One of the largest integrated healthcare delivery systems in the Northeastern United States, operates a statewide network of hospitals including a tertiary regional referral center and Level II trauma capability, community and critical-access hospitals, a behavioral-health hospital, primary-care practices, specialty clinics, home health and hospice, long-term care, retail pharmacy, occupational health, and emergency medical transport.
Publicly reported scale for a system of this class is approximately 9–10 member hospitals, 700+ available acute-care beds, dozens of primary-care locations, and on the order of 10,000 employees serving hundreds of thousands of patients across urban, suburban, and rural communities. Care delivery spans inpatient medicine and surgery, emergency and trauma, obstetrics, imaging, cancer care, behavioral health, and telehealth — with a large employed medical group tying the system together.
That geographic footprint is the operational problem. Voice endpoints sit in emergency departments, nursing units, clinics, administrative offices, and small rural hospitals hours apart. A communication outage or a botched cutover is not an IT inconvenience; it is a patient-care risk.