India’s health system carries a persistent imbalance. We spend most of our resources treating illness in hospitals, while a large share of our disease burden is preventable. Non-communicable diseases such as hypertension, diabetes, heart disease, cancer and mental health conditions now dominate mortality, even as tuberculosis, malnutrition and maternal-child health challenges continue in vulnerable regions. Union Budget 2026 is an opportunity to correct course — shifting the system from treatment to prevention, from episodic care to lifelong health.
Digital transformation in Indian healthcare
Content
Beyond the stethoscope
The digital pulse of hospitals in India
India’s healthcare challenge today is not merely expanding infrastructure, but making every care interaction smarter and more effective. Digital tools are reducing documentation burdens, cutting wait times, and preventing avoidable errors—allowing clinicians to spend more time with patients. Government initiatives such as the Ayushman Bharat Digital Mission (ABDM) have established a strong digital backbone, enabling large‑scale integration of citizens, providers, and health records. Telemedicine has similarly scaled nationwide, with platforms like eSanjeevani bringing timely care closer to homes.
Building on this foundation, hospitals are increasingly deploying smart radiology, laboratory, and patient‑care systems to improve quality and operational efficiency. As these tools become central to everyday workflows, cybersecurity has emerged as a foundational requirement to protect patient data and essential services. Significant investments in digital infrastructure are underway, yet hospital leaders continue to assess whether technology is simplifying care delivery or adding new layers of complexity. This report examines the digital readiness of hospitals through insights from senior healthcare leaders, highlighting progress made, challenges faced, and priorities for the future—particularly as systems prepare for AI‑driven healthcare.
How hospital IT systems, infrastructure and integration shape digital transformation in Indian healthcare
Digital infrastructure and adoption
Digital infrastructure is now a baseline capability in Indian hospitals, with near‑universal adoption of HIS and strong uptake of EMR and LIS supporting core clinical and administrative workflows. However, integration maturity remains uneven, with gaps in enterprise automation and interoperability continuing to limit operational efficiency and readiness for data‑ and AI‑driven care.
Hospital IT architecture and integration
While application adoption is strong, hospital IT architecture maturity remains uneven. Many hospitals still rely on on‑premises infrastructure due to legacy investments and data control concerns. Despite multiple digital systems, seamless interoperability across clinical, diagnostic, and enterprise platforms remains limited.
Digital technologies currently implemented in hospitals
Why hospitals in India are accelerating digital transformation
Digital transformation in Indian hospitals is now driven by real operational, clinical, and financial pressures rather than experimentation. Leadership is adopting digital solutions to address sustainability challenges that directly impact care delivery.
Documentation burden, rising patient expectations, and revenue leakage consistently emerge as the strongest drivers.
Top drivers accelerating digital transformation
Strongest drivers pushing your hospital toward digital transformation
Together, these pressures are shifting digital transformation from an IT-led initiative to a board-level operational imperative. As digital adoption accelerates in response to these pressures, questions around governance, data responsibility, and control are becoming increasingly central.
Can technology and AI strengthen governance and internal controls in Indian hospitals?
As hospitals expand their digital footprint, governance and compliance have become core to daily operations, patient trust, and organisational resilience. Rising data exchange, regulatory expectations, and AI‑enabled tools are increasing demands on data management and accountability.
Confidence in meeting data privacy and interoperability regulations
Survey results show moderate confidence in data privacy and interoperability compliance rather than full assurance. While 36% of hospitals are very confident, nearly half report only moderate confidence, and 15.9% lack confidence entirely. This indicates that foundational controls exist, but significant readiness gaps remain across the ecosystem.Gaps are most evident around emerging requirements such as the Digital Personal Data Protection Act (DPDPA) 2023 and ABDM interoperability mandates.
Hospitals with moderate confidence often have partial compliance, with inconsistencies in consent management and incident response.
Those lacking confidence typically miss standardised access controls and breach procedures, increasing regulatory and reputational risk.
Adoption of AI and automation in finance and internal controls
The survey reveals a clear execution gap in finance and accounts automation.
Only 16% have implemented AI or automation, while 58% have not started—held back by competing priorities, skill gaps, and unclear ROI. Yet finance controls offer a lowrisk, high return entry point for automation without impacting clinical decisions.
Gen AI in Indian healthcare: clinical documentation and patient experience
India’s healthcare ecosystem is at an inflection point, with AI emerging as a critical enabler of accessible, affordable, and effective care. The sector is evolving across three layers—foundational AI for automation, generative AI for knowledge synthesis, and agentic AI for autonomous decision‑making. When integrated, these layers form a powerful digital architecture capable of transforming patient care delivery.
How familiar are leaders with gen AI?
Beyond clinical documentation and patient engagement, generative AI can automate administrative tasks such as analysing patient grievances and generating contextual responses. It helps identify recurring themes and streamline resolution processes. Generative AI is also transforming how leadership interacts with data through conversational analytics.
