A healthcare facility runs on information: patient records that are accessible when needed, appointment schedules that do not double-book, billing, reporting, and the workflows that reduce administrative burden. I build custom healthcare information systems for Kenyan clinics, hospitals, and health networks — systems that reduce administrative overhead and let clinical staff focus on patients rather than paperwork.

Patient Registration and Records

The foundation of any healthcare system is a reliable patient record. I build patient registration flows that capture demographics, contact details, next-of-kin, insurance details, and SHIF/NHIF membership numbers. Patient records link to every encounter: consultations, diagnoses, prescriptions, lab results, and treatment history. Clinicians see a complete timeline for each patient rather than hunting through paper files or disconnected spreadsheets.

For facilities managing chronic conditions — diabetes, hypertension, HIV — the system tracks monitoring schedules, flags patients overdue for follow-up, and generates recall lists for community health workers.

Appointment Scheduling

Online and walk-in appointment booking linked to clinician availability. The system prevents double-booking, sends SMS reminders to patients before their appointments, and tracks no-show rates by clinician and department. Waiting room management shows reception which patients have checked in and which appointments are running late.

Clinical Workflow and Triage

Nurses capture vitals at triage — weight, blood pressure, temperature, oxygen saturation, chief complaint — and the clinician picks up from that point rather than re-entering the same information. Diagnosis is coded using ICD-10 for facilities that need it. Prescriptions are written digitally and sent directly to the pharmacy queue, eliminating handwritten scripts that pharmacists cannot read.

Pharmacy and Inventory

A pharmacy module can be built to manage drug stock, expiry dates, and reorder thresholds. When a prescription is dispensed it deducts from stock automatically. Alerts fire when stock for a drug falls below the reorder point. Purchase orders to suppliers can be generated from the system, and a report shows what was dispensed, to whom, and at what cost — useful for both clinical audit and financial reconciliation.

Billing and SHIF Claims

Billing in a Kenyan healthcare context involves SHIF (formerly NHIF) claims, private insurance, and out-of-pocket payments that often include M-Pesa. A billing module can be built to separate SHIF-covered services from private charges, generate SHIF-format claim forms, and track claim submission and reimbursement status. M-Pesa integration can handle the patient's co-payment or private bill directly at the point of service.

Reporting and Management Dashboards

Facility administrators and medical officers need data to make operational decisions: patient volumes by department, revenue by payment type, stock consumption by month, staff productivity, and referral patterns. I build role-specific dashboards that surface the right numbers to the right person without exposing clinical data to administrative staff who should not see it.

Deployment and Training

Healthcare systems require careful rollout. I can plan a parallel operation period if needed, and deliver role-specific training for reception, nursing, clinical, and pharmacy staff alongside user documentation in plain language. For facilities in areas with unreliable internet, I design systems that can operate offline and sync when connectivity is restored.

How I Deliver This

1

Facility workflow audit

We map patient flow from registration through consultation, pharmacy, and billing before designing anything.

2

System design

Module structure, data model, and integration points designed against your specific facility type and patient volume.

3

Phased build

Core modules built first — registration, appointments, records. Pharmacy and billing follow once the clinical workflow is confirmed.

4

Staff training

Role-specific training for reception, nursing, clinical, and pharmacy staff with printed quick-reference guides.

5

Parallel operation

New system runs alongside existing processes for an agreed period so staff gain confidence before full cutover.

6

Ongoing support

SHIF regulation changes and system updates handled as part of a support arrangement.

Frequently Asked Questions

Yes. The billing module is built against the current SHIF claim formats and reimbursement rates, not the old NHIF structure.

Yes. An online booking portal can be configured with the appointment module. Patients receive SMS confirmations and reminders automatically.

For low-connectivity environments I design the system to operate offline using local data and sync changes when the connection is restored. This requires careful conflict resolution logic but is achievable for most workflow types.

Yes. Patient clinical records are accessible only to authorised clinical staff. Administrative staff see billing and appointment data only. All access is logged and the system can generate an audit trail for any patient record.

Depending on the system, yes. I have integrated with external lab APIs and HMIS platforms via REST or FHIR-compatible interfaces. Share what you are currently using and we can assess compatibility.

What I Can Build

  • Patient registration and medical records
  • Appointment scheduling with SMS reminders
  • Triage vitals and clinical consultation flow
  • ICD-10 diagnosis coding
  • Digital prescriptions and pharmacy queue
  • Drug inventory and reorder management
  • SHIF claim generation and tracking
  • M-Pesa billing and co-payment collection
  • Management reporting dashboards
  • Offline-capable deployment for low-connectivity sites

Tech Stack

Laravel PHP 8+ MySQL React.js M-Pesa Daraja Africa's Talking SMS

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