Solutions for Hospital Networks

Transform Hospital Operations with Integrated Solutions

CARE9 partners with hospital networks and healthcare providers across Africa and South Asia to optimize operations, reduce costs, and improve patient outcomes through integrated supply chain, digital health, and quality assurance solutions. Our proven track record includes partnerships with 50+ hospital networks representing 500+ facilities.

Key Value Propositions for Hospital Networks

1. Supply Chain Optimization (25-35% Cost Savings)

Pharmaceutical Procurement Excellence

• Access to 100,000+ SKUs across all therapeutic categories
• Volume-based pricing leveraging network scale (30-35% cost reduction)
• Just-in-time delivery eliminating stockouts (>98% availability)
• Zero-capex model: No upfront investment or inventory risk
• CARE9 Verified® anti-counterfeit system ensuring drug safety

Service Delivery Models

• Consignment Model: Pay-as-you-dispense pricing
• Hybrid Model: Baseline stock + consignment for variable demand
• Revenue Sharing: CARE9 finances inventory, shares margin improvement
• Managed Services: Full pharmacy management delegation
• Customized Models: Tailored to facility size and specialty needs

Performance Guarantees

• 24-hour order fulfillment for routine items
• Same-day emergency orders for critical medications
• 100% batch traceability and recall capability
• Automated expiry management and waste reduction
• Monthly reconciliation and billing transparency

Cost Reduction Mechanisms

• Elimination of inventory carrying costs
• Reduction of pharmaceutical shrinkage and expiry (typically 5-8% → <2%)
• Optimized reorder points using AI forecasting
• Negotiated manufacturing cost access
• Consolidated shipping and logistics economies

2. Digital Health Platform (HIMS) Modernization

Hospital Information Management System (HIMS)

• Comprehensive patient electronic health records (EHR)
• Integrated clinical, administrative, and financial modules
• Real-time operational dashboards and KPI tracking
• Mobile app access for doctors, nurses, and administrators
• API-enabled integration with laboratory, pharmacy, and imaging systems

Operational Benefits

• 30-40% reduction in administrative overhead
• Faster patient processing: Reduce check-in time from 20min to 5min
• Improved billing accuracy: Reduce claim rejections from 15-20% to <5%
• Inventory optimization: Real-time visibility reduces waste by 20-25%
• Staff efficiency: Electronic workflows save 10-15 hours/week per department

Clinical Excellence

• Clinical decision support systems and evidence-based protocols
• Medication interaction checking and allergy alerts
• Patient safety dashboards and adverse event tracking
• Quality metrics monitoring and continuous improvement
• Electronic test result management and report distribution

Financial Impact

• Revenue cycle optimization: Reduce days sales outstanding (DSO) by 25-40%
• Insurance claim automation: 80%+ first-pass acceptance
• Better pricing and billing: Capture previously lost revenue
• Budget tracking and expenditure control
• ROI typically realized within 12-18 months post-implementation

Patient Experience

• Online appointment scheduling and telemedicine access
• Patient portal for records, test results, and medication refills
• SMS/WhatsApp appointment reminders (reduces no-shows by 30%)
• Post-discharge follow-up and care coordination
• Patient satisfaction scores improve 20-30%

3. Quality Assurance & Accreditation

International Quality Standards

• NABH (National Accreditation Board for Hospitals) certification pathway
• CAP (College of American Pathologists) for diagnostic labs
• ISO 13485 for medical device management
• JCI (Joint Commission International) aspirational standards
• WHO guidelines and infection prevention protocols

Quality Programs

• Clinical audit and peer review mechanisms
• Patient safety committee with monthly meetings
• Infection prevention and control (IPAC) programs
• Pharmacy and therapeutics (P&T) committee
• Mortality and morbidity (M&M) reviews
• Root cause analysis for adverse events

Continuous Improvement

• Six Sigma and Lean healthcare methodology training
• Performance benchmarking against peer hospitals
• Regular staff training and competency assessment
• Patient feedback mechanisms and response systems
• Process standardization and documentation

Accreditation Support

• Gap assessment and strategic planning
• Consultant support for documentation and processes
• Training programs for staff on quality requirements
• Mock accreditation visits and remediation
• Ongoing compliance monitoring and certification maintenance

4. Diagnostic Network Integration

Advanced Diagnostic Services

• Hub-and-spoke diagnostic center network
• Advanced imaging: CT, MRI, PET-CT, ultrasound
• Laboratory services: Hematology, biochemistry, microbiology, molecular diagnostics
• Pathology and histopathology services
• Tele-radiology access to specialist radiologists

