The agency's 14 regions each ran their own phone system: a mix of cloud platforms, on-premises Mitel deployments, and at least one Avaya environment, accumulated over years of independent regional decisions rather than a single architecture. Each region carried its own vendor contract, its own technical stack, and its own failure mode.
That fragmentation created real operational costs:
- Technical support stayed siloed by region, so expertise built in one office had no way to reach another.
- Aging equipment drove up maintenance effort and expense year over year.
- And because each system operated on its own, a single regional outage could take an entire patient population offline before anyone outside that region noticed.
The agency needed to consolidate. But consolidation had to happen without disrupting the services thousands of patients depend on every day.