NEXUSNOVA|v1.0|ONLINE

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_hospitals.teaching()

Tier 2 — Phased build300+ beds

Medical Colleges — 300+ Teaching.

High OPD/IPD volume, resident roster churn, NABH/ABDM documentation burden. HospitalOS rolls out phased OPD → ADT → discharge/TPA with audit trails M1–M3.

> Documentation time -30% · Compliance audit-ready · OPD throughput + flow · ABDM M1-M3 aligned · Roster errors -28%

Book Teaching Hospital Audit

Check Ops Friction →

DM: Dean / MS / HIS Admin·Influencers: Quality/NABH · Resident Leads

Documentation time

— → -30%

-30%

ABDM readiness

M1 gaps → M1–M3

M1→M3

Roster errors

— → -28%

-28%

OPD capture

— → +40%

+40%

No-show

— → -31%

-31%

> _operational_problem

High OPD/IPD volume with resident roster churn; NABH/ABDM documentation burden; trust compliance; phased deployment needed not big-bang.

OPD 500+ /day — enquiries scattered, slots unsynced to resident roster.
Resident roster churn → scheduling errors, OPD capture leaks.
Discharge/TPA documentation heavy — NABH/ABDM evidence manually collated.
ABDM M1 ABHA creation inconsistent, M2/M3 HIP/HIU/consent not wired.
Big-bang HIS change risks OPD shutdown — needs phased not rip-replace.

> _automated_workflow

Phased rollout: OPD triage (ABHA/FHIR + resident-aware Schedule) → ADT → discharge/TPA, resident-aware rosters, audit-ready trails (ABDM M1-M3), batch NABH documentation.

Phase 1 OPD triage: AI triage + ABHA/FHIR (M1) + department/resident roster (FHIR Schedule) → OPD slot sync.
Phase 2 ADT: bed board + allocator + HIS write-back; occupancy/ALOS visible.
Phase 3 Discharge/TPA: checklist + e-summary + packet validator + portal RPA → denial predictor; M2 HIP/HIU.
Resident-aware rosters: roster → Schedule → slot allocation → handoff trails (M3 consent where needed).
Audit pack: RBAC + trails + India residency + NABH/NABL, ABDM M1-M3 mapped in Discovery — not blanket claim.

> _business_impact

Documentation time -30% · Compliance audit-ready · OPD throughput + flow · ABDM M1-M3 aligned · Roster errors -28%

Documentation time— → -30% -30%

ABDM readinessM1 gaps → M1–M3 M1→M3

Roster errors— → -28% -28%

OPD capture— → +40% +40%

ABDM/NABH mapped in 1–2w Discovery — not blanket claimed. Trails + SOPs provided.

_phased_rollout

Phased, not big-bang — OPD protects revenue while you modernize

_zone.adt

ADT / Beds

Phone/Excel bed board → FHIR ADT sync, real-time ward/ICU board, AI allocator, HIS write-back.

medium friction

_zone.discharge

Discharge

6–8h manual clearance → digital checklist, e-summary, pharmacy/lab FHIR Tasks, referral SLAs.

medium friction

_zone.revenue

Revenue / TPA

15–30d manual TPA + packet errors → OCR, packet validator, portal RPA, denial predictor.

medium friction

_zone.triage

Triage

68% after-hours missed → 24/7 AI triage web/WhatsApp/phone, ABHA/FHIR, ED queue, instant handoff.

high friction

_zone.handoffs

Lab/Rx/Rad

Abnormal recall missed → LIS/PACS FHIR triggers, pharmacy handshake, post-discharge plan bot.

medium friction

Phase sequence: OPD triage (M1) → resident-aware rosters → ADT → discharge/TPA (M2) → audit pack M3. Each phase has parallel run + go-live gate. Zero OPD downtime.

> _workflow_lane