Hospital Management Systems
built for Nepal.
A modern HMS shouldn't be a 14-year-old monolith with reports that run at 3 AM. We build hospital systems as data platforms — fast, integrable, AI-ready.
Why most Hospital Management Systems in Nepal struggle
The dominant HMS vendors in the Nepali market sell software that was designed for a 2010 reality: monolithic schemas, batch-only reports, no API surface, and customization that requires a vendor consultant for every change. The result: hospitals end up with software that records operations but doesn't drive them.
We replace that pattern by treating the hospital as a longitudinal event log. Visits, vitals, labs, prescriptions, imaging, billing — every event tied to a patient identity and a timestamp. Done correctly, every screen, alert, and automation in the system is a query over that log.
What we typically deliver
A production HMS engagement covers:
- Patient registry and EHR layer with consistent identifiers across departments.
- Outpatient and inpatient workflows — registration, queue management, ward management, discharge.
- Lab integration and imaging — order entry, result delivery, report archiving.
- Billing and revenue cycle with insurance handling and Nepal-specific tax compliance.
- Real-time dashboards for clinical and operational leaders — bed occupancy, no-show rates, sepsis flags, revenue trends.
- AI-assisted modules — discharge note drafting, intake summaries from prior visits, no-show prediction.
- Mobile patient portal and telemedicine where applicable.
The data stack underneath
For most Nepali hospitals we deploy:
- Postgres for transactional writes (patient records, orders, billing transactions).
- ClickHouse or BigQuery for analytical reads — bed utilisation, cohort analysis, financial dashboards. Sub-second queries over millions of rows.
- Airflow for orchestration — overnight refreshes, automated reports, EHR-to-analytics CDC.
- dbt for the model layer with tests on every transformation.
This is the same operational engine pattern we use across Data Platforms work — adapted for healthcare entities.
Compliance and data residency
For Nepali hospitals, we deploy to AWS Mumbai or Singapore regions by default (closest low-latency regions with Nepal connectivity) or to an in-country data center where regulation requires it. We implement role-based access control, audit logging, and encrypted backups. For international hospitals or NGOs operating in Nepal, we can build to HIPAA, GDPR, or other equivalent standards.
Implementation timeline
A typical single-facility HMS deployment runs 8–16 weeks:
- Weeks 1–2: Data audit, current-state architecture, target architecture, migration plan.
- Weeks 3–12: Phased build of patient registry → EHR → billing → analytics → AI modules. Each phase ends with a working deployment.
- Weeks 13–16: Migration from legacy system, staff training, runbook handover.
Multi-facility rollouts add about 2–4 weeks per additional site once the platform is stabilised.
Pricing
We scope HMS engagements on a fixed-fee basis for the build phase, with optional monthly retainer for ongoing support. Pricing depends on facility size, number of integrations, and module scope. Most Nepali hospitals find our total cost is lower than licensing fees from international HMS vendors, with significantly more flexibility.
Questions about HMS deployments in Nepal.
A focused HMS deployment for a single facility typically takes 8–16 weeks from kickoff to production: 2 weeks for data audit and architecture, 6–10 weeks of phased build (patient registry, EHR, billing, scheduling), 2–4 weeks for migration, training, and handover. Multi-site rollouts add additional time per facility.
Yes. We integrate with existing EHRs, lab systems, billing platforms, and pharmacy systems via APIs, HL7, FHIR, or direct database connections. We do not require you to replace existing tools — we add a data and workflow layer on top so they work together.
Yes. We build to Nepal's Ministry of Health data standards and ensure patient data residency, audit logging, and role-based access. For international hospitals, we can also build to HIPAA or GDPR equivalent standards.
Yes. We build mobile-first patient portals, telemedicine modules, and SMS-based appointment reminders. Useful for hospitals serving rural Nepal where smartphone access varies.
Ready to scope your HMS build?
Tell us about your hospital and current systems. We respond within 24 hours with a focused technical conversation, not a sales pitch.
[email protected]