A health system’s clinical mobility environment had grown without a unified strategy — multiple device types, inconsistent policies, and no standardized check-in/out process producing a 30% annual device attrition rate. Telmac standardized clinical mobility, cut attrition to under 10%, improved alert response times by 20-25%, and delivered $2.5M to $2.8M in annual savings.
Statewide Health System | 12 Hospitals | 100+ Facilities | 30% Annual Device Attrition | Fragmented Clinical Mobility Strategy
The health system’s clinical mobility environment had grown without a unified strategy. Multiple device types, inconsistent policies across hospitals and facilities, and no standardized check-in/out process had produced a 30% annual device attrition rate — devices lost, misplaced, or unaccounted for at a cost that compounded every year.
The clinical impact was equally significant. Alert response times were delayed by the friction built into fragmented device management. The question of iOS versus rugged devices hadn’t been systematically evaluated — and the communications and governance framework needed to support a standardized mobility strategy simply didn’t exist.
With no standardized check-in/out procedures, no directory or role alignment, and no unified governance model, devices were lost, misplaced, or unaccounted for at a rate of 30% annually. Each lost device was a direct budget cost — and a compounding one.
Alert response times were impacted by the friction embedded in fragmented device management. The infrastructure — not the clinical staff — was the constraint. The problem wasn’t training; it was the absence of a standardized mobility architecture.
Multiple device types were deployed without systematic evaluation against clinical use cases, lifecycle costs, or attrition patterns. The iOS vs. rugged question had never been answered from data — which meant device strategy was driven by preference rather than evidence.
Device fragmentation resolved through stakeholder discovery and benchmarking — producing a standardized clinical mobility strategy that cut costs, reduced attrition, and improved clinical outcomes.
ISP contract renegotiations missed in 2025, down from 27 the year prior
Device attrition reduced from 30% to under 10% through standardized check-in/out procedures, directory/role alignment, and a unified governance model. Devices that disappear stop being a budget line item.
Realized savings over three years on IT & voice cost mitigation
Alert response times improved by 20-25% through device standardization and unified communications governance. The infrastructure was the constraint — not the clinical staff.
ISP contract renegotiations missed in 2025, down from 27 the year prior
$2.5M to $2.8M in annual savings from a 25% cost reduction — delivered through device standardization, lifecycle rationalization, and a governance model that makes the savings repeatable.
This engagement required Telmac to operate at the intersection of clinical operations, IT governance, and commercial strategy. A stakeholder discovery process surfaced the clinical use case requirements that the device strategy needed to serve. Benchmarking established the evidence base for the iOS vs. rugged decision. And a governance framework turned the strategy into durable operational change.
30% device attrition isn’t a clinical failure — it’s a governance failure. The devices were there. The people were there. The missing piece was a standardized process for managing the relationship between the two.
Telmac conducted a structured stakeholder discovery process across clinical operations, IT, and facilities management — surfacing the actual use case requirements that the device strategy needed to serve before any device or vendor decision was made.
Telmac benchmarked device options against clinical use cases, lifecycle costs, and attrition patterns — producing an evidence-based recommendation for the iOS vs. rugged question that most health systems make on preference alone.
Telmac implemented standardized check-in/out procedures, directory and role alignment, and a unified support model across all 12 hospitals and 100+ facilities — turning the strategy into operational change and cutting attrition from 30% to under 10%.
30% annual attrition doesn’t happen because clinical staff are careless. It happens because the governance model makes it easy for devices to disappear and hard to prevent it. Standardized procedures and accountability controls change the outcome.
A 20-25% improvement in alert response time came from device standardization, not from clinical training programs. The infrastructure was the constraint. Fixing the infrastructure fixed the clinical outcome.
Most health systems make device decisions based on preference or familiarity rather than evidence. A systematic evaluation against clinical use cases, lifecycle costs, and attrition patterns produces a different — and more defensible — outcome.
30% device attrition and delayed alert response times aren’t fixed by training programs. They’re fixed by governance. A diagnostic conversation maps what a standardized clinical mobility strategy produces in your environment.
