Case study
Clearing the Backlog, Rebuilding the Service Desk: How Provalus Stabilized Delivery for a Home Healthcare Leader
Client
A home healthcare and medical
solutions company
Service offering
IT Solutions
practice
IT Service Desk
Pain points
Challenge
As this home healthcare and medical solutions company scaled, it became clear that its previous, purely staff augmentation model could no longer keep pace. Without a dedicated delivery-ownership structure, no single partner was accountable for delivery outcomes. Backlogs grew, efficiency slipped, and reporting didn’t reflect the full value being delivered. Remote resources remained disconnected from company culture and operations, leaving internal leadership to manage day-to-day delivery themselves, rather than focus on strategic priorities. Provalus was engaged to take full ownership of delivery, operate proactively rather than reactively, free leadership to lead, and stabilize a partnership that was nearing collapse.
Provalus engaged
Solution
Provalus moved quickly to stabilize operations, over-staffing during ramp with dedicated Hypercare resources to clear the inherited backlog and restore service levels before transitioning to steady-state coverage. This foundation allowed the initial six-person Service Desk pilot to progress into an on-site Tier 1 Service Desk that gives end-users a consistent first point of contact, resolves routine requests, escalates complex issues, maintains current knowledge content, reports on performance, and flags recurring trends that may signal broader systemic issues across the client’s distributed healthcare footprint. Unlike the incumbent’s remote contractors, the entire team sits on-site at a Provalus rural Center of Excellence, with delivery leadership on the floor, enabling same-day coaching, faster skill ramp, and consistent quality. Measurable gains included:
- A successfully piloted group setup approach for new hires, opening the door for large efficiency improvements
- Streamlined training from on-site delivery leadership to ensure quality control
- Standardized backlog trending and group onboarding to speed ramp and SLA recovery (cleared a ~600-ticket inherited backlog)
- Zero-nesting, 24-hour cutover with no lapse in coverage

successful improvement
Impact
With the client’s backlog now stabilized and a Tier 1 operation established to scale with the client, Provalus is sustaining service quality across its home care, health, and hospice units through acquisition growth while freeing client leadership to focus on strategic priorities.
- Capacity and scale: staffing doubled from the original SOW scope, and the client trusts Provalus with an added project team to support acquisition onboarding.
- Operating maturity: the pilot transitioned to steady-state operations under an automatically renewed engagement, with managed KPIs reviewed regularly with client leadership.
- Support consistency: U.S.-based multichannel Tier 1 coverage during extended weekday hours plus weekend coverage, flexed to the client’s demand.
Today, the client does more with fewer people. The result is a scalable, consistent first point of contact for end-users, backed by continuous knowledge improvement, performance reporting, and proactive trend identification, delivered with a leaner, more efficient onshore team.
Contact Us
We will get back to you as soon as possible.
Please try again later.