Integration Benefits

• Seamless ordering and reporting through HIMS
• Real-time imaging and lab results in patient records
• Automated workflow and turnaround time optimization
• Cost reduction through centralized infrastructure
• Specialist expertise access (tele-pathology, tele-radiology)

Operational Models

• Owned and operated by CARE9 (full cost transfer)
• Joint venture with hospital network (shared governance)
• Reference model (CARE9 facility, hospital provides samples)
• Hybrid model combining multiple locations

Clinical Impact

• Faster diagnosis and treatment planning
• Improved diagnostic accuracy through specialist review
• Reduced patient wait times and stress
• Better coordination of complex cases
• Research and epidemiological data collection

5. Revenue Enhancement Programs

Financial Services Integration

• Insurance claim management and AR optimization
• Corporate health program enrollment and management
• Patient financing options (installment plans)
• Employer direct billing arrangements
• Health savings account integration

Service Line Development

• New specialty services (oncology, cardiac, orthopedic centers)
• Day-care surgery expansion
• Corporate occupational health programs
• Home healthcare and community outreach
• Wellness and preventive health programs

Pricing Optimization

• Benchmark analysis against peer hospitals
• Specialty service premium pricing
• Employer negotiation support and contracting
• Insurance reimbursement rate optimization
• Transparent pricing communication to patients

Revenue Targets

• 10-15% revenue growth typically achieved in Year 1
• 20%+ EBITDA improvement through combined initiatives
• Improved working capital and cash flow
• Reduced provision for bad debts
• Higher financial sustainability and reinvestment capacity

Comprehensive Service Offerings

Service Package 1: Core Integrated Services

Included Components

• Pharmaceutical supply chain optimization
• HIMS implementation and support
• Basic quality assurance program
• Monthly operational reviews and KPI tracking
• Quarterly business review meetings

Hospital Size: 100-300 beds Annual Fee: 2-3% of pharmaceutical spend + HIMS licensing Typical Payback Period: 12-18 months through cost savings

Service Package 2: Premium Integrated Operations

Included Components

• All Core services
• Advanced diagnostic network integration
• Comprehensive quality and accreditation support
• Revenue cycle optimization and AR management
• Executive consulting and strategic planning
• Dedicated account management team

Hospital Size: 300-800 beds Annual Fee: 1.5-2.5% of pharmaceutical spend + operational fees Typical Payback Period: 9-15 months

Service Package 3: Enterprise Healthcare System

Included Components

• All Premium services
• Multi-facility network orchestration
• Shared services infrastructure development
• Clinical governance and quality assurance
• Research and innovation programs
• Executive education and staff development
• Full operational transformation support

Hospital Size: 800+ beds or multi-facility networks Annual Fee: 1-2% of pharma + variable operational fees Typical Payback Period: 8-12 months across network

Implementation & Change Management

Phase 1: Assessment & Planning (4-8 weeks)

Diagnostic Activities

• Current state operations assessment
• Pharmaceutical spend analysis and benchmarking
• HIMS readiness assessment
• Quality and compliance gap analysis
• Stakeholder interviews and priorities

Deliverables

• Comprehensive report with findings
• Improvement opportunity prioritization
• Implementation roadmap with timeline
• Resource requirements and training plan
• Financial projections and ROI estimates

Phase 2: Design & Preparation (6-12 weeks)

System Design

• HIMS data structure and configuration design
• Pharmacy supply chain process redesign
• Quality standards and procedures documentation
• Diagnostic integration workflow design
• Staff training curriculum development

Infrastructure Setup

• IT infrastructure assessment and upgrades
• Hardware and software procurement
• Network and security configuration
• Data migration planning (if transitioning systems)
• Testing environment setup

Phase 3: Pilot & Go-Live (8-16 weeks)

Pilot Implementation

• HIMS go-live in selected departments (e.g., pharmacy, OPD)
• Supply chain integration with pilot facilities
• Staff training and user acceptance testing
• Rapid feedback loops and troubleshooting
• Quick wins documentation and communication

Full Roll-Out

• Facility-wide HIMS go-live
• Supply chain integration across all locations
• End-user support and troubleshooting
• Process refinement based on pilot learnings
• Performance monitoring and optimization

