LifeCare Ambulance provides 911 emergency dispatch services to residents throughout Lorain County, Ohio. They provide 911 EMS service, ambulatory services, and wheelchair transportation services for Medicare and Medicaid patients to and from their medical appointments.

LifeCare Ambulance provides 911 emergency dispatch services to residents throughout Lorain County, Ohio. They provide 911 EMS service, ambulatory services, and wheelchair transportation services for Medicare and Medicaid patients to and from their medical appointments.

LifeCare’s legacy phone system, a Nortel BCM 450, was failing rapidly. Because Nortel went out of business several years after LifeCare purchased the system, the company had to make do with stopgap repairs since it was impossible to find anyone with the experience or parts to service it. Finally getting the greenlight to investigate options for a new business communications system, Richard Pozywak, LifeCare’s director of IT, thought he knew what he wanted and didn’t waste time starting the process to upgrade the business phone system. When he received the initial quote for a new system from Cisco, Pozywak quickly realized the benefit of broadening the selection process to other telecom vendors. “I wanted a Cisco phone system,” says Pozywak. “I was stubborn about it in the beginning, not considering anything else, until we talked to our Cisco vendor and got the price for a new Cisco phone system. Holy cow! We were looking at $300,000 to $400,000 for a Cisco system.” Knowing the owners wouldn’t go that high, Pozywak gave up the Cisco pitch and began the search for other options. Pozywak also considered another big-name option, but again he came across the same problem of expensive add-on fees for standard features and licenses. By the time he bought all of the add-ons LifeCare required for its communications needs, the company would have to spend a minimum of $100,000 out of pocket. It was back to the drawing board. Pozywak says they considered a cloud-based solution and talked to several agencies comparable to LifeCare who use those systems, but none of them handled emergency calls. Instead, most of them primarily set up transportation for their clients. This prompted Pozywak and his team to eliminate that option. The LifeCare team was somewhat familiar with an open source telephony developers toolkit known as Asterisk, which is sponsored and maintained by Sangoma. As they pondered the option of using in-house resources to build an Asterisk solution from scratch, they began to compare it to the Switchvox phone system. With Switchvox, there were no add-ons and all features were included and built into the web-based interface. The Switchvox solution seemed more than promising. Pozywak was soon introduced to Tim May, whose N2Net company in nearby Cleveland is one of the leading Switchvox providers in the area and considered one of the best VoIP telecom specialists in the Midwest.

In terms of Switchvox special features, Pozywak says they have integrated Google Maps into the Switchvox switchboard so that when a call comes in, they know from where the call originated. With GPS built into cellphones, the location trickles down to LifeCare within minutes. Dispatch often uses Switchvox softphones while the office staff uses the high-end desktop IP phones. Out in the paramedics’ garage, they also use advanced IP phones, which prove to be durable enough to take the repeated use. Many of LifeCare’s supervisors utilize the Switchvox mobile app because they are so often away from their desks. Competitor VoIP telephone systems with the flexibility and expandability of Switchvox would have cost LifeCare anywhere up to six times as much the price they paid for Sangoma’s solution. Also, with N2Net providing their SIP trunking service, the company’s monthly long distance charges are significantly reduced. “We were paying $2,500 a month for our phone service, including long distance,” says Pozywak. “Our new bill is $534, cutting our phone bill by $1,800 to $2,000 month. Savings of $24,000 a year is an added bonus!” In a little over two years, the savings LifeCare is enjoying completely pays for the phone system itself.