Hospital workflow automation for a 4-site tertiary group
A 4-site, 1,400-bed multi-specialty hospital group was running on 9 disconnected systems — separate OPD, IPD, OT, pharmacy, lab, billing, and HR platforms. Patients waited, data was duplicated, billing leaked. We replaced all 9 with a single platform, added an AI triage layer for the emergency department, and went live across all sites in 11 months.
The problem
Patients filled the same form 4 times, a doctor in IPD couldn’t see OPD history, the OT scheduling team worked from a whiteboard. Average ED triage time was 38 minutes, billing leakage was an estimated ₹14 crore annually. Multiple HIS attempts had failed due to clinical-staff resistance and unrealistic data-migration plans.
The solution
A single platform with role-tailored experiences for doctors, nurses, lab techs, pharmacists, and admin staff. AI triage at the ED — symptom + vitals to ESI level in 90 seconds. Strict adherence to ABDM and FHIR R4 from day one. We migrated 11 years of historical data from 9 systems with zero clinical downtime.
What we built
AI triage at the ED
Symptom intake + vitals + chief-complaint NLP routes to ESI level 1-5 in 90 seconds. Cut average triage time from 38 to 11 minutes. Surfaced 23 missed sepsis cases in pilot.
Single record across OPD / IPD / ED / OT
A doctor sees the patient’s entire history regardless of which department they walked into. Lab results, imaging, prescriptions, allergies — one chart, no copy-paste.
OT scheduling with conflict detection
Surgeon, anaesthetist, OT room, equipment, and consumable kit all scheduled together. Auto-detects double-booking. Cut OT idle time 22%.
Pharmacy + lab integrated
In-house pharmacy and lab orders flow from the doctor’s prescription pad with no re-entry. Stock levels visible at order time, with auto-substitution suggestions.
Patient mobile app
Appointments, reports, prescriptions, billing, refill requests, telemedicine. Currently 280K monthly active users across the group.
ABDM / FHIR / DPDP compliant
Native ABDM consent flow, FHIR R4 resources, DPDP-compliant data handling, encrypted PHI at rest, role-based clinical access with full audit log.
How it’s built
The numbers
“Three previous HIS programmes had failed here. This one shipped because the team actually walked our wards before they wrote a line of code.”
— Group CIO, Multi-Specialty Hospital Group
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