HEALTHCARE OPERATIONS
Hospital Command Centre
MY WORKSPACEStaff
KB
EXECUTIVE OVERVIEW
Hospital Command Centre
Live clinical, patient-flow and revenue performance for the selected facility.
Today
PATIENT VOLUME
Registrations — last 7 days
REVENUE CYCLE
Collections — last 7 days
PATIENT FLOW
0 waitingLive queue by workflow
REVENUE
Payer mix today
OPERATIONAL ALERTS
Items requiring attention
FACILITY SNAPSHOT
Current position
MANAGEMENT REPORTS
Department reports & performance packs
One management entry point for reports produced from routine departmental activity. Open a department to review its operational and performance reporting without re-entering codes.
RECEPTION COMMAND DESK
Patient queue
One operational list for active patient journeys. Open a patient only when you need the full summary.
APPOINTMENTS
Book appointment
Book General OP to a clinic, or reserve a patient for a specific consultant. The assignment follows the patient through check-in.
SCHEDULE
Appointments
CLINICIAN WORKLIST
Consultation & patient journey
Open waiting patients, find an active encounter, or view a completed visit as read-only history.
Waiting for me
Away / service-centre handover
No patients away at another service centre.
Ready for review
No released results awaiting review.
Current locationOpen a patient
Next action—
Visit date—
Service centre—
VITALS TIMELINERe-check vitalsRecord a new timestamped observation set
Open an encounter to view vitals history.
HISTORY & EXAMINATION
Document the clinical story before actingClinical consultation
CLINICAL IMPRESSION
Working / final diagnosis
A coded working diagnosis is required before referral, admission request or completion.
ICD-11 checking…
DIAGNOSTIC ORDERS
Laboratory
DIAGNOSTIC ORDERS
Imaging
THIS ENCOUNTER
Orders placed
Orders stay visible from placement through clearance, processing and completion.
Open an encounter to view its orders.
RESULTS & DIAGNOSTICS
Results for this encounter
Released Lab and Imaging results return automatically to this encounter. No manual “return to Consultation” step is required.
Open an encounter to review results.
MEDICATION
Prescription
Diagnosis requiredAdd a working diagnosis before prescribing.
OUTCOME & HANDOVER
Choose the patient's next destination
Kebarick will keep the encounter visible until the next service accepts the patient or the visit is completed.
PATIENT CONTEXT
Clinical safety summary
TriageOpen a patient
Allergies / alerts—
Current location—
Next action—
PATIENT FLOW
Queue Management
See every active queue ticket, call patients, put a ticket on hold, transfer it or mark service complete.
No queue tickets loaded.
TRIAGE WORKLIST
Patients ready for triage
ACTIVE TRIAGE
Select a patient from the triage worklist
Danger signsAny positive sign requires urgent escalation
Clinical deterioration screeningAdults 16+ use NEWS2 component thresholds. Paediatric patients use age-specific alerts and the hospital paediatric pathway. Screening supports — it does not replace — clinical judgement.
REVENUE CYCLE · CASHIER
Queued invoices only · exact amount generated by HMISPayment workstation
PAYMENT QUEUE
Patients awaiting payment
No payments loaded.
Select a patient from the payment queue
The invoice, encounter and unpaid service lines will appear here. Select only the services the patient is paying for now.
PRICING EXCEPTIONS
Services blocked by missing tariffs
These patients remain visible until an authorised pricing user configures the tariff and retries pricing.
No pricing exceptions loaded.
BILLING REGISTER
Invoices
Search, review and print patient invoices across the selected facility.
INVOICE REGISTER
View / Print produces the official A4 invoicePatient invoices
Open Invoices to load the register.
PAYMENT REGISTER
Receipts / Payments
Find every posted, reversed or refunded patient payment and print the receipt again when required.
RECEIPT REGISTER
Print / Reprint recreates the official 80 mm receiptPatient payments
Open Receipts / Payments to load the register.
