EMR/HMS INTEGRATED · CHRONIC CARE

Stay with your patients throughout their journey,
not just during hospital visits

Pushpa helps hospitals stay closer to each patient's journey — with timely check-ins, family support, and relevant care guidance between visits.

+38%
follow-up retention in 90 days
4.2 min
saved per consult on history-taking
1 layer
across HMIS, lab, pharmacy
Ramesh Iyer · 67M
Last visit · 14 days ago · Dr. Iyer (Cardio)
Pre-visit brief
3 flags
Since last visit · 14 days
BP avg
139 / 86
↑ trending up
Adherence
86%
2 missed doses
Worth your attention
BP creeping despite Telma 40
7-day avg 139/86 · was 132/82 at last visit
Missed Ecosprin · Tue & Fri evenings
Family confirmed travel · pattern, not lapse
Patient's question today
"Sir, can I stop the cholesterol tablet? My son read it can harm kidneys."
— captured Mon · WhatsApp
Pulled from your HMIS · ready 30 min before visit90-sec read
The visibility gap

What happens between discharge and the next visit?

  • Medicine doses missed without anyone noticing
  • Vitals drifting outside safe ranges undetected
  • Lab results delayed or never acted upon
  • Caregiver concerns lost before the next appointment
  • Red flags missed until they become emergencies
Typical chronic care timeline
← dark zone · 4–12 weeks →
DischargeFollow-up
What gets lost in the dark zone
  • 3 missed BP readings
  • 2 skipped doses
  • 1 report not done
  • 4 symptom changes
Pushpa captures the between-visit story
Daily tracking · WhatsApp · Doctor summaries
What Pushpa captures

Every signal that matters between visits.

Medicine adherence
Missed doses, timing patterns, and prescription changes logged daily.
Vital signs
BP, glucose, SpO2, weight — tracked between consultations.
Reported symptoms
Patient-reported changes flagged in real time with clinical context.
Lab test completion
Which reports are done, pending, or delayed — with the values.
Lifestyle & dietary
Sleep, diet, activity and patient-noted modifications to routine.
Caregiver observations
Family-observed changes and questions organised before each visit.
The promise

Turn one time visits into continuous relationships.

Pushpa does only 3 things — really well. We don't add another portal. We make the relationship between your hospital and your patient continuous.

01 · Retain

Patients come back.

Reminders, refill nudges, lab prompts and follow-up booking all happen inside your hospital's flow — not a third-party app the patient ignores.

+38%90-day retention
02 · Brief

Doctors get the full story.

A 90-second pre-visit brief: vitals trend, adherence, red flags, and the question the patient came to ask. No more history-taking from scratch.

4.2msaved per consult
03 · See

You see everything.

A real-time chronic-care cohort dashboard. Which patients are slipping. Which clinicians are catching deterioration early. Plug straight into your HMIS.

1layer, not a new system
The killer artifact

Doctors get everything they need, 90s before the patient enters.

  • Vitals trend
    BP, sugar, weight charted vs last visit baseline.
  • Adherence pattern
    Which doses got missed and when — not just "compliance %".
  • Clinician-grade flags
    Reviewed by our medical advisory board. Never auto-diagnostic.
  • The patient's real question
    Captured between visits, ready to address first.
hms.yourhospital.in / patients / RI-04421
Summary
Visits
Labs
Pharmacy
Pushpa brief3
Pushpa brief · last 14 days
Iyer, Ramesh — 3 things to discuss
auto-refreshed
BP
139/86
FBS
128
Weight
72.4
Adherence
86%
BP creeping up · trial Telmisartan 80?
7-day avg 139/86 (was 132/82)
Post-meal sugar > 160 · 4 of 7 days
Tied to evening rajma + rice pattern
Patient question: "Can I stop my statin?"
Family read kidney concern online
Verified by Dr. K. Subramaniam · clinical advisor⌘ + B to print
How it sits in your workflow

Five steps. No new system to learn.

step 01Patient leaves OPDPushpa is enrolled in 30 seconds at the billing counter or via SMS.
step 02Daily life at homeVitals, meds, symptoms — captured via WhatsApp, voice, or family.
step 03Quiet AI triagePatterns flagged; trivial noise filtered out. Never auto-diagnostic.
step 04Pre-visit briefAuto-generated 30 min before the consult, inside your EMR.
step 05Loop closesNew prescription, follow-up, lab order all sync back to your HMIS.
Where it pays back fastest

Built for the specialties where continuity is the product.

