Orthopaedic work is planned surgery with expensive stock inside it. HIMS runs the theatre list, issues implants and consumables against the case, puts them on a package or TPA bill, and keeps the follow-up visits months later on the same record.
An orthopaedic hospital earns most of its money in the theatre, and a large part of each case is the implant. The theatre list has to be planned and kept, the implants and consumables used in a case have to leave stock and land on the bill for that case, the claim has to be prepared before the patient goes home, and the record has to still be there when the patient returns for review six months later.
HIMS covers this with operation theatre scheduling, inventory with reorder levels for implants and consumables, package billing for a procedure, insurance and TPA billing, and one patient record that carries the surgery and every later review. Implants are handled as high-value stock issued against the case. How far unit or lot-level tracking is taken for your particular implant sets is agreed during scoping rather than claimed on this page.
When implants are tracked on paper, the shortfall shows up in the stock count, not the bill.
A set is opened in the theatre, one item is used, and what went back is recorded on a slip that reaches the store the next day.
Consumables opened during the procedure are remembered at discharge, and some of them are not.
A cancellation frees a slot nobody knows about, and the surgeon's afternoon is spent waiting.
Planned surgery gives you weeks of notice, and the claim still gets assembled on discharge day.
A review six months on opens a new file, and the operation notes are in a bundle somewhere.
The patient is registered under a UHID, imaging and investigations attach to the visit through AuraPACS and the laboratory.
The case goes on the theatre list with the surgeon, the date and the expected procedure.
Package, insurance or TPA is recorded and pre-authorisation is raised while there is still time.
Bed allocated, nursing charts opened, pre-operative orders on the record.
Implants and consumables are issued against the case, so stock falls and the case carries the cost.
Post-operative notes, drugs from the pharmacy, summary and final bill against the package.
Follow-up appointments are booked, and a physiotherapy course is scheduled against the same patient.
Workflow: The implant is issued to the case in theatre, and the bill carries it without anybody retyping a code.
Result: Stock, case cost and bill agree at the end of the day.
Workflow: Pre-authorisation is raised when surgery is planned, not on discharge day.
Result: The family is not waiting at the counter for approval.
Workflow: The patient is found by phone number and the consultant opens the operation notes and imaging.
Result: The review starts from the case, not from memory.
Workflow: A course of sessions is booked against the same patient record and attendance is recorded per session.
Result: The hospital can see who completed rehabilitation and who stopped.
Planned surgery as the main work.
A theatre, a few beds and high-value stock.
Emergency cases that become admissions.
Physiotherapy running after discharge.
Operating in the morning, owning the business.
No. HIMS is a general hospital system configured for the way an orthopaedic hospital works, which is theatre-heavy planned surgery with high-value stock and long follow-up. It is not a specialty product, and anything specialty-specific is scoped on the call.
Implants are held as stock in the inventory module and issued against the case, so the stock falls and the bill carries the item. The depth of unit or lot-level tracking for your implant sets is agreed during scoping rather than promised here.
Yes. A procedure can be billed as a package with implants and other items shown separately, so the patient and the payer see what is inside the package and what is not.
Yes. Pre-authorisation is recorded when the surgery is planned and claim documents come from the record at discharge. See TPA billing software.
Yes. A course of sessions is booked against the same patient record, so referral, attendance and billing stay with the surgical case. See physiotherapy clinic software.
AuraPACS is built into HIMS, so X-ray, CT and MR studies attach to the patient record and open in a browser viewer without a download. The read stays with your radiologist.
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