Hospital management information system
One system for the whole facility, from the front desk to the ledger.
A1 Health HMIS follows the patient through registration, triage, consultation, laboratory, pharmacy, the ward and the cashier, and turns that work into SHA claims, Ministry of Health reports and accounts. It fits a dispensary and a hospital: you switch on the modules you run.
- DHA certified: Digital Health Agency, Kenya, certificate CERT-2026-GMM20CF6
- SHA eligibility, pre-authorisation and claims built in
- Hosted by us, or installed on your own server
Now official Digital Health Agency, Kenya
DHA CERTIFIED
A1 Health HMIS
Certified under the Kenya Digital Health Certification Framework. Secure, compliant hospital management you can trust.
Walkthrough
A patient's visit, step by step
Follow one patient through the facility. Each step is a desk with its own screen, and each hands the patient to the next without anything being typed twice.
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1
Reception
Register once, find fast
The clerk searches by name, phone, national ID or patient number. A new patient is registered once; the system warns when the same person seems to be on file already.
- Look the patient up in the national client registry and bring back their details
- Check SHA cover before the visit starts
- Open the visit, choose the clinic and payer, and the patient joins the queue
- Flag an emergency so the patient is treated first and billed after
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2
Triage
Vital signs with a safety net
The nurse records vital signs. Values that cannot be right are refused, normal ranges follow the patient's age, and the triage category puts the sickest at the top of the doctor's list.
- Triage category and colour, with the presenting complaint
- Waiting list ordered by category, with waiting times
- Alerts raised on dangerous readings
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3
Consultation
One screen for the encounter
The clinician sees history, vitals, allergies, the problem list and past visits, writes notes and codes diagnoses in ICD-11.
- Order laboratory tests, imaging, procedures and medicines from the same screen
- Warnings on allergy and drug interactions before a prescription is saved
- Refer to another clinic in the facility, or admit
- A clinical summary that can be printed or shared
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4
Laboratory and imaging
Orders in, results out
The order appears on the laboratory or radiology work list as soon as it is made. Specimens are tracked, results are entered against the test's ranges and released to the clinician.
- Second-person verification of results where the facility wants it
- Tests mapped to LOINC
- The clinician is told when results are ready; the patient can be told by SMS
- MOH 706 laboratory summary from the same data
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5
Pharmacy
Dispense what was prescribed and paid for
Prescriptions arrive at the dispensing window. Stock is reduced as medicines are issued, at the right cost, and the prescription can be printed or sent electronically.
- Dispensing held until payment or insurer approval
- Active medication list and history per patient
- Stock ledger with weighted-average cost
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6
Billing and payment
Charges collect themselves
Each order adds its charge to the patient's bill. The cashier receives cash, M-Pesa or bills the insurer, and gives a receipt.
- M-Pesa payment request sent to the patient's phone
- Patient co-pay worked out from the scheme's rules
- SHA pre-authorisation: held services wait for approval
- SHA claims pushed from the bill, with their status tracked
- Service packages: one price for a set of care
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7
Admission and the ward
The in-patient stay
A bed is assigned, deposits are taken, and bed and nursing charges are added each night. Nurses chart medicines and observations.
- Ward medication chart: given, held, refused
- Early-warning score (NEWS2) on ward observations
- Theatre booking and the operation record
- Oxygen therapy record; ICU, HDU and newborn unit
- Casualty board for the emergency department
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8
Discharge
A clean exit
The discharge summary is written, the final bill is drawn up with deposits applied, and finance clears the patient to leave.
- In-patient SHA claim from the discharge screen
- Printed discharge instructions for the patient
- SMS appointment reminders
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9
Reports and oversight
The numbers, without re-typing
The day's work fills the Ministry of Health registers and summaries, the disease surveillance returns and each desk's dashboard.
- MOH 204, 705, 717, 718, 711 and programme forms
- Weekly IDSR and immediate notifications sent to DHIS2
- Dashboards per role: what is waiting, what is late
- Turnaround of each step against the facility's targets
On the screen
What managers and desks see
These are screens of the system itself, on practice data.
Behind the clinical work
The back office runs on the same data
Nothing is exported to a separate accounting or stores package. The charge raised in the consulting room is the entry in the ledger.
Finance
General ledger, payment vouchers, supplier payments and payer remittances, budgets, period and year-end closure. Every clinical charge and receipt is posted for you.
Procurement and stock
Requisitions and orders with approval steps, goods received, supplier invoices matched three ways against the order and the delivery, stock movements between stores.
People
Staff records, leave, and payroll with statutory deductions (PAYE, SHIF, NSSF, housing levy) kept as dated rules, so a change in the law is a new rule and not a new program.
Assets
The asset register with maintenance work orders, planned maintenance and calibration, cover and depreciation.
Doctors' revenue share
Share plans for visiting consultants, statements of what each earned, and remittances posted to the ledger.
Set-up per facility
Every module is a switch. A dispensary sees a small system; a hospital switches on wards, theatre and specialist clinics. Switching a module off hides it and deletes nothing.
Modules
Everything in the system
The full list of what can be switched on for a facility, read from the current release.
Outpatient care 8
The visit from the front desk to the dispensing window.
- Emergency flag
- Pharmacy and dispensing
- Result notices
- Triage category and colour
- Presenting complaint at triage
- Waiting list by triage category
- Age-aware normal ranges at triage
- Waiting times
Clinics and programmes 15
Each with its own register, follow-up list and MOH forms. Switch on only the ones you run.