REVENUE OPERATIONS
Estimates & Approval Desk
Operational financial controls inspired by real hospital billing practice, without exposing internal codes to staff.
VISIT ACCOUNT
Current patient financial context
Open a patient encounter in Reception or Consultation, then review the payer account here.
BILL ESTIMATE
Non-posting patient estimate
Build an estimate by service name. Kebarick resolves the patient's scheme/insurer price automatically. Nothing posts to Accounting until actual services are delivered.
No estimate items yet.
CREDIT BILLING
Request credit / deferred settlement
Use for genuine credit exceptions. The requester cannot approve their own request.
REFUNDS
Request patient refund
Refunds are approval-controlled and remain auditable. Enter the invoice reference and amount; approval does not automatically reverse the payment.
APPROVAL DESK
Revenue approvals requiring action
Credit, refund and other financial exceptions use Kebarick's existing maker-checker approval engine.
No approvals loaded.
CLAIMS & INSURANCE
Services awaiting payer authorization
Authorization decision
Select a service from the worklist
Routing rules
Approved services are released directly to the destination department. Co-pay services move to Cashier and are released only after payment. Declined services remain blocked.
LABORATORY · LIS WORKSTATION
Laboratory operations
Doctor orders → specimen → result → validation → release
ALL LAB ORDERS · CLEARANCE CONTROLLED
Laboratory worklist
No laboratory orders loaded.
Select an order
Collection, specimen tracking, analytes, results and validation are managed from this workspace.
CLINICAL SAFETY
Requires clinician acknowledgementCritical laboratory results
IMAGING · RIS / PACS WORKSTATION
Ordered → scheduled → performed → reported → completedImaging operations
ALL ACTIVE ORDERS
Imaging worklist
No imaging orders loaded.
Select an imaging order
Schedule the study, complete safety checks, perform the examination and issue the report here.
CLINICAL SAFETY
Requires clinician acknowledgementCritical imaging findings
PHARMACY · MEDICATION OPERATIONS
Pharmacy command centre
Prescription queue, medication safety, FEFO stock, dispensing history and pharmacy stock visibility in one workspace.
READY FOR PHARMACY
0 prescriptionsPrescription queue
Only financially / payer-cleared prescriptions appear here. Select a row to review and dispense.
No active prescriptions loaded.
ADMISSION CONTROL
Admission Gateway
Clinical request → deposit/payer authorization → authorised approval → bed allocation.
POLICY
Loading…Admission clearance policy
Cash policy: deposit is mandatory before admission. Covered payer policy: authorization/approval is mandatory before admission. Emergency priority never silently bypasses these configured gates.
ADMINISTRATION CONTROLConfigure admission approval policy
Choose ANY or ALL authorised roles
Configure admission approval policy
ADMISSION WORKLIST
Select a patient row to open the payment / approval windowRequests awaiting action
No admission requests loaded.
INPATIENT · WARD OPERATIONS
Bed board · nursing · medication · clinical review · dischargeInpatient command centre
PENDING PLACEMENT
0 awaiting placementAdmission queue
Cleared patients awaiting final ward and bed placement. Select a row to place the patient.
No pending admissions.
CURRENT CENSUS
—Ward, bed & inpatient census
One operational view of every configured bed and every admitted patient.
No wards loaded.
IPD AUTO BILLING
Automatic inpatient charges
Operational visibility only. Financial rules are configured under Administration → IPD Auto Billing Rules. No nurse or doctor enters a price.
Active rules—
Charges today—
Price review—
Last reconciliation—
Next 24h checkpoint—
Loading auto-billing status…
Billing exceptions requiring review
No auto-billing exceptions.
INPATIENT ACCOUNT
Select an inpatientAutomatic charges & current bill
Accommodation and other configured automatic charges stay visible alongside clinical care and are reconciled before discharge.
Select an inpatient to view billing activity.
No automatic inpatient charges recorded.