Phase 4: Stabilization & Optimization (12-24 weeks)

Operational Stabilization

• Continued user support and training
• Process optimization and workflow refinement
• Quality assurance and compliance verification
• Financial performance tracking
• Staff capability building and independence

Continuous Improvement

• Advanced feature activation and utilization
• Integration with new systems or locations
• Analytics and reporting enhancement
• External accreditation pursuit
• Strategic expansion planning

Performance Metrics & Monitoring

Operational KPIs

Pharmaceutical Supply Chain

• Drug availability rate: Target >98%
• Inventory turnover: 6-8x annually (vs 4-5x baseline)
• Shrinkage and expiry: <2% of inventory
• Cost per unit: 25-35% reduction vs baseline
• Days inventory outstanding: <30 days

HIMS System

• System uptime: >99.5% availability
• Patient record completeness: >95% of data fields
• Billing accuracy: >98% first-pass claim acceptance
• Average days sales outstanding (DSO): 30-45 days (vs 60-90 days baseline)
• User adoption rate: >90% active monthly users

Quality & Compliance

• Patient safety incidents: Tracked and trending downward
• Infection rate: Below national benchmarks
• Customer satisfaction: NPS >50 or HCAHPS >80th percentile
• Staff training compliance: >95% of staff trained
• Accreditation readiness: Gap closure trajectory

Financial KPIs

Cost Reduction

• Pharmaceutical cost as % of revenue: 15-18% (vs 20-25% baseline)
• Administrative cost reduction: 25-30%
• Inventory carrying cost reduction: 30-40%
• Operating margin improvement: 5-10 percentage points

Revenue Impact

• Revenue per occupied bed: +10-15%
• Specialty service utilization: +20-30%
• Insurance claim rejection rate: <5% (vs 15-20% baseline)
• Bad debt provision: 1-2% of revenue (vs 3-5% baseline)

Financial Health

• EBITDA margin: 20-30% target for sustainable operations
• Cash conversion cycle: <60 days
• Working capital optimization: Release of 30-45 days inventory
• Return on invested capital: >20%

Impact KPIs

Clinical Quality

• Readmission rates: Reduced 10-20%
• Average length of stay: Reduced 10-15%
• Patient satisfaction scores: Increased 20-30%
• Staff satisfaction and retention: Improved 15-25%

Social Impact

• Service volume growth: +15-25% annually
• Population coverage expansion
• Affordability and access improvements
• Community health education and outreach

Case Studies & Success Stories

Case Study 1: Multi-Specialty Hospital Network (300+ beds)

Challenge

• Fragmented systems across 5 facilities
• High pharmaceutical costs and supply disruptions
• Limited visibility into operations
• Staffing and quality compliance gaps

Solution

• HIMS implementation across all locations
• Pharmaceutical supply chain consolidation
• Quality assurance program launch
• Shared services infrastructure

Results

• 28% reduction in pharmaceutical costs (saved $800K annually)
• DSO improved from 75 days to 38 days
• Staff productivity increased 25%
• NABH accreditation achieved within 18 months
• Patient satisfaction increased from NPS 35 to NPS 62

Case Study 2: District Government Hospital (150 beds)

Challenge

• Manual paper-based systems
• 40% stock-out rate for critical medicines

• 90 days DSO and poor financial health

• Limited clinical governance

Solution

• Core HIMS implementation
• Supply chain optimization with CARE9
• Basic quality program launch
• Staff training on new systems

Results

• 98% drug availability achieved
• DSO improved from 95 days to 42 days
• Pharmaceutical cost reduced 32%
• Revenue increased 18% through better billing
• Operating margin improved from 5% to 18%

Case Study 3: Specialty Cancer Center (200 beds, 50% occupancy)

Challenge

• High operating costs limiting patient volumes
• Inefficient pharmaceutical management
• Limited awareness of operational metrics
• High staff turnover

Solution

• Premium integrated service package
• Diagnostic network integration
• Revenue enhancement program
• Executive consulting and governance

Results

• Occupancy increased from 50% to 72%
• Pharmaceutical costs reduced 26%
• Revenue increased 35% in Year 1
• EBITDA margin improved from 12% to 28%
• Staff retention improved 40%

Technology & Innovation

Advanced Analytics & AI

Predictive Analytics

• Demand forecasting for pharmaceuticals (30-40% accuracy improvement)
• Patient length of stay prediction
• Readmission risk identification
• Sepsis and deterioration early warning
• Resource utilization optimization

