NEXUSNOVA|v1.0|ONLINE
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HospitalOS: AI + software + HIS/ABDM on your existing HIS. ADT & bed board, discharge & TPA, OPD/ED triage — measured in TAT, occupancy, denials.
If you nod to 2 of 3, the workflow below maps your next automation. If 0 — run the Friction Score instead.
> _operational_problem: discharge_on_paper
Pharmacy, lab, billing, and TPA packets are checked manually. Families wait, beds stay occupied.
> _business_impact: 20–30 beds idle / day at 150 beds
> _operational_problem: bed_board_on_excel
Ward / ICU allocation by call. Occupancy invisible — no central ADT view, transfers delayed.
> _business_impact: turnover -22% · occupancy blind
> _operational_problem: tpa_manual
Pre-auth, Ayushman, and claim follow-ups are portal RPA manual. Packets incomplete, denials slip.
> _business_impact: TAT 15–30d · packet errors → denials
Baked 2.5D lane — no WebGL. Active segment glows brass · FHIR R4 Task / Encounter
FHIR R4: Encounter · Location · Task · DocumentReference · Schedule · parallel run, zero downtime
Each module: problem → automated workflow → measured impact. FHIR/HL7 layer — not a replacement.
> _operational_problem: Bed allocation by phone/WhatsApp. Occupancy invisible. ICU/ward transfers delayed.
> _solution: HL7/FHIR ADT sync, real-time bed board (ward/ICU), AI allocator, HIS write-back, occupancy + ALOS dashboards.
> _outcome: Bed assign 45m→5m, occupancy +12%, turnover +22%.
> _operational_problem: Discharge TAT 6-8h: pharmacy/lab clearance, e-summary, and referral packets are manual.
> _solution: Automated discharge checklists, e-summary generation, pharmacy/lab triggers, inter-hospital referral tracker with SLAs.
> _outcome: Discharge 6h→2h, referral leakage -35%.
> _operational_problem: TPA approvals 15-30 days, billing errors, Ayushman packets incomplete, follow-up is manual.
> _solution: OCR + rule engine, TPA portal RPA, claim status tracker, denial predictor, corporate tie-up pipeline.
> _outcome: Claim follow-up 22d→9d, denials -30%.
> _operational_problem: 68% after-hours enquiries unanswered. Triage is manual, ABHA creation inconsistent.
> _solution: 24/7 AI triage agent (web/WhatsApp/phone) trained on departments + rosters, ABHA/FHIR write-back, ED queue + OPD slot sync.
> _outcome: Response <22s, OPD capture +40%, ED wait -40%.
Condensed teaser — full process on How It Works
Map ADT, discharge, TPA, OPD/ED, lab/pharmacy on your HIS. 5 friction zones quantified, HIS/FHIR/ABDM readiness, roadmap + ROI model.
FHIR/HL7 + ABDM adapters built on our side. Parallel run — zero downtime for admissions, billing, or pharmacy/lab.
SOP docs, staff training, monthly TAT/occupancy/denial reports. 99.9% SLA, India residency, audit trails.
Adapters for E-Hospital, Medstar, Practo Insta, Altis, or custom — plus ABHA/FHIR write-back, LIS/PACS triggers, and TPA portal RPA. Parallel run, zero downtime.
FHIR R4 · Encounter / Location / Task / DocumentReference / Schedule · HL7 ADT · ABDM HIP/HIU + consent
Hard metrics · hospital type + beds + module + timeframe cited. Demo seeds — replace with approved one-pagers before launch.
Challenge: Paper bed board, manual discharge checklist across nursing, pharmacy, lab, TPA — 6–8h TAT.
Solution: HospitalOS ADT sync, digital bed board, discharge checklists + e-summary, TPA tracker, WhatsApp family updates.
> Discharge 6.2h→2.1h
turnover +22% · occupancy +11% · TPA 22d→9d
REVIEW PENDING — metrics from demo seeds
Challenge: No cross-site ADT visibility; referrals via phone; inconsistent discharge packets and billing.
Solution: Centralized ADT + referral network, standardized discharge/TPA flow, chain dashboards (occupancy, ALOS).
> Leakage -35%
ALOS -0.8d · central occupancy · packets standardized
REVIEW PENDING — metrics from demo seeds
Challenge: Manual ED triage queue, ICU prioritization delayed, PACS/lab alerts missed.
Solution: ED triage queue + ICU allocator + LIS/PACS FHIR triggers, real-time alerts with clinical handoff.
> ICU 38m→4m · ED -40%
lab trigger compliance 94% · ED wait -40%
REVIEW PENDING — metrics from demo seeds
No. HospitalOS sits on your HIS via HL7/FHIR and ABDM adapters — E-Hospital, Medstar, Practo Insta, Altis, or custom. It syncs ADT, discharge, and billing as a layer — parallel run, zero downtime.
Discovery 1–2w. Phased 3–6w. Zero downtime. Measured TAT / occupancy / denials — on your HIS.
+ Calendar link on next step → /thank-you · Reply <24h · 15 min audit