CLINICAL SAFETY & CONTINUITY
Select an inpatientActive problems, allergies, risks, devices & handover
Safety-critical inpatient information remains visible throughout the admission and is never replaced by a blank capture form.
Risk assessments
No risk assessments recorded.
Record risk assessment
Lines, tubes & devices
No devices recorded.
Record device / line
Shift handover
No handover recorded.
Record nursing handover
Wounds & dressings
No wound assessments recorded.
Record wound assessment
OBSERVATIONS
No observationsVitals & deterioration history
No observations recorded.
Record new observations
NURSING WORKLOAD
0 openTasks & nursing notes
Open tasks
Task history
Nursing note history
Add nursing note
MEDICAL REVIEW
Signed history remains visibleDoctor ward rounds
No ward round recorded.
Record ward round
CARE PLAN
Active and historical plansNursing care plans
Add care plan
ORDERS, RESULTS & CHARGES
Payer context loads with patientInpatient clinical activity
Structured orders use configured catalogues and payer tariffs. Nursing services and consumables post to the patient account without staff typing prices.
Orders & results history
Nursing services, procedures & consumable charges
No inpatient service charges recorded.
Doctor / authorised clinical order
Prescribe medication
Nursing service / consumable & charge
Non-billable care instruction
PATIENT MOVEMENT
Every bed movement remains traceableWard / bed changes & movement history
No transfers recorded.
Change ward / bed or transfer patient
eMAR
Due medicines, custody & administration historyMedication administration & Nursing custody
Inpatient medicines leave Pharmacy into patient-specific Nursing custody. The patient is billed only when eMAR records actual administration.
Medication in Nursing custody
No medication currently held in Nursing custody.
Due / overdue
Administration history
No medication administration history.
FLUID BALANCE
Entries remain visible after saving24-hour intake & output ledger
No fluid entries recorded.
Record fluid entry
DISCHARGE READINESS
0%Controlled discharge checklist
CLINICAL DISCHARGE
Auto-generated discharge summary
Kebarick pre-fills this from the admission, diagnoses, ward rounds, orders and prescriptions. The clinician reviews, completes and signs it before financial/nursing discharge.
After clinical discharge: Pharmacy completes discharge medication, Cashier/Claims completes financial clearance, then Nursing performs physical discharge and releases the bed.
STAGE 5 · ADVANCED CLINICAL
Safety-first operational workspacesEmergency, Theatre, Maternity, Critical Care & Specialty Services
EMERGENCY
Emergency department board
No active emergency episodes loaded.
Open emergency episode
Uses the currently selected patient and encounter.
OPERATING THEATRE
Theatre list
No theatre cases loaded.
Book surgical case
Uses the currently selected patient and encounter. Safety checklist and consent are enforced before start.
MATERNITY & MCH
Obstetric board
No active obstetric episodes loaded.
Open obstetric episode
Longitudinal pregnancy episode for ANC → labour → delivery → postnatal care.
ICU · HDU · NBU
Critical care board
No active critical-care stays loaded.
Open critical-care stay
Dialysis session
Dental encounter
Structured odontogram-ready record tied to the same longitudinal patient chart.
EMERGENCY HARDENING
Resuscitation / Trauma / Sepsis
THEATRE HARDENING
Signed operative record
MATERNITY HARDENING
Structured partograph observation
CRITICAL CARE
Device safety chart
RENAL
Dialysis observation
DENTAL
Tooth-level procedure
EMERGENCY COMPLETION
Activate clinical pathway
Stores the locally approved/versioned pathway without inventing protocol thresholds.
THEATRE COMPLETION
Post surgical charge
NBU / NEONATAL
Open neonatal care episode
ICU / HDU
Ventilator observation
RENAL PROGRAMME
Longitudinal dialysis programme
ADVANCED REPORTING
Daily clinical operations snapshot
ACCOUNTING
Chart of accounts
GENERAL LEDGER
Post balanced journal
REVENUE CYCLE
Payer / insurer
CLAIMS
Create claim
PROCUREMENT
Supplier master
INVENTORY
Stock item master
FINANCIAL STATEMENTS
Management reporting
MOH / REGULATORY
Verified report engine
Official MOH/KHIS forms are version-controlled and must carry a verified source before activation. Form fields and output formats are not guessed.
