we break down what a Salesforce Health Check should cover, how often to run it, and how to turn findings into a fix list leadership can fund.
Why you should health check your Salesforce org regularly
Salesforce almost never fails with a single big bang moment. It fails the way offices get messy, slowly, quietly, with good intentions. Someone widens access to unblock a deal. A flow gets added to “fix it for now.” An integration is set up, then the owner leaves.
Reports still render, dashboards still look polished, and then leadership asks one simple question about risk or revenue and nobody trusts the answer.
A regular Health Check turns that slow drift into something you can actually run as an operating routine.
You get a short, prioritized list of issues tied to business impact, plus clear owners and sequencing so fixes do not break workflows.
Less firefighting, more control. The org stays predictable as teams and data volume grow.
What to focus on in a Salesforce Health Check
Security and access controls
This is the first thing leadership asks about, even if the meeting invite says “pipeline review.” When access is messy, everything else becomes a gamble.
What to review
- Who can view, edit, and export sensitive objects and fields.
- Permission sets and profiles that were expanded “for a week” and never rolled back.
- Sharing rules, public groups, and role hierarchy choices that open data wider than intended.
- Login, session, and MFA related settings that increase risk or weaken monitoring.
What leaders get out of it
- A clear answer to “who can access what,” without guessing or tribal knowledge.
- A baseline score plus a realistic path to improve security posture without breaking key user access or integrations.
Performance and scalability
Performance issues rarely show up as a single red alert. They show up as a slow drip that kills adoption.
What to review
- Slow record pages for core objects like Account, Opportunity, and Case.
- Automation that runs too often, loops, or executes in the wrong order.
- API usage spikes that push you toward limits during peak periods.
- Background jobs and integrations that compete for the same resources.
What leaders get out of it
- Less seller admin time and fewer support delays.
- A roadmap to remove bottlenecks before headcount or volume makes them expensive.
Data quality that affects reporting and forecasting
Bad data changes the story your dashboards tell, one duplicate record at a time, until leaders stop trusting the numbers and start running the company from side spreadsheets.
What to review
- Duplicate Accounts and Contacts that split activity and revenue history.
- Stale Opportunities and missing or inconsistent close dates.
- Inconsistent picklists and free text fields used as pseudo structured data.
- Reporting filters that hide problems instead of fixing them.
What leaders get out of it
- Forecasting and KPI reporting that holds up without manual reconciliation.
- Cleaner segmentation for marketing targeting and service prioritization.
Org structure and customization debt
Salesforce technical debt is usually created by reasonable people under time pressure. One more field for a new process. One more flow because the old one is “too risky to touch.” Then you discover three automations doing the same job, each with a different set of assumptions, and every change becomes slower than it should be.
What to review
- Duplicate automations and overlapping validation rules.
- Old fields nobody uses but nobody wants to delete.
- Managed packages that are unused, outdated, or overlapping in scope.
- Environments and deployment habits that encourage rushed changes.
What leaders get out of it
- Faster change delivery and fewer regressions after releases.
- Lower admin and engineering maintenance load over time.
Licenses and integrations
Licenses can drift away from real usage. Integrations can run on shared credentials, undocumented ownership, and brittle sync logic that “mostly works” until it stops, usually at the worst possible moment.
What to review
- License allocation versus actual usage and adoption.
- Integrations that rely on legacy patterns, shared credentials, or unclear ownership.
- Data sync failures that create silent gaps in reporting and service context.
A solid Health Check includes an integration inventory with owners, authentication type, failure impact, and a basic recovery plan.
How to run the built in Salesforce Health Check
- Go to Setup.
- In Quick Find, type Health Check.
- Open Health Check and review your score and the settings list.
- Use Edit links to review each setting and decide whether to align with the standard value.
- Avoid Fix Risks as a blanket action in production. It can impact integrations or block users, so test changes first.
If your business has stricter compliance requirements, Salesforce also supports custom baselines that can be imported so your score reflects your real standard, not a generic one (Source: Trailhead).
How to expand beyond the security score
Salesforce Health Check is a solid starting point because it gives you a clear security snapshot, including a 0 to 100 score based on how closely your settings match a baseline.
But this security score does not explain why your org drifts, what will break next, or how to stop the same problems from reappearing two releases later.
It also does not cover the things leaders actually feel day to day, slow pages, brittle automation, reporting nobody trusts, and integrations that fail silently.
A stronger approach keeps the built in Health Check, then expands it into an org wide review that connects technical findings to business impact.
Our Salesforce Health Check Up is built for leaders who want answers that translate into execution.
We use the Salesforce Health Check score as the security baseline, then extend the review to the root causes behind drift and the controls that prevent repeat issues.
What we assess
- Security and access baseline with a short list of highest risk settings and a safe rollout plan.
- Performance bottlenecks tied to revenue and service workflows.
- Data quality issues that distort forecasting and reporting.
- Automation and customization debt, including redundant flows and conflicting rules.
- License utilization and feature waste.
- Integration resilience, including authentication type, ownership, and failure scenarios.
What you receive
- An executive summary in business language.
- A prioritized remediation roadmap with impact and effort, not a long dump of settings.
- Clear owners and sequencing, including test first changes and rollback notes for higher risk items.
When teams run Health Checks without ownership, the output becomes a document that lives forever in someone’s downloads folder. TrueSolv’s salesforce Health Check Up is designed to avoid that.
A regular Salesforce Health Check turns the usual CRM pain points into a controlled operating routine. Security posture becomes visible, performance issues become fixable, reporting becomes trustworthy again, and integration risk stops being a mystery.
If your goal is a Salesforce org that stays secure, fast, and reliable as your team scales, TrueSolv can help with a Health Check Up and a remediation plan you can execute. Contact us.



