The Challenge
Douala Regional Clinic was processing 300+ patients daily entirely on paper. Revenue leakage from undocumented procedures and billing disputes had reached an estimated XAF 480 million annually. Staff spent 3–5 hours per day on documentation, and the pharmacy routinely ran out of medications due to poor visibility into prescriptions.
The Solution
COA deployed a full institutional implementation over 6 weeks: patient management, clinical documentation, SATS triage, pharmacy management, and financial hard gate. 87 staff members were trained across all roles. The facility's local server was set up for offline autonomy, with mobile devices for all clinical staff.
The Results
Within 90 days of go-live, Douala Regional Clinic achieved 100% digitization of all clinical and administrative processes. Revenue leakage dropped to near-zero due to the financial hard gate preventing discharge without billing settlement. Medication error rates fell by 90% with digital prescription workflows.
“We onboarded 87 staff members in a single weekend. The COA team was present every step of the way. By week two, billing errors dropped to zero. Our pharmacy has never run out of a critical medication since deployment.”
Key Outcomes
- Complete elimination of paper patient records
- Financial hard gate prevents any discharge without billing settlement
- Pharmacy stock management with automated reorder alerts
- SATS triage replaced manual queue management in the emergency department
- All 14 patient journey states tracked from registration to post-discharge
- Real-time occupancy and revenue dashboards for facility director