Regulatory definition + run engine is active. Official forms will be loaded from verified current templates.
INTEGRATIONS
Integration Centre
Connection health, reporting exchanges and external-system status. Normal hospital staff do not need to enter API codes here.
CONNECTION SUMMARY
Operational integration status
Loading status…
Advanced integration setupIT / system administrators only
EXECUTIVE ANALYTICS
Management command view
KPI GOVERNANCE
Create KPI definition
SHA INTEGRATION
Verified adapter profile
CLAIM EXCHANGE QUEUE
Queue SHA claim payload
No external transmission occurs until an approved, verified SHA connector is configured. Payloads are hashed and idempotency-protected.
INTEROPERABILITY
FHIR profile registry
PATIENT EXCHANGE
FHIR-aligned patient preview
SECURE API ACCESS
Create integration client
MOH / KHIS REPORTING
Controlled statutory pipeline
Report definitions now support field-level mappings, validation rules, validation issues, export artifacts, submission attempts and schedules. Official mappings remain blocked until a verified source/reference is recorded.
Designed for the 30+ statutory report catalogue without fabricating official fields or thresholds.
REPORTING CONTROL
Operations board
Validation failures, due reports, integration retries and data-quality issues appear here.
MANAGEMENT PACK
Generate executive pack
CLINICAL REFERENCE DATA
ICD-11 diagnosis catalogue
Diagnosis search uses the local approved ICD-11 catalogue. Import an authorised export containing code, title, URI and release ID. Kebarick does not invent diagnosis codes.
Required format
code,title,uri,release_id,activeThe import API is ready for controlled catalogue loading; production data should come from an approved WHO ICD-11 source.
ENTERPRISE CONTROL
Operations risk board
Open Administration to load enterprise controls.
STAFF ESTABLISHMENT
Create approved position
PAYROLL GOVERNANCE
Create statutory rule set
No PAYE, SHIF, NSSF, Housing Levy or other statutory formula is activated without a recorded authoritative source and explicit verification.
BIOMEDICAL ENGINEERING
Preventive maintenance plan
PATIENT EXPERIENCE
Register complaint
HOSPITAL SUPPORT SERVICES
Stage 8 operations
Kitchen production, laundry/linen, healthcare waste, security incidents, ambulance operations, SOP acknowledgements and CAPA effectiveness now share the same tenant-scoped audit architecture.
Enterprise operations active. HR and payroll are integration-first: Kebarick HR & Payroll remains the workforce source of truth.
EMERGENCY DEPARTMENT
Live patient tracking board
ACTIVE PATIENT
Emergency workspace
Open emergency episode for active patientUses selected patient and encounter
OPERATING THEATRE
Today’s theatre list & rooms
Surgical safety controls
Anaesthesia, operative record & recoveryPerioperative clinical documentation
Book case for selected patientUses the active patient/encounter — no IDs typed
MATERNITY & MCH
ANC → Labour → Delivery → Postnatal
Labour & deliveryPartograph-ready labour record and delivery documentation
MCH visitGrowth, immunisation, nutrition, development and family planning
Open new obstetric episodeUses the active patient
ICU · HDU · NBU
Critical care census
Devices & ventilatorLines, airways and ventilator observations
Daily critical-care reviewOrgan support and goals of care
Start critical-care stayUses the inpatient selected on the Ward Board
PATIENT MOVEMENT
Referral worklist
PATIENT DOCUMENT CENTRE
Label, case sheet & patient statement
Search by patient name/MRN. Kebarick keeps the identifiers underneath and prepares printable operational documents from existing records.
Select a patient to prepare documents.
