Freelance, Netherlands and Ghana

AI and clinic systems, set up by a nurse who has run a clinic.

I help clinics and health programs put AI to work at the front desk, in the consulting room and in the claims office. I build systems around the way your staff already work, and patient data stays on your own server.

Ernest Nsooya Akurgo, nurse, MPH and clinic founder

What I take on

Three kinds of work

Each one starts with a fixed-price setup. Monthly support is optional, so the system keeps working after I leave.

For clinics

Front-desk automation

Appointment booking, reminders and WhatsApp messages to patients. A person on your staff checks anything clinical before it goes out.

For clinics

Clinic systems and claims coding

Records, lab, pharmacy and billing in one system, with ICD-10 diagnoses and NHIA G-DRG codes captured at the point of care, plus mobile money.

For NGOs and health programs

Digital health and AI for programs

HMIS, monitoring and evaluation, staff training, and keeping a pilot running once the project team goes home.

Every job is quoted after a free call. Clinics in Ghana are quoted in cedis, scaled to the size of the clinic. See what each service includes.

How I work

Small steps, written down

  1. A 30-minute call

    Free. You tell me where the work piles up. I tell you honestly whether I can help.

  2. Fixed-price setup

    A written scope with one price. No open-ended hourly billing on setup work.

  3. Training and handover

    I train the people who will use it every day, and leave written guides and a backup plan.

  4. Monthly support, if you want it

    Fixes, small changes and checks that backups are running. Cancel with 30 days' notice.

Case study

The Menesto clinic system

In 2026 I used AI to build the management system for Menesto Medical Center, the 24-hour clinic I co-founded in Ghana's Upper East Region. It follows a patient from the registration desk to the bill.

12,000+ICD-10 codes, searchable during the consultation
619NHIA G-DRG service codes, so claims can come from the record
MTN MoMoMobile money connected to billing
On siteBuilt to run on the clinic's own server, with automatic backups

Clinical

I've treated patients, prescribed, supervised a sub-district and run a 24-hour facility. I know what a full outpatient queue does to a new system.

Practical

Fixed prices, written guides and staff training are part of every job. I design for the person at the registration desk at 10 a.m. on a Monday.

Private

Patient records stay on your own infrastructure. That keeps you in control of the data, and the clinic keeps working when the internet drops.

Probably not a fit if you need a large hospital EHR replaced, or a research prototype with no plan for daily use. I'm happy to point you to someone better suited.

Book a 30-minute call

Tell me about your clinic or program and the part of the work that takes too long. Email me or send a message on LinkedIn. I reply within two working days.

Based in Bergen op Zoom, the Netherlands. Working remotely, and on site in the Netherlands and Ghana.