Ward roster and nursing reports on one board

The problem

• Four ward rosters lived in two Excel files plus a printed sheet each shift.
• Supervisors called 3–4 wards to find out who was on duty.
• End-of-shift reports often arrived the next morning, not before handover.
• Last-minute duty changes did not reach every ward the same day.

What we built

• Started with the ward board, not a full hospital information system.
• Roster, duty status, and the reports nurses already write.
• Separate roles for ward staff and supervisors.
• Internal only — no public portal.

What changed

• Four ward boards, one screen — supervisors stopped calling ward by ward.
• Shift reports close before handover, not the next morning.
• Roster changes show on the same shift, not after a new printout.
• NMIS v3 still runs internally three years on.

What we did not bolt on

This is not a full hospital information system. Billing, pharmacy, and a third-party EMR were left out of this phase. Scope stayed on roster, duty status, and nursing reports.