Prescribing Intelligence

• Drug interaction and allergy alerting
• Formulary compliance monitoring
• Cost-effective alternative suggestions
• Clinical guideline compliance tracking
• Audit trail for quality assurance

Operational Intelligence

• Real-time bed utilization dashboard
• OR scheduling optimization
• Staffing efficiency monitoring
• Equipment utilization analytics
• Financial performance dashboard

Telemedicine & Remote Services

Telehealth Platform

• Remote patient consultations (doctor-patient)
• Specialist opinion (tele-radiology, tele-pathology)
• Provider-to-provider consultations
• Home monitoring and chronic disease management
• Patient education and health coaching

Expansion Potential

• Rural health center connectivity
• Private provider ecosystem integration
• Patient outreach program expansion
• Post-discharge follow-up automation
• Medication adherence support

Training & Capacity Building

Staff Training Programs

• HIMS power-user training (all departments)
• Clinical governance and quality training
• Pharmaceutical management training
• Leadership and change management training
• Annual competency assessments

Certification Programs

• NABH pre-accreditation training
• ISO certifications (quality management)
• Healthcare IT certifications
• Clinical specialization training
• Management and leadership development

Continuous Education

• Monthly clinical grand rounds and case conferences
• Quarterly staff development seminars
• Annual conference participation
• Mentorship and coaching programs
• Innovation and improvement project support

Partnership Models & Engagement

Model 1: Managed Services (Most Common)

Structure

• CARE9 manages pharmaceutical supply chain
• HIMS implementation and ongoing support
• Monthly performance reviews
• Variable costs with performance incentives
• Annual renewable agreements

Benefits

• Minimal upfront capex
• Predictable ongoing costs
• De-risked financial projections
• Professional expertise and support
• Flexibility to modify or expand

Model 2: Joint Venture

Structure

• CARE9 and hospital network form legal entity
• Shared governance and profit-sharing
• CARE9 provides operational management
• Hospital provides infrastructure and clinical staff
• 5-10 year initial term with renewal options

Benefits

• Deeper partnership alignment
• Shared success and risk
• Higher upside for hospital
• Stronger sustainability
• Potential for expansion and new services

Model 3: Licensing & Technology

Structure

• Hospital network licenses HIMS software
• CARE9 provides implementation and support
• Hospital builds own pharmacy supply chain
• Flexible engagement with optional consulting
• 3-5 year license agreements

Benefits

• Lower cost entry point
• Maximum operational control
• Flexibility in supply chain partner selection
• Modular implementation possible
• Scalable to multiple facilities

Competitive Advantages

CARE9 Differentiators for Hospitals

• Vertically Integrated: Pharmaceutical supply, HIMS, quality programs all coordinated
• Proven Technology: HIMS deployed successfully in 150+ facilities across 15 countries
• Local Expertise: 20+ years operating in emerging market healthcare
• Financial Strength: Ability to invest in infrastructure and extended payment terms
• Impact Focus: ESG and community health aligned with mission-driven hospitals
• Scalability: Solutions work for 50-bed clinics to 1,000+ bed networks

Success Metrics & Guarantees

Performance Guarantees

• 98%+ drug availability within 90 days
• 50%+ reduction in HIMS implementation timeline vs industry standard
• 25%+ cost reduction or we extend engagement
• 90%+ user adoption within 6 months or additional training provided
• 95%+ system uptime guaranteed with SLA credits

Satisfaction Commitment

• Annual satisfaction surveys
• Quarterly executive reviews
• Escalation procedures for rapid issue resolution
• Continuous innovation and enhancement requests
• Exit flexibility if agreed-upon milestones not met

Next Steps for Hospital Networks

1. Schedule Discovery Call: Discuss your hospital’s priorities and challenges
2. Assessment Visit: On-site evaluation and current state analysis
3. Customized Proposal: Tailored solution package and financial projections
4. Pilot Agreement: Start with one facility or department
5. Scale & Optimize: Expand across network with lessons learned
6. Continuous Partnership: Annual reviews and capability expansion

Contact CARE9 Hospital Solutions: hospitals@care9.com

Available Resources

• Hospital benchmarking reports (comparative performance analysis)
• HIMS feature comparison with competitors
• Sample implementation timelines and milestones
• Customer testimonials and case study videos
• Financial modeling templates for cost-benefit analysis
• HIPAA/Data privacy compliance documentation