NHIF / SHA Claims Ready
DHIS2 MOH Reporting
KEMSA Integration
M-Pesa Patient Billing
KDPA 2019 Compliant
About Our HMS Practice

Hospital Management Systems Built
for Kenya's Health Sector Reality

Kenya's hospitals operate under a unique regulatory environment — Ministry of Health reporting through DHIS2, NHIF (transitioning to Social Health Authority) claims processing, KEMSA drug procurement, and KMLTTB laboratory standards. International HMS systems are rarely configured for these requirements out of the box.

Algosoft Technologies builds Hospital Management Systems tailored for Kenya's public and private health sector — from county referral hospitals to Level 4/5 facilities, private hospitals and faith-based health facilities. Every module integrates with Kenya's existing health infrastructure: DHIS2 for MOH reporting, NHIF/SHA for claims, M-Pesa Daraja for billing, and KEMSA for drug procurement tracking.

  • NHIF / SHA Claims Automation — Encounter data generates NHIF/SHA-format claims automatically — member verification, pre-authorisation, claim submission, remittance reconciliation, and rejected claim re-submission — eliminating manual claim capture and reducing payment cycle time.
  • DHIS2 Automated MOH Reporting — All routine health information reports (HMIS 105, HMIS 515, ART, MCH, immunisation) generated from clinical data already in the HMS — pushed to Kenya's national DHIS2 (KHIS) via API. Saves facility staff 8–15 hours per month previously spent on manual data compilation.
  • M-Pesa Daraja Patient Billing — Patients pay hospital bills via M-Pesa STK Push at the billing counter or via Paybill from home. Automatic KRA eTIMS-compliant receipt generation. NHIF co-payments collected via M-Pesa; balance claimed from SHA electronically.
150+Projects Delivered
10+Years Experience
4.9★Client Rating
HL7FHIR Standard
NHIF / SHA DHIS2 KEMSA M-Pesa Daraja KRA eTIMS HL7 FHIR KDPA 2019
4.9★Clutch Rating
150+Projects
10+ YrsExperience
★★★★★Clutch · 4.9 / 5
HMS Modules

Hospital Management System Modules
Delivered by Algosoft in Kenya

Patient Registration & OPD

Patient master record with national ID or Huduma Namba — unique hospital number generated, NHIF/SHA membership verified at registration. OPD queue management, triage, consultation workflow, ICD-10 diagnosis, and prescription linked to pharmacy module.

Inpatient Management (IPD)

Ward admission, bed allocation, daily nursing notes, ward round documentation, investigation orders linked to lab, transfer between wards, discharge summary generation, and death certification workflow. Bed occupancy dashboard for ward managers.

Pharmacy & Dispensing Module

Drug catalogue (KEML generic and brand names), prescription verification, dispensing workflow with pharmacist sign-off, KEMSA Essential Medicines compliance, expiry date tracking, stock reorder alerts, and NHIF/SHA prescription claim processing.

Laboratory Information System (LIS)

Test request from OPD/IPD, sample collection workflow, result entry by lab technician, critical value alerts, result delivery to clinician, quality control log, and KMLTTB-compliant lab reporting. Interfaces with common laboratory analysers via HL7 messaging.

Billing & M-Pesa Payment

Real-time bill accumulation across all departments — itemised bill at discharge. M-Pesa STK Push and Paybill at billing counter; partial payment and instalment support for inpatient bills. KRA eTIMS-compliant receipt generation for every transaction.

DHIS2 MOH Reporting

Automatic generation of MOH routine health information reports — HMIS 105, HMIS 515, immunisation tally, maternal health, and disease surveillance — exported in DHIS2 format for upload to Kenya's national KHIS instance or pushed via DHIS2 API.

Investment Guide

Hospital Management System Investment
Tiers for Kenya

TIER 01

Clinic / Level 2–3 Facility

$20,000+

2–4 months
Patient registration & OPD Pharmacy & dispensing M-Pesa billing & KRA eTIMS receipts NHIF / SHA basic claims MOH daily tally reports KDPA 2019 patient data encryption

TIER 02

Level 4 District Hospital

$50,000+

4–7 months
Full OPD + IPD ward management Pharmacy, LIS, basic RIS Full NHIF / SHA claims workflow KEMSA drug procurement tracking DHIS2 automated reporting M-Pesa Daraja full suite

TIER 03

County Referral Hospital (Level 5)

$100,000+

7–12 months
Full multi-speciality HMS Theatre & ICU management PACS / DICOM imaging integration HL7 lab analyser interfaces Blood bank management Executive analytics dashboard

TIER 04

National / Multi-Facility Group

$200,000+

12–18 months
Multi-site hospital network HMS Centralised patient record (MPI) HL7 FHIR API for interoperability Telemedicine module integration National data centre / cloud hosting 24/7 SLA, dedicated support team

Note: All HMS quotations are fixed-price after a facility requirements scoping workshop. Contact Algosoft for a detailed proposal aligned with your facility level, PPADA procurement process, and SHA integration requirements.