MEDICAL RECORDS
Incomplete clinical records
RECENT ACTIVITY
Encounter register
SHA PATIENT WORKFLOW
Eligibility, benefits, intervention & national consent
PatientOpen a patient record first
CR-ID—
Eligibility—
Consent—
Used only for SHA patients. Cash continues through Kebarick Cashier; private insurance continues through SMART, SLADE, direct-insurer, portal, file or manual payer adapters.
PAYER ARCHITECTURE
Three separate revenue-cycle lanes
CashInternal CashierNo DHA dependency
SHADHA eClaims FHIRPreauth · ClaimResponse · PaymentNotice
Private insuranceSMART / SLADE / DirectIndependent payer connectors
eClaims IG—Versioned mapper
PAYER CLEARANCE
Services awaiting authorization
CLAIM CREATION
Claim-ready SHA / Insurance invoices
SHA eCLAIMS
Preauthorisation → submission → ClaimResponse
PRIVATE INSURANCE
Independent payer claims
Private claims do not pass through the SHA eClaims endpoint. Continue through the insurer's configured SMART / SLADE / direct API / portal / file / manual workflow.
SHA PAYMENTS
PaymentNotice & reconciliation
FINANCE & ACCOUNTING
Accounting
Patient revenue posts from operational workflows. Accountants review performance, maintain the chart of accounts, post controlled journals and generate statements here.
7-DAY PERFORMANCE
Revenue vs collections
RECEIVABLES
Ageing
Payer balances
Service-line revenue
FINANCIAL STATEMENTS
Complete statement centre
Choose a statement and date range.
GENERAL LEDGER
Chart of Accounts
Add accountInternal account code is generated automatically
CONTROLLED POSTING
Manual journal entry
Use only for genuine accounting adjustments. Patient invoices and receipts should post from their normal HMIS workflows.
UNIFIED STOCK CONTROL
Inventory Management
One movement engine for pharmaceuticals, clinical consumables, procedure items and non-clinical supplies. Transfers never bill patients; actual use/administration drives consumption and billing.
STOCK POSITION
Cost ≠ patient tariffHospital inventory
MOVEMENT LEDGER
Recent stock movements
RECEIPT · TRANSFER · RESERVE · CONSUME · RETURN · WASTE · QUARANTINE remain auditable with reasons.
No movements loaded.
Active reservations
No active reservations.
SERVICE CONSUMABLES
Consumption recipes
Map a service to the stock it normally consumes. Staff confirm actual care; included materials reduce stock without duplicate billing.
No service recipes configured.
Add service consumables recipeLab, Imaging, IPD, Theatre, Maternity, Emergency or other service
STOCK CLASSIFICATION
What kind of stock is this?
Patient-billable does not mean automatically billed. Billing still occurs only on the configured consumption event.
BATCH / SERIAL TRACEABILITY
Trace stock to patients
Search a lot or serial number and see where it is held and which patient-specific consumptions used it.
Search a batch or serial number.
Stock lots by location
Internal store transfer
Recent movements
CONTROLLED SUPPLY CHAIN
Procurement control board
Requests use configured inventory items. Approved goods receipts create stock lots and inventory movements automatically.
Requisitions
Purchase orders
Recent goods receipts
Raise requisition
Create purchase orderOnly requisitions approved by an authorised approver appear here
Receive approved purchase orderAccepted quantities post directly to the selected store
BIOMEDICAL / EQUIPMENT
Equipment status
Open maintenance
Register equipment assetBiomedical master record
REPORTING & PUBLIC HEALTH
National reporting readiness
Operational reporting, statutory returns, public-health alerts and Shared Health Record transmission evidence.
STATUTORY OUTPUTS
Available report packs
PUBLIC HEALTH
Regulatory baseline
ALERT WORKLIST
Reportable events
SHARED HEALTH RECORD
Encounter transmission queue
Advanced: verified reportable-condition rulesAdministrator only. Routine reporting is automated from coded clinical data.
Configured rules
HOSPITAL-WIDE GOVERNANCE
Administration
Administration now keeps only settings that genuinely affect the whole hospital. Department-specific configuration lives under the Settings tab inside that department.