CXOs can now ask natural‑language questions and instantly receive insights and visualisations to support decision‑making.
Areas where gen AI can add the most value
The survey shows that hospitals value generative AI most where it reduces cognitive and administrative load rather than replacing clinical judgement. Clinical documentation, patient engagement, diagnostics, and personalised treatment planning emerge as high‑impact use cases that augment clinician expertise. Alongside this, agentic AI is seen as a frontier capability to extend scarce human expertise at scale and automate routine administrative tasks across teams.
Priority areas for gen AI use cases
Areas that benefit most from agentic AI
For hospital leaders, operational bottlenecks and patient‑experience gaps are major sources of friction and cost leakage, making them prime candidates for agentic AI. Autonomous systems can optimise OR scheduling, manage real‑time bed flow, and trigger downstream actions such as cleaning, billing, and pharmacy clearance. Beyond patient flow, agentic AI is also transforming billing, revenue cycle, finance, and supply chains by automating claims submission, denial prevention, and inventory replenishment. Overall, the survey shows that agentic AI is less about futuristic robotics and more about automating rule‑based, time‑sensitive workflows that currently rely on manual coordination across teams.
Operational areas that benefit most from agentic AI
The human factor
Where digital transformation slows down
While digital adoption in Indian hospitals is accelerating, human factors continue to shape the depth and speed of transformation. Survey responses show that resistance arises from coordination gaps across clinical, operational, and managerial layers rather than any single group.
The core issue: Adoption lags architecture
This gives rise to a common theme across roles — digital transformation has moved faster than organisational readiness.
Redesigning workflows around digital capabilities.
Aligning incentives with digital outcomes
Building digital confidence across clinical and non-clinical roles.
Treating adoption as a continuous process rather than a go-live event.
Future technology
India’s healthcare sector is at a technological crossroads, where the next three to five years will determine whether digital transformation is urban-centric or truly nationwide.
The future is phygital, with AI enabled diagnosis and autonomy at scale, supported by IoT and robotics to strengthen the care fabric.
Emerging technologies: Shaping the next phase of hospital care
Survey findings show hospitals expect AI‑led technologies to have the greatest impact over the next five years. AI‑driven diagnostics and generative AI lead due to their role in improving clinical decisions and reducing documentation burden. Robotics and IoT adoption is expected to be gradual, while digital twins and blockchain are viewed as longer‑term or niche priorities.
Emerging technologies will have the biggest impact on Indian hospitals in the next 5 years
Betting big on digital: Investment and partnerships
Indian hospitals are moving beyond basic digitisation towards enterprise‑wide intelligence and real‑time visibility. This shift is driven by data integration maturity, budgetary intent, and evolving adoption strategies. At the same time, private equity investment is accelerating digital transformation, reflecting changes in healthcare economics and delivery models.
1.
Budget intent: The investment signal
According to Grant Thornton Bharat’s annual deal tracker, the Healthcare sector received nearly USD14 billion in private equity/venture capital (PE/VC) since 2021, of which Healthtech alone attracted approximately USD 4.5 billion, reflecting continued investor belief in digital and AI-enabled solutions.
Spending intent over next 12 months
2.
Data visibility and integration
Dashboards are nerve centres of modern hospital operations. They transform fragmented data into actionable insights, enabling leaders to monitor clinical, operational, and financial KPIs in real time.
Enterprise digital dashboard adoption
3.
Adoption model: How hospitals will execute
Digital transformation in healthcare now focuses on building sustainable, interoperable ecosystems that evolve with clinical and operational needs.
Conclusion
Our solutions for a digitally ready healthcare ecosystem
AI is becoming core to digital transformation in Indian hospitals. With deep sectoral expertise and a multidisciplinary approach, we work with healthcare providers and stakeholders across the broader healthcare value chain to build stronger, more resilient and digitally advanced care ecosystems. We enable healthcare organisations to deliver better care, elevate patient experience, streamline operations and achieve sustainable growth. Hospitals are balancing speed, scalability, and governance through strategic choices to build, buy, or co‑innovate with technology partners.
Beyond the stethoscope
The digital pulse of healthcare
Our insights
View more
Article
Union Budget 2026 must put prevention at the heart of India’s health strategy
Article
India healthcare & pharma: Year in review and the road ahead
India’s healthcare and pharma sector saw strong growth powered by investments, policy reforms, digital health and AI-driven innovation.
Thought leadership
Pharma and Healthcare Dealtracker: Q3 2025
The Pharma and Healthcare Dealtracker Q3 2025 by Grant Thornton Bharat analyses India’s evolving life sciences ecosystem, highlighting a 28% surge in deal volumes and a 166% rise in values. The report explores M&A, private equity, and capital market activity shaping pharma, healthcare, and biotech growth.