Why Algosoft

Why Algosoft for Hospital Management
Systems in Kenya?

01

Kenya Health Sector Expertise

We understand Kenya's health information landscape from the inside — DHIS2 national reporting structure, NHIF/SHA benefit package transitions, KEMSA supply chain, KMLTTB laboratory standards, and KDPA 2019 requirements for sensitive patient health data. Our HMS is built around these realities, not configured as an afterthought.

02

NHIF / SHA Transition Readiness

We monitor SHA's evolving IT specifications as they are released and update client systems accordingly. Our claims module handles both NHIF's existing structures and SHA's new benefit packages under the Social Health Insurance Act 2023 — ensuring clients are not left behind during Kenya's insurance transition.

03

DHIS2 Data Quality

Our HMS generates all MOH reports from structured clinical data — ICD-10 diagnoses, structured procedure codes, and programme-specific data elements. This produces higher-quality DHIS2 data than manual tally-sheet entry, reducing data quality alerts from the county and national health information teams.

04

Clinician-Centred Design

Our HMS interfaces are designed for rapid data entry during busy OPD sessions — not for IT administrators filling in long forms. Role-specific screens for registration clerks, nurses, doctors, pharmacists, and lab technicians mean each user sees only the workflow relevant to their task, with minimal training required.

05

Phased Delivery by Facility Level

We deliver HMS in phases — OPD and billing first (go-live in 3–4 months), then pharmacy and LIS (month 4–6), then IPD and speciality modules (month 6–9). Each phase delivers measurable value — M-Pesa billing from month 4, NHIF claims from month 5 — rather than a single 12-month big-bang go-live.

06

Long-Term Healthcare Partner

We provide post-deployment support including SHA integration updates, API regulatory changes, security patches, and annual system performance reviews. Retainer plans cover feature development as the facility grows — from Level 4 to referral hospital upgrades. Partner with Algosoft.

FAQs

Hospital Management System Kenya —
Frequently Asked Questions

Yes. Our HMS claims module handles both NHIF's existing fee-for-service and capitation structures, and is being updated to align with SHA's new benefit packages under the Social Health Insurance Act 2023. We monitor SHA's IT integration specifications as released and update client systems accordingly. The module covers member verification, pre-authorisation, claim generation from encounter data, electronic submission, remittance reconciliation, and rejected claim management.
The HMS generates all standard MOH routine health information reports from data already captured in the clinical workflow — HMIS 105 (OPD/IPD morbidity), HMIS 515 (lab), immunisation registers, ART, MCH, and TB. Reports are pushed to Kenya's national DHIS2 (KHIS) via the DHIS2 API or exported as spreadsheets for manual upload. This typically saves facility staff 8–15 hours per month previously spent on manual data compilation into DHIS2's web data entry tool.
Yes. The billing module integrates M-Pesa Daraja STK Push and Paybill. At the billing counter, the cashier enters the patient's phone number and the system sends an M-Pesa push prompt — the patient enters their PIN to confirm. For follow-up payments, patients pay via the hospital's Paybill number using their bill reference. Every M-Pesa payment generates a KRA eTIMS-compliant receipt stored in the patient's billing record. NHIF co-payments and top-up amounts use the same M-Pesa workflow.
A Level 4 district hospital with 8–10 modules typically takes 5–7 months from requirements sign-off to go-live. A Level 5 county referral hospital with theatre, ICU, blood bank, lab analyser integration, and PACS takes 9–14 months. The longest phases are data migration from legacy systems, NHIF/SHA integration certification, and staff training across all departments. We run a parallel period (old system + new HMS) for 2–4 weeks before full cutover to protect patient care continuity.
Patient health data is sensitive personal data under KDPA 2019. Our HMS encrypts all patient records at rest (AES-256) and in transit (TLS 1.3). Role-based access ensures clinicians see only their patients' records and billing staff see financial data without clinical detail. Every access to patient data is logged with timestamp and officer ID. Data retention periods are configurable per KDPA 2019 requirements. Patients can request data correction through the registration module.
Modernise Your Hospital

Kenya's Hospital Management System Partner

From Level 2 dispensaries to county referral hospitals — custom HMS with NHIF/SHA claims, DHIS2 reporting, M-Pesa billing, and KDPA 2019 patient data protection, built by Algosoft's Kenya-based healthcare technology team.

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