This case study describes how a women’s healthcare-focused practice management organization with 600+ physician partners faced swelling emergency and support tickets plus urgent gaps in knowledge management and onboarding, driven by weak identity and access management, limited governance and visibility, a small helpdesk team, no self-service portal, and difficulty scaling IT to support growth (page 1). Synoptek delivered a comprehensive 24/7 IT-as-a-Service program, transitioning from contract to go-live in under six months, and added IT leadership and governance, a strategic roadmap, 24/7 end-user and infrastructure support, endpoint security and patching, and stronger IAM with SSO, MFA, directory integration, password reset, and user provisioning, plus SIEM monitoring and quarterly vulne

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