New control model: operational module settings are no longer maintained from this menu. Use Reception → Settings, Laboratory → Settings, Billing → Settings, Pharmacy → Settings, etc. Who can change each area is controlled under Access Rights.
Hospital setup readiness—%Loading…
SELECTED GOVERNANCE AREA
ReadyFacility Profile
DHA CERTIFICATION
Certification Readiness
Track Regulation 38 application evidence without claiming certification before DHA assessment.
EVIDENCE REGISTER
Certification evidence
Important: This page tracks readiness evidence. It does not replace the official HMIS 4 form, ODPC registration, completed DPIA, cyber-security assessment, certification fee receipt or DHA assessment/certificate.
GOVERNANCE
Audit trail
ACCESS CONTROL
Roles & Employee Access Rights
Roles provide the baseline. Individual employee checkboxes can then add or restrict specific capabilities without changing the employee's role.
1Select an employeeTheir normal role remains the baseline.
2Review top to bottomEvery capability is grouped by hospital area.
3Tick or untickAdd a personal grant or restrict a baseline role right.
4Save & auditOnly this employee changes; their role template is untouched.
EMPLOYEE ACCESS RIGHTS
Individual rights on top of the baseline role
Choose an employee. Checked boxes show what they can actually access. Untick a role-provided permission to restrict it, or tick a new permission to grant it just to this employee.
Role baseline Individual grant Individual restriction
Every change is audit logged. Removing an individual override does not alter the employee's role.
ROLE ACCESS
Review role permissions
Built-in system roles are protected. Create an organisation role when a custom combination is required.
CREATE ROLE
Create an editable organisation role
STAFF ASSIGNMENT
Assign a role to a user
Current assignments
MOH / KHIS REPORTING
Automated MOH Reporting
Reports are generated from clinical, laboratory, pharmacy, admission and programme data already captured in Kebarick. Staff select a period and report — no manual code entry.
Automated source data
Existing HMIS activity feeds these reports.
Existing HMIS activity feeds these reports.
PRIORITY RETURNS
MOH report catalogue
Loading reports…
PROGRAMME DATA
Special clinic activity
Recent exports
SPECIAL CLINIC
Programme clinic
Structured programme data feeds the appropriate MOH return automatically.
PROGRAMME REGISTER
Recent records
No records loaded.
NATIONAL INTEROPERABILITY
DHA HIE / AfyaConnect
Kebarick handles national identity, consent, Shared Health Record exchange and SHA status updates in the background. Clinical staff continue working in Reception, Consultation, Claims and the normal clinical modules.
Loading national interoperability status…
What staff need to know
1Register / open patientNational identifiers are linked in the normal patient workflow.
2Provide care normallyNo FHIR codes or API IDs are typed by clinical staff.
3Consent when requiredOTP / approved consent workflow appears at the appropriate step.
4Kebarick exchanges dataFHIR, callbacks and audit evidence run in the interoperability layer.
Design boundary
v5.0 MOH Reporting stays frozen. v5.1 adds national connectivity without replacing routine hospital workflows.
Advanced DHA configuration & UAT toolsSystem administrators / certification team only
SHR consent test
FHIR bundle test
Status callbacks
Interoperability transaction monitor
No transactions yet.
RENAL SERVICES
Dialysis
Dedicated renal workflow. Uses the active patient and encounter; staff do not type patient or encounter IDs.
Session workflowPlan session → document access and weights → start → observations → adequacy → complete.
CURRENT SESSION
No session selected
Create a session for the active patient.
Plan dialysis session
Session controls
ORAL HEALTH
Dental
Dedicated dental encounter, odontogram-oriented treatment and procedure documentation. Uses the active patient and encounter.
Dental workflowAssessment → odontogram/findings → treatment plan → tooth procedure → charges/documentation.
CURRENT DENTAL RECORD
No dental encounter
Create a dental encounter for the active patient.