Healthcare Digital Transformation
Dr. Shroff Hospital Implementation with ERPNext + Frappe Health
A 6-month enterprise hospital transformation program covering clinical operations, finance, inventory, pharmacy, diagnostics, HR, reporting, and parallel transition from Tally to ERPNext for a high-volume, 200-bed multi-specialty hospital.
Project Snapshot
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200 beds with 400+ OP visits and 180+ IP occupancy support
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29 departments with 700+ lab and radiology orders
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Finance, inventory, pharmacy, diagnostics, claims, and HR unified on one platform
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Parallel Tally to ERPNext migration readiness with operational stabilization
200
Beds
400+
OP Visits
180+
Inpatients
29
Departments
700+
Lab & Radiology Orders
About the Engagement
One unified hospital platform built for scale, control, and continuity
Dr. Shroff Hospital needed to move from fragmented operational processes to a single connected digital platform capable of supporting high daily transaction volume across clinical, diagnostic, financial, and administrative functions. The implementation combined Frappe Health and ERPNext into a hospital operating model aligned to real-world workflows, leadership visibility, and long-term scalability.
Business Challenge
Disconnected systems create operational drag
OP, IP, diagnostics, billing, finance, and inventory had to work as one connected flow.
Insurance, claims, and discharge processes required tighter control and better visibility.
Tally-based finance workflows needed a structured transition into ERPNext.
Leadership required stronger MIS reporting and department-level operational insight.
Implementation Objective
Replace fragmentation with an intelligent, hospital-wide digital backbone
Clinical Digitization
Billing Integrity
Claims Readiness
Inventory Control
Pharmacy Integration
HR & Payroll
MIS Reporting
Parallel Migration
Solution Architecture
Core platform pillars aligned to the Techunison enterprise style
The delivery model follows the same themes emphasized across Techunison’s public positioning: AI-first architecture, open-source flexibility on Frappe, deep healthcare and enterprise domain coverage, and unified analytics and compliance readiness.
ERPNext & Frappe Foundation
Modular and maintainable platform connecting hospital operations, finance, inventory, HR, and analytics in one stack.
Healthcare Workflow Engine
OP, IP, diagnostics, billing, packages, admissions, discharge, claims, pharmacy, and practitioner workflows.
Reporting & Visibility
MIS reports, operational dashboards, finance-linked control points, and department-level performance visibility.
Migration & Stabilization
Parallel transition planning from Tally to ERPNext with validation, reconciliation, and operational readiness.
Execution Timeline
Six months of phased implementation and closure
The attached worklog history spans from mid-September 2025 through March 19, 2026 and reflects a strong implementation curve: discovery, build, customization, feedback closure, user validation, and go-live readiness.
Project Phases
Phase 1
Requirement Discovery
Departmental requirements, process mapping, issue registration, solution scoping, and prioritization across hospital functions.
Phase 2
Build & Customization
Configuration, custom fields, workflow rules, print formats, packages, insurance logic, and finance-linked controls.
Phase 3
UAT & Feedback Closure
Iteration on operational issues, user validation, billing refinement, report verification, and process corrections.
Phase 4
Parallel Run Readiness
Transition preparedness for Tally to ERPNext with operational stabilization, reporting confidence, and production readiness.
Monthly Effort Profile
Month | LoggedHours | Focus |
|---|---|---|
Sep 2025 | 56 | Project initiation and early discovery |
Oct 2025 | 227 | Requirement expansion and workflow setup |
Nov 2025 | 648 | Heavy configuration and core solution build |
Dec 2025 | 832 | Peak customization and operational refinement |
Jan 2026 | 633 | Validation, feedback closure, and reporting |
Feb 2026 | 510 | Stabilization and functional hardening |
Mar 2026 | 108 | Parallel readiness through Mar 19 |
High-Impact Workstreams
Operational depth across clinical, financial, and administrative functions
The implementation was not limited to patient records. It covered the broader enterprise model needed to run a modern hospital with discipline and visibility.
Front Office & Clinical Flow
OP, IP, admission, and discharge workflows
Appointment and patient registration customization
Pre-admission booking with room and bed requests
Admission charging, discharge summary, and delayed discharge alerts
Diagnostics, Insurance & Billing
700+ order support with stronger claims control
Lab and radiology linked workflow support
Insurance detail capture, pending coverage logic, and claim readiness
Bill receipt customization, advance refund handling, and revenue-linked validation
Enterprise Operations
Inventory, pharmacy, finance, HR, and reporting
Store structure, GST requirements, and department-aligned controls
Payroll, statutory deductions, employee data, and certification tracking
70+ automated MIS reports for leadership and operations teams
Priority Workstream | Logged Hours | Impact |
|---|---|---|
70+ automated MIS report generation | 283 | Executive visibility and operational reporting |
Customize bill receipt print format | 145 | Patient-facing billing and finance output quality |
Project management & meetings | 135 | Coordination across teams and functions |
Store structure, GST & department requirements | 122 | Back-office and compliance alignment |
Fetch pending coverages into claim table | 102 | Insurance workflow efficiency |
Set up OP packages | 92 | Pricing and service standardization |
Team Contribution
Sustained effort across a 9-member implementation team
The worklog reflects disciplined execution across configuration, validation, project management, issue handling, and operational closure.
555
Total worklog entries
114
Unique tracked issues
3,014 hrs
Approximate total logged effort
Team Member | Logged Hours | Contribution Profile |
|---|---|---|
Vikashini | 758 | High-volume implementation and issue closure support |
Mariselvi | 600 | Core build, refinements, and validation work |
Anto Nirmal | 483 | Customization and operational enablement |
Satheesh | 415 | Execution, configuration, and stabilization |
Krishnakumar | 264 | Functional support and implementation coverage |
Kirubakaran | 138 | Targeted delivery support |
Sharumathi | 125 | Operational and issue-handling support |
Kumaravadivel | 117 | Functional task execution |
Ranganathan | 114 | Implementation assistance and closure tasks |
Business Outcomes
A hospital platform ready for real operations
This implementation creates a stronger foundation for patient flow, billing integrity, claims processing, inventory control, reporting, and enterprise governance.
Unified Operations
Clinical, diagnostics, pharmacy, inventory, finance, HR, and reporting aligned within one platform.
Revenue Control
Admission charging, package setup, claims support, and invoice refinement reduce leakage and improve discipline.
Leadership Visibility
MIS reports and structured data flows support better decisions across departments.
Migration Readiness
Parallel Tally to ERPNext transition strengthens long-term accounting and operational continuity.
"Congratulations to the entire team. Delivering an integrated ERPNext and Frappe Health platform for a 200-bed, high-volume multi-specialty hospital in parallel with Tally migration is a major achievement. This milestone reflects disciplined execution, cross-functional teamwork, and real commitment to hospital transformation."