- Mother & child (ANC, maternity, PNC, FP, CWC)
- Chronic care (diabetes & hypertension)
- HIV care (HTS, CCC, exposed infants, PEP / PrEP)
- Clinic referrals and work list
- TB / chest clinic (presumptive register, TB4 treatment register, contacts, TPT)
- DR-TB register (this facility treats drug-resistant TB)
- Eye clinic
- Dental clinic
- ENT clinic
- Renal clinic & dialysis unit
- Oncology clinic & chemotherapy day unit
- Psychiatric (mental health) clinic
- Orthopaedic clinic and plaster room
- Rehabilitation (physiotherapy and occupational therapy)
- Nutrition clinic
Diagnostics 2
Orders arrive from the consultation; results go back to the clinician.
- Laboratory
- Radiology and imaging
Wards, theatre and acute care 11
Admission to discharge, with the bill building up every night.
- In-patient (wards, beds, daily bills)
- Theatre
- Morgue
- Early-warning score on the wards (NEWS2)
- Casualty (emergency department)
- Oxygen therapy record
- Oxygen supply: cylinders, deliveries, concentrators and plant
- In-patient prescriptions: change of medicine, ward returns, billing rules
- Intensive care unit (ICU)
- High dependency unit (HDU)
- Newborn unit
Billing, finance and people 16
Every charge and receipt lands in one ledger.
- General ledger
- Pre-authorisation
- Switching a pre-authorised service
- Visit correction (wrong department)
- Patient co-pay
- Patient deposits
- Doctor revenue share
- Supplier payments and payer remittances
- Period closure
- Budgets
- Point of sale (SALES section)
- Payroll
- Human resources
- Service packages (one price for a set of care)
- M-Pesa payment request on the phone (STK push)
- Payroll: statutory deductions by dated rules (PAYE, SHIF, NSSF, housing levy)
Supply chain and assets 5
From requisition to goods received, invoice and payment.
- Approvals
- Procurement
- Assets (register, maintenance, fleet)
- Stock ledger (weighted-average cost, goods received, cost of sales)
- Supplier invoices and three-way matching
Connections 7
National systems the facility reports to and claims from.
- Audit trail
- FHIR server synchronisation
- Health information exchange (HIE)
- DHA / SHA claims
- Disease surveillance (IDSR)
- SMS appointment reminders
- SMS "results are ready"
Reports 10
Ministry of Health forms filled from the day's work, not typed again.
- MOH 706 laboratory summary
- Facility identity
- Home dashboard
- MOH reports
- MOH outpatient registers and morbidity (204A/B, 705A/B)
- MOH 717 service workload
- MOH in-patient register and morbidity (301, 718)
- MOH mother & child forms (333, 405, 406, 510, 511, 512, 710, 711)
- MOH diabetes & hypertension forms (222, 270, 740)
- MOH HIV forms (361B, 362, 408, 731)
Hosting
Hosted by us, or on your own server
The same system either way. Choose by your internet link and your policy on where data is kept.
Hosted for you
For dispensaries, clinics, health centres and hospitals with a reliable internet link and no IT staff.
- We run the server, the upgrades and the backups
- Your facility has its own database, files and encryption keys, never shared with another facility
- Staff sign in from a browser at your facility's own address
- Needs the internet link to work
On your own server
For hospitals with a weak link, a policy to keep data on site, or their own IT team.
- Installed on a server at your facility, under a licence
- Keeps working on the local network when the internet is down
- Links to SHA, DHA and SMS need the internet when they are used
- Data stays on your premises; we see none of it
The price depends on the modules you switch on and the size of the facility. Tell us about your facility and we will send a quotation.
Security and records
Built to protect a medical record
Who can do what
Access by role, down to the page and the action. Sign-in with a second factor from an authenticator app. Sessions end after a period without activity.
A sealed audit trail
Every change is recorded with who made it and when, and the trail is sealed in a chain so that altering or removing an entry shows.
Emergency access, reviewed
A clinician can open a record outside their rights in an emergency by giving a reason. Every such access is time-limited and listed for review.
Encryption
The database is encrypted where it is stored, uploaded documents are encrypted, and all traffic travels over HTTPS.
Backups that are tested
Encrypted backups, a copy kept off site, and a restore that is actually run on a schedule to prove the backup can be used.
Data checks
Impossible values are refused at entry, and a data-integrity screen lists records that need attention, such as an order with no bill.
Standards and connections
Speaks to the national systems
Social Health Authority
Eligibility checks, pre-authorisation and claims for outpatient and in-patient care. Each facility connects with its own credentials.
Digital Health Agency
Client registry look-up, the shared health record with the patient's consent, and the facility registry. Certified as a digital health system in October 2026.
FHIR R4
Clinical data published as FHIR resources following the Kenya Core implementation guide.
Coding
ICD-11 for diagnoses, LOINC for laboratory tests, SNOMED CT for allergies.
Ministry of Health reporting
The MOH registers and summaries, weekly disease surveillance (IDSR) and immediate notifications to DHIS2.
Payments and messages
M-Pesa payment requests to the patient's phone; SMS reminders and "results are ready" messages.
See it with your own facility in mind
Tell us what kind of facility you run. We will call you, show you the system set up for a facility like yours, and send a quotation.
Sign up your facility