Arogya HMS — the small hospital, finally on one system
Built for 10 to 100 bed hospitals and nursing homes: an OPD that moves on tokens, a bed board that is always current, discharge summary and final bill in a single flow, a TPA desk that stops losing files, rosters without WhatsApp wars — and statutory registers that write themselves while every clinical decision stays with your doctors.
Nine daily battles every small hospital knows by heart
We wrote the module list by writing the pain list first. Each battle below maps to a module in the next section.
1 · The OPD crush
Registration by shouting, case papers by memory, the corridor as a queue system — and consultations interrupted to settle who was first.
2 · A bed board in one head
Which bed is free lives in one senior nurse. Admissions wait, transfers clash, and discharges surprise the kitchen, the pharmacy and the cashier.
3 · Discharge-day marathon
Summary dictated, file hunted, bill totalled by hand across ward, OT, lab and pharmacy — families wait four hours and remember it forever.
4 · Ward-stock leakage
Consumables used at the bedside never reach the bill; pharmacy expiry losses stack on top. The margin bleeds in ten-rupee cuts nobody sees.
5 · TPA limbo
Pre-auth faxes, query letters, settlement follow-ups tracked in a diary — lakhs sit with payers for months because nobody owns the pipeline.
6 · MRD in almirahs
Files misfiled, coding absent, retrieval by archaeology — until an insurer, a court or an inspection asks, and the search becomes a crisis.
7 · Roster by WhatsApp
Shift swaps in chat, gaps discovered at midnight, overtime disputed at month end — nursing morale spent on avoidable confusion.
8 · Referral bookkeeping
Referring-doctor relationships tracked in pocket diaries breed disputes, awkward month-ends and zero visibility for management.
9 · Register burden
Birth and death events, biomedical waste, the OPD register — copied by hand at 9 pm, formatted by guesswork, hunted at inspection time.
Every module exists because a battle above demanded it
OPD Desk (fixes #1)
Registration with ABHA-ready fields, printed tokens with a queue display, doctor worklists by department, an e-prescription pad with per-doctor templates — and the OPD register drafted automatically as the day happens.
IPD & Bed Board (fixes #2)
ADT — admission, discharge, transfer — on a live bed board every desk can see; nursing notes with shift handover; vitals charting-lite at the bedside; ward indents that flow to pharmacy and the bill.
Billing & Discharge (fixes #3)
Package, insurance and TPA tagging per admission; advances and deposits with receipts; interim bills on demand; discharge summary and final bill produced in one flow; GST applied where applicable on non-exempt items.
TPA & Insurance Desk (fixes #5)
Pre-auth requests with document checklists, a dated query-and-reply log, approved versus billed versus settled amounts, payer-wise aging — the stuck-money report your cashier never had.
Pharmacy & Consumables (fixes #4)
Ward indents, bedside consumables charged at issue, returns to store, expiry control — powered by the Arogya Pharma engine running inside the hospital.
OT Scheduling
Theatre lists with surgeon and anaesthetist slots, pre-op checklist fields, OT notes, and consumable capture per procedure so the theatre stops being a billing blind spot.
Lab Orders & Reports
Orders from OPD and wards, sample collection lists, result entry with reference ranges, reports attached to the patient record and delivered as printed copies or WhatsApp PDFs.
MRD & Coding (fixes #6)
A digital medical records room — file movement tracking, scan-and-attach for legacy paper, an ICD-10 coding field on every discharge, and retrieval in seconds instead of expeditions.
Roster & Referral Tracking (fixes #7, #8)
Duty rosters with swap approvals and overtime capture; a referring-doctor directory with case attribution and transparent monthly statements — professional records in place of pocket diaries, with terms set by management.
Statutory discipline below, clear numbers on top
- Birth and death registers — event entries with certificate-data fields and reporting formats
- Biomedical waste log — colour-coded categories, quantities and pickup records for your CBWTF vendor
- NABH-entry-level-readiness record keeping — document masters, register discipline and audit trails that entry-level assessment expects
- Owner reports — daily collection, occupancy, department revenue, payer mix, doctor-wise OPD and OT counts
- Excel exports everywhere — your CA and your auditors get data, not screenshots
One morning screen: occupancy, collections and the TPA pipeline.
Patients, clinical staff, owners — the same day, minus the friction
Patients & families
- OPD waits with visible tokens, not corridor guesswork
- Discharge in about an hour — summary and bill together
- Itemised bills with advances and deposits accounted openly
- Summaries and reports delivered as WhatsApp PDFs
Doctors & nurses
- Worklists and ward views instead of phone-call archaeology
- Nursing notes and vitals charting-lite at the bedside
- One write-up flows to summary, bill and MRD — no re-typing
- Rosters with swap rules and visible fairness
Owner & management
- Live occupancy and collections every morning
- TPA money tracked from pre-auth to settlement
- Ward and pharmacy leakage closed at the source
- Audit trails on every edit, by user and timestamp
Priced for nursing homes, not corporate chains
| Component | What it covers | Indicative price |
|---|---|---|
| Arogya HMS base | OPD desk, IPD and bed board, billing and discharge, MRD-lite | ₹7,999/mo per hospital |
| TPA & insurance desk | Pre-auth to settlement tracking, payer aging | +₹1,499/mo |
| OT scheduling | Theatre lists, checklists, OT notes and consumables | +₹999/mo |
| Lab orders & reports | LIS-lite inside the hospital | +₹999/mo |
| Pharmacy & consumables | Arogya Pharma engine with ward indents | +₹1,499/mo |
| Registers & records pack | Statutory registers, NABH-entry record keeping | +₹749/mo |
| Setup & migration | Masters, tariffs, TPA rate cards, role-wise training | from ₹14,999 one-time |
All prices indicative and finalised in writing after scoping. GST at 18% applies extra; business customers may deduct TDS where applicable under the Income Tax Act against a valid certificate. Token displays, printers and scanners are billed at hardware cost. No per-patient charges.
Demo on your wards
Your departments, bed layout and tariff card simulated before you commit.
Masters imported
Doctors, tariffs, TPA rate cards and opening dues loaded from Excel and old bills.
Role-wise training
Front desk, nurses, billing and MRD trained hands-on, in Hindi or English.
Parallel run, then live
Registers run both ways for a fortnight; cutover when your team says so — typically week 3 or 4.
Arogya HMS — asked by hospital owners
Who can see a patient file? How secure is the data?
Are you ABDM-ready? Can we link ABHA IDs at registration?
Our wards have patchy Wi-Fi. What happens when it drops?
Twenty years of paper MRD — do we have to digitise everything first?
Will the insurance desk actually reduce money stuck with TPAs?
Who trains our nurses and billing staff, and for how long?
Run a hospital or nursing home? Tell us your bed count and OPD load.
Tell us what you are building or what is slowing you down — we reply with a clear, honest plan.
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