Home Case Studies Metropolitan Pediatrics LLC
Healthcare · Oregon (multi-clinic)

When a Phone Call Is Patient Care

HIPAA-grade reliability for the families who need it most.

🏥Metropolitan Pediatrics LLC
20%
Monthly Cost Reduction
Billing corrections + renegotiation
24/7
Escalation Path
Dedicated after-hours support
100%
HIPAA Compliant
BAA in place, call recording
<4hr
Saturday Resolution
After-hours outage response
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What Was Broken

Metropolitan Pediatrics was managing a growing patient communications load across multiple clinic locations with a legacy phone system that hadn't kept pace with expansion. Carriers were slow to respond to issues, contracts hadn't been reviewed in years, and the practice had no single point of contact when something went wrong — critical in a healthcare environment where downtime directly affects patient care scheduling. Parents calling to reach a sick child's doctor shouldn't hit a busy signal or a voicemail maze.

Healthcare organizations have a specific relationship with their phone systems: when a parent calls about a sick child, the call has to go through. Busy signals, dropped calls, and hold times aren't just inconveniences — they affect patient satisfaction scores and, in genuine emergencies, can affect outcomes. Metropolitan Pediatrics knew this, and they'd accepted it as a fact of life because they assumed their options were limited.

The billing situation compounded the operational one. Multiple carrier invoices arrived monthly, each formatted differently, each requiring reconciliation against installed services that nobody had audited since the practice opened its third location. Billing errors were likely; confirming them required pulling physical service records.

How We Fixed It

ITG audited every line, circuit, and service agreement across all locations — identifying billing errors and unused services quietly inflating the monthly bill. The team ran a competitive UCaaS evaluation focused on healthcare-specific requirements: HIPAA-compliant call recording, BAA availability, clinical-grade reliability SLAs, and integration with the practice's scheduling workflows. ITG negotiated a unified solution and managed full implementation across every site, establishing a dedicated escalation path for after-hours issues.

Before
  • Separate carrier contracts per location
  • Legacy phone system with no failover
  • Billing never audited
  • Clinical staff managing carrier tickets
  • No uptime SLA on voice circuits
After
  • Unified carrier relationship across all sites
  • UCaaS with automatic failover
  • Billing errors recovered on audit
  • All carrier escalations routed through ITG
  • 24/7 uptime SLA with <4hr response guarantee

"The carrier we ultimately recommended had experience with multi-site pediatric practices specifically and had a BAA template ready to sign on day one. We don't recommend carriers based on price alone — and in healthcare, the operational relationship and compliance posture matter as much as the monthly invoice."

Clinical Communications Metrics — Before vs. After ITG
Actual client data

What Changed

Monthly telecom spend dropped 20% through billing corrections and competitive renegotiation alone — before the new system even launched. When a network outage hit on a Saturday evening after deployment, ITG had the issue escalated and resolved within four hours, before Monday morning patients arrived. The practice now operates with a single point of accountability: one call to ITG, and it gets handled.

"What changed wasn't just the infrastructure — it was the administrative burden. Before ITG, clinical staff were spending real time on carrier support calls, billing disputes, and service tickets. After, those conversations stopped happening because ITG handles them. The staff now focuses on patients."

Key Results
💊 20% monthly cost reduction from billing corrections alone — before the new system launched
🔒 100% HIPAA-compliant deployment: BAA in place, compliant call recording, clinical SLAs
🕐 Saturday evening outage resolved in under 4 hours — patients arrived Monday to full service

"In healthcare, we can't have our phones go down. ITG doesn't just set it up and disappear — they're our single point of contact when something goes wrong, and they actually pick up."

— Metropolitan Pediatrics Administration
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