SKAPIAN LAB◆ CASE STUDY · 07 — HOSPITAL & COMMUNITY
One screen for every shift.
A multi-tenant ops platform that replaces five disconnected tools — patient records, live OT board, staff scheduling, and compliance, with AI follow-ups in the loop.
12k+
Patients served
9
Facilities live
43%
Admin time reduced
16 wks
MVP to production
OT Command Board
● 4 ROOMS · ASTRA HOSPITAL
14:47 IST
OT 1● LIVE
Dr. Mehta
Appendectomy
47 min
OT 2IDLE
—
Next · 15:30
—
OT 3CLEANING
Sterilising
Ready in 8 min
—
OT 4● LIVE
Dr. Reddy
Cataract
22 min
— 01 / LIVE OT COMMAND
Every room. Every shift. One board.
Floor leads see every operating room at a glance — surgeon, procedure, elapsed time, anaesthesia status, and what's queued next.
OT BOARD · ASTRA HOSPITAL
FLOOR 3 · WEST WING · 6 ROOMS
● 3 LIVE2 IDLE1 CLEANING
OT 1● LIVE
PATIENTS. Iyer · 42F
SURGEONDr. Mehta
PROCEDUREAppendectomy
ANAESTHESIAPROPOFOL
00:47:12
OT 2● LIVE
PATIENTR. Kumar · 67M
SURGEONDr. Bose
PROCEDURECholecystectomy
ANAESTHESIASEVOFLURANE
01:12:08
OT 3CLEANING
PATIENT—
SURGEONSterilising
PROCEDUREReady in 8 min
ANAESTHESIA—
OT 4● LIVE
PATIENTP. Mehta · 29F
SURGEONDr. Reddy
PROCEDURECataract
ANAESTHESIATOPICAL
00:22:44
OT 5IDLE
PATIENTNext: A. Khan · 51M
SURGEONDr. Mehta
PROCEDUREHernia (15:30)
ANAESTHESIA—
OT 6IDLE
PATIENTNext: V. Rao · 38F
SURGEONDr. Bose
PROCEDURELap. chole (16:00)
ANAESTHESIA—
— 02 / PATIENT LIFECYCLE
One record. End to end.
Onboard
AI intake summary
Schedule
Conflict-aware booking
Treat
Live OT board
Discharge
Compliance bundle
Follow-Up
AI-drafted · reviewed
— 03 / NINE FACILITIES · ONE TENANT
Shared rails. Isolated data.
Postgres row-level security keeps every facility's records locked to its own tenant. One platform, nine independent walls.
Astra Hospital
Mumbai · Multispecialty
240 beds · 6 OTs
Sunrise Clinic
Pune · Outpatient
12 chairs · 0 OTs
Riverside Care
Bengaluru · Maternal
60 beds · 2 OTs
Lotus Med Centre
Chennai · Cardiac
120 beds · 4 OTs
Pearl Wellness
Hyderabad · Oncology
80 beds · 3 OTs
Aarogya Trust
Kolkata · Charity
60 beds · 1 OT
Nivara Community
Goa · GP + Vet
Dog onboarding ✓
Vihaan Surgical
Ahmedabad · Day-care
20 chairs · 2 OTs
+ 1 more tenant
Onboarded via RLS
Same Hetzner cluster
ROW-LEVEL SECURITY · POSTGRES · MULTI-TENANT
— 04 / AI · IN THE LOOP
The AI drafts. The human signs.
Follow-Up Drafts
After every visit, AI drafts a follow-up. The clinician edits or approves in one click.
Intake Summaries
Long intake forms collapse into 5-bullet patient briefs surgeons read pre-op.
Conflict Flags
Schedule conflicts, double-booked rooms, surgeon overlap — all flagged before they ship.
— 05 / IN PRODUCTION
Spreadsheets out. Visibility in.
12k+
Patients across 9 facilities
43%
Admin time reduced
100%
AI outputs human-reviewed
16 wks
0 → 1 build
"Small hospitals run on four to five disconnected SaaS tools and paper forms. We unified all of it — including the dogs."
— On the scope, faithfully described
— 06 / BUILT WITH
The toolkit.
TypeScript
Next.js
Postgres
OpenAI
Google Apps Script
AWS
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