Metropolitan Hospital in Nairobi developed an in-house hospital management information system called AMS 2000 to address financial losses due to poor management. AMS 2000 is a fully integrated, modular, and scalable open-source system that manages patient records, billing, claims, and other operations. It provides real-time data and analytics to improve management decision making, clinical processes, and financial performance. The system's integration capabilities help streamline administration and claims processing between the hospital and insurance payers.

1. Innovation in Hospital Management Systems
The AMS 2000 System
EAST AFRICA HEALTHCARE FEDERATION
CONFERENCE
Kampala Sheraton
May 2012
Metropolitan Hospital ,Nairobi, Kenya KMA
Presented by:
Dr K.K Gakombe, MBCHB,MBA, CEO

2. Metropolitan Hospital profile
Founded in mid 1995 as a public limited liability company with a
diverse group of shareholders.
Most comprehensively equipped private medical institution in the
Eastern part of Nairobi.
The hospital was founded on the belief that it is possible to offer
quality, cost effective and affordable health care services.
70 bed hospital offers a diverse range of inpatient services and a
busy outpatient .
Leading user of ICT for quality healthcare. Has won several awards
for ICT deployment .
70% of clientele is corporate
A preferred provider for insurance companies, parastatals and large
corporates

3. The adversity
• Growing revenues accompanied by growing losses
• Losses due to poor credit control coupled with
collapse of HMOs
• Lack of timely & poor management decision support
information.
• A growing feeling of being in charge but not being in
control
• Unable to afford imported hospital mgt systems

4. The innovation
• Creating a home grown and in house HMIS to
address the identified management needs
• Focusing on financial management in order to save
the resources to expand system into other areas
• Leveraging open source tools available for system
development in order to cut development cycle and
cost
• Raising the bar for ICT usage in hospital management

5. AMS 2000 Enterprise Management
System
AMS 2000 is a fully integrated hospital management system
Based on a modular design
Scalable from small to large hospitals
Robust and reliable
Utilizes open source development resources
Dynamic and under constant development and improvement
Runs on several platforms but Linux is the native environment
Developed in Java
Easily integrated with other 3rd party systems; Smart, messaging
system, NHIF etc

6. AMS 2000 HMIS System Modules
Patient management (Out & In patient)
oMedical Records(EMR-Electronic Medical Records)
oNurse care management
oOn-line Outpatient clinical management
oPharmacy
oLab
oBlood bank
oRadiology (X-ray & Ultra Sound)
oTheatre management
oBooking management
oDental
oAnte natal
oBirths & deaths registration
oNurse Call system integration

7. AMS 2000 HMIS System
Modules
Payer management
oScheme membership & benefits validation
oClaims management
Finance management
oStock & Inventory management
oGeneral ledger
oDebtors ledger
oCreditors Ledger
oConsultants /3rd party providers ledger
oOther ledgers; Loans , Cash book, Assets

8. AMS 2000 HMIS System Modules
(Continued)
Operations management
oPayroll management & Human Resource management
oInstant Messaging (SMS & Email)
oSystem security including biometric identification of users
oCourier Management
oFleet/Transport Management
oShare register
oImportant documents mgt; cheque books, govt documents etc

9. AMS 2000 Integration Capabilities)
Medical Equipment e.g. ECG and U/sound
Nurse call system
Image Management linked with EMR
Benefits validation systems
Claims administration
Banks payment systems (receipts & payments)
Mobile payment platforms (receipts & payments)
Instant Messaging (SMS & Email)

10. AMS 2000 Claims Management
capabilities
Real time financial data e.g. visit notification, admission
notification, dispatched invoices etc. Electronic claim switching
capable
System based modes of identification & verification
Photo cards
Magnetic strip cards
Member data base/membership lists (member & non member options)
Online real time validation; membership & benefits-SMS and internet based
Smart Cards with biometric integration.

11. AMS 2000 Claims Management
capabilities- Clinicians Mgt
Diagnostic profile and outcome
Admission rate
Referral rate : other doctors and institutions
Lab utilization
Diagnostic imaging utilization
Drug utilization
Sick off rates
Cost per visit
Cost per diagnosis

12. AMS 2000 Claims Management
Provider Needs
Cash Flow/timely payments/reduced claim losses
Benefits administration(membership & pre-authorization)
Fraud prevention control
Debtors & customer relations management
Operational cost control (paper based claim processing from
notification to fund remittance)
Payer management (claim management process, performance
evaluation & bench marking)
Proper Service Agreement / Contracts
Health Industry Standardization

13. AMS 2000 Claims Management
- Payer Needs
Benefits administration(membership & pre-authorization)
Fraud prevention control
Liability management/timely claims administration
Operational cost control (paper based claim processing from
notification to fund remittance)
Provider management (appointment, performance evaluation
& bench marking)

14. AMS 2000 Claims Management
capabilities- Cost Mgt
Performance based parameter management reports such
as;
Cost per Admission
Cost per doctor
Cost per diagnosis
Cost per ward
Average cost per scheme
Average cost per member
Capitation costs/Capitation capable

15. The benefits/pay back
Growing ICT driven competitiveness
Improved market, financial and managerial performance
Evolution of new revenue stream from sale of HMIS to other
hospitals providers.
Development of an ICT driven franchise business model.
Standardization of contracting between payers & providers
Opportunity to drive use of standard codes for diagnosis,
procedures and consumables