Clinic

A clinic or medical centre: outpatients seen by doctors, clinical officers and nurses, often with its own lab and pharmacy, paid by the patients themselves, their insurers and schemes, or SHA. Afya Bora Medical Centre runs as a clinic.

What is special

• The whole visit, step by step. The front desk, triage, the consultation, the lab, the pharmacy and the billing desk each have their screen, and the claims office follows what the payers owe: Health care.
• Dental, eye care and home care, when the clinic does them. Under Clinic office › Clinic settings, Dental, eye care and home care: “Switch on what the business does: each adds its page to the Clinic menu and its card to the dashboard.” Afya Bora Medical Centre has all three on.

Zoom

How Kila sets it up

The main screen is Patient queue.

Rules it follows:

• Clinical privacy: Patient records, consent and need-to-know access

Its words:

Most businesses	Clinic
customer	patient
product	item
sale	bill
staff	practitioner

Its set-up steps

1. Business details and KRA PIN
2. Facility licence, MFL code and data protection contact
3. Branch, rooms and practitioners
4. Staff and their clinical roles
5. Services and prices
6. Lab tests, reference ranges and prices
7. Insurers, SHA and schemes
8. Medicines and consumables
9. First patient

Its home page

• Today at the clinic
• My patients
• Triage now
• Prescriptions to dispense
• Waiting to pay
• Patient queue now
• Visits today by practitioner
• Revenue today by payer
• Insurance claims to submit and outstanding
• Claims ready and needing attention
• Medicines expiring or low
• Lab: tests waiting and critical results
• Wards and beds
• Payments waiting for confirmation
• Approvals and reviews waiting
• Licences, permits and returns due
• Services due and reminders

Roles it starts with

Kila’s standard roles, plus these:

• Doctor: Sees patients: notes, diagnoses, orders, prescriptions and results for those in their care. No refunds or stock adjustments.
• Clinical officer: Sees patients: notes, diagnoses, orders, prescriptions and results for those in their care.
• Dentist: Sees patients: notes, diagnoses, treatment and results for those in their care.
• Optometrist: Sees patients: eye tests, notes, prescriptions and results for those in their care.
• Nurse: Triage, vital signs, history and nursing care for patients with a visit open in their branch.
• Lab technologist: The lab queue only: samples, results, validation and release, and the lab report. No other part of the visit.
• Radiographer: Imaging orders: the scan, its report and its release. No other part of the visit.
• Receptionist: Registers patients, books, runs the queue and records the payer. No clinical details; claims stay with the claims office.
• Health records officer: Registers patients and keeps their files, and compiles the MOH returns (counts, no names). No clinical notes.
• Claims officer: Insurance, SHA and scheme claims: eligibility, pre-authorisations, batches and remittances. No clinical details beyond the codes a claim needs.
• Dental assistant: Chairside with the dentist: prepares the patient, records what the dentist says, vital signs and history; no diagnoses or notes.
• Optician: The optical counter: spectacle orders from the eye test, frames and lenses, the lens lab, collections and the till. No eye examinations.
• Care coordinator: Plans the carers’ home visits, follows them through the day, and keeps the patients’ files and families informed. No care notes.
• Carer: Their own home visits on their phone: start and finish at the home, the tasks, vital signs and a care note for the patients they visit. No other patient’s record.
• Phlebotomist: Sample collection: takes and labels samples for the lab’s worklist. No other part of the visit.

What each one does, day by day: Doctor, Clinical officer, Nurse, Lab technologist, Radiographer, Receptionist, Health records officer and Claims officer.

Where to go next

• Health care: everything a clinic needs, day by day.
• Clinical privacy: who reads a patient’s clinical record.
• Dental practice, Optical practice and Home care: what each adds.