We don't pretend to fit every department. Pushpa shines where one consult is one slice of a years-long relationship — and where missing the next visit costs both the patient and the hospital.

Cardiology
BP & rhythm trends between visits. Catches creep before infarct.
Highest continuity ROI
Endocrine
Glucose + adherence patterns tied to meal timing.
Largest cohort
Nephrology
Eat-drink-meds compliance for dialysis-adjacent patients.
Highest dropout
Pulmonology
Inhaler use, symptom diary for asthma & COPD.
Seasonal flares
Oncology follow-up
Symptom watch + side-effect reporting between cycles.
High-touch
Geriatrics
Family-mediated capture. Polypharmacy reconciliation.
Family-driven
Pushpa vs alternatives

Why this isn't another portal you'll regret buying.

DimensionPatient portalTelemedicine appPushpa
What it doesGives patients access to recordsEnables remote consultationsExtends hospital care beyond the visit
When it helpsWhen patients log inWhen patients book a callBetween visits, follow-ups, tests, symptoms, medicines, diet check and care decisions
Who it supportsMostly the individual patientPatient and doctor during a callPatient, family, doctor, and hospital care team
What it capturesStatic recordsConversation during consultAt-home vitals, symptoms, medicines, reports, family updates, and follow-up needs
What doctors getMore records to reviewAnother consultationA clear summary of what changed before the patient walks in
What families getLimited accessLimited involvementA shared way to stay aligned and support the patient's journey
What hospitals gainDigital accessVirtual care channelStronger follow-up continuity, better patient engagement, more prepared visits, and timely guidance to relevant services
Early-pilot expectations

What we're modelling with an early pilot hospital in 🇮🇳

01 · Retention
~+30%targeted lift in 90-day follow-up
More chronic patients come back to you.
Reminders, refill nudges and rebooking happen inside your hospital's flow — not on a third-party app the patient ignores.
What it meansFor a cardiology cohort, this is the difference between losing or retaining 3 out of every 5 patients you saw last month.
02 · Productivity
3–5 mintargeted time saved per consult
Doctors stop re-taking history from scratch.
A 90-second pre-visit brief is designed to replace the "since we last met…" minutes inside the room.
What it meansEven at the lower end, that's an extra chronic consult every 1–1.5 hours per doctor — without adding staff.
03 · In-network capture
2–3×modelled lab + pharmacy pull-through
Repeat labs and refills stay with you.
Pushpa is designed to route the next HbA1c or refill back to your lab and your pharmacy — not the chemist across the road.
What it meansA modest pull-through gain compounds chronic-patient lifetime value back into the hospital.
04 · Clinical safety
Weeksearlier visibility on deterioration
Red flags surfaced before the next visit.
Vitals trends, adherence patterns and symptom changes show up before the patient calls or walks in.
What it meansDesigned to reduce avoidable ER walk-ins, LAMA events, and unscheduled readmissions.
ROI · model

Modelled payback in ~ 12 months

Based on a 300-bed multispecialty hospital running 800 OPD/day with a 35% chronic load, and the targets above. We'll publish actual pilot results once both partners complete their 12-month measurement window.

Outcome-based pricing No EMR migration 90-day live pilot
Modelled cumulative return~12 months
payback · M5
M1M2M3M4M5M6M7M8M9M10M11M12
Modelled gain Pre-payback
Trust · security · governance

Clinician-led AI on your infrastructure.

Every flag is reviewed against a clinician-authored ruleset. The model never auto-diagnoses, never auto-prescribes, never speaks to the patient without your team's voice on top. Data stays inside your DPDP / HIPAA boundary.

DPDP-aligned HIPAA-ready Self-hosted option Doctor approves every flag Full audit trail HL7 / FHIR sync

Built with clinical advisors from CMOs & doctors from India & US.

your patient data · your EMR

See it on your own patient portal.

No EMR migration 90-day pilot Outcome-based pricing
Reply within 1 business day · no sales follow-up tree