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A hospital management system that reconciles a thousand invoices a day

Bizmap's hospital management system on ERPNext runs a multi-location group of six facilities with 500 to 600 staff and about 1,000 OPD consultations a day. It was rolled out in phases over about two years: core healthcare first, then automation and integrations, then scale. Payment tracking is fully automated and about 1,000 invoices a day reconcile without a spreadsheet.

Patient to report
  1. Registration
  2. Consultation
  3. Invoice
  4. Payment
  5. Lab test
  6. Doctor approval
  7. Report sent
Illustrative records · one visit, registration to report
~1,000
invoices a day reconciled automatically at Sonotech Medical Center

Challenges in healthcare

Patients queue and nobody knows who is next.

Patient registration, appointments and a smart-queue TV display driven by the consultation status.

Lab reports go out before a doctor has seen them.

A lab workflow with a doctor passcode approval step and SMS delivery of the report to the patient once approved; false-report errors fell from 70% to 10%.

Pharmacy stock and expiry are a guess.

Pharmacy POS with batch and expiry control, purchase and inventory in the same system.

Payments come through a gateway and someone matches them by hand.

Billing with payment-gateway auto-reconciliation and credit and concession control; about 1,000 invoices a day matched automatically.

Shifts, overtime and attendance for 600 people are on paper.

HR and payroll with shifts, overtime rules and biometric attendance sync.

How the work runs

The same six waypoints and three gates as every implementation.

  1. Survey · 2 weeks
  2. Chart · 2 to 4 weeks
  3. Build · 4 to 12 weeks by tier
  4. Rehearse · 3 to 5 weeks
  5. Cross over · 1 to 2 weeks, plus the parallel run
  6. Settle · 30 days
  7. Next leg · Optional add-on, as scoped
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How we implement, waypoint by waypoint →

Where AI fits in healthcare

Planned

Lab report and referral extraction

Reads external lab reports and referral letters into the patient record

Data
Report images, the patient master
Checkpoint
A clinician confirms before the record is used
Planned

Appointment reminders by voice

Calls patients the day before in Hindi or the local language and records confirmations and cancellations

Data
Appointment list, phone numbers
Checkpoint
Front desk handles exceptions
Planned

Queue and restricted-area vision

Counts waiting patients and flags entry into restricted areas from existing cameras

Data
RTSP streams, zones
Checkpoint
Floor supervisor acts on alerts

Integrations typical for healthcare

  • Biometric attendance devices
  • lab machines
  • LIS
  • a payment gateway with auto-reconciliation
  • SMS
  • a smart-queue display
  • and the Frappe Healthcare module data model

Why Bizmap here

We have taken Sonotech Medical Center's six facilities in Ghana from paper to a single system in phases without stopping the OPD. We know which lab machines talk and which do not, what a doctor approval step does to report errors, and what it takes to reconcile a thousand gateway payments a day.

Clients in healthcare

Technology

  • Biometric attendance devices (ZKTeco)
  • Frappe Healthcare
  • IP cameras (RTSP)
  • Lab machines and LIS
  • Payment gateways (generic)
  • POS Awesome
  • SMS gateway
  • Frappe HR (HRMS)
  • Hubtel

FAQ

It is a hospital management system with the clinical records a mid-size hospital needs: consultations, history, lab, pharmacy and billing. Specialist EMR features are scoped per hospital.

About two years across three phases for six facilities. A single hospital can go live with registration, appointments, lab, pharmacy and billing in four to six months.

Yes. The reference group runs on a local payment gateway and SMS provider; localisation of tax and statutory reporting is part of the implementation.

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