Help at Home: Multi-Year Salesforce Partnership Across a National Home Care Footprint
Services engagement
Help at Home operates at a scale that most home care agencies can’t fathom. Thousands of caregivers. Multiple states. Payer mixes that vary by region. Compliance regimes that change quarterly. When an operation like this runs on Salesforce, the implementation partner has to understand the business at that depth, not just the product.
A Multi-Year Partnership
Pulse Professional Services (formerly Madison Ave Consulting) has worked alongside Help at Home across multiple years and multiple engagement types. Enterprise architecture reviews that questioned assumptions about what Salesforce should own versus what the EMR should. Multi-state launch plans (Pennsylvania, among others) that translated corporate strategy into executable platform work. Ongoing 2024-2025 expansion scopes with quarterly proposal and delivery cycles.
What the Work Looks Like
- Enterprise architecture leadership. Produced the Salesforce enterprise architecture demo and review that sets the technical direction for the platform inside Help at Home.
- State launch planning. Built the HCA Pennsylvania launch plan end-to-end, translating market entry into a sequenced Salesforce rollout.
- Proposal-led delivery. Operating in a sustained partnership model: quarterly proposal, scoped delivery, measurable outcomes. No runaway hours, no scope creep, no surprises.
- Senior-only continuity. Same senior team across years, so the relationship compounds instead of restarting every SOW.
Why It Matters
Help at Home is the kind of client that tests whether a boutique consultancy can operate at enterprise scale. Our answer is a sustained partnership where seniors stay on the account, architecture keeps evolving with the business, and each quarter’s work compounds on the last. That’s the opposite of junior-heavy, rotating, Big-4 consulting.