The issue at hand is not the individual phone system themselves. They all provide dial tone and are reputable companies. The issue is defining what is most important to you based on the features sets that you are looking to implement.
Also have you looked at open source solutions such as Asterisk? They may present more flexibility and at lower price points in most cases while still using name brand phones that the other systems support as well. I preference my last comment on the fact I design and install open source solutions, prior I was installing Avaya, Nortel, Cisco and Toshiba phone systems for the past 16+ years.
Now you mention the vertical, Health Care, which in my experience has meant a whole bunch of analog handsets as extensions, this poses a problem with many of the these systems since they have limitations on the number of types of sets that can be supported from a single system. Therefore your design may require more that one system within the network.
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Also as a personal preference and based on experience, PRI circuits are the best way to go, the most reliable, do not care who the carrier is, I have yet, to find a carrier that can deliver reliable based VoIP circuits to the premise (I watched Verizon take out all of its VoIP clients last year for a period of a few hours in the Southern California market, with good old reliable Cisco gear at the helm).
If I understand these are your requirements,I listed systems in order as being best to worst, left to right:
Redundancy at the PBX level- Cisco, Shoretel, NEC, Toshiba, Avaya
Redundancy at the Carrier level- Shoretel, Cisco, Avaya, NEC, Toshiba
Ease of Administration- Toshiba, Avaya, Shoretel, NEC, Cisco
Grand unification of dial plans- Shoretel, Avaya, Cisco, Toshiba, NEC
User Portal- Shoretel, Avaya, Toshiba, NEC, Cisco
Cost of ownership- Avaya, Toshiba, NEC, Shoretel, Cisco
Kindest regards,
Joel Sisko
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by: jjmartineziiiPosted on 2009-05-14 at 07:09:27ID: 24385183
I really enjoy working with the Cisco solution. I've never used any other VoIP system besides theres. It can, and does everything you are asking for (and more) very well.
There is a large learning curve but think of it as a chance for you to go to training :)
Your scenario is what we have at my work place. We have 5 PRI's at main location with 4 POTS lines at each remote location (40 of them!).
The thing i would be most worried about with the Cisco deployment (as of most deployments) is whether or not you have the infrastructure to support a VoIP deployment (Namely QoS, PoE capable switches)