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Intersectoral Discharge Management: Digitization Best Practices


April 9, 2019

11:50 - 12:10

_Stage C, Hall 4.2

Cross-sectoral discharges in the intersectoral and professional care process are a tremendous challenge from a compliance and process perspective. Highly manual and outdated procedures result in resource-consuming coordination efforts in clinics. These repetitive and inefficient work steps encumber caretaker as well as social worker structures.

Digitalization is the perfect instrument to automatize the aforementioned coordination processes. Together, the Sana-Kliniken AG and the leading discharge-management platform Racare present how digitalization can be used in a scalable way for big catchment areas in practice. Care related discharge management with an intersectoral context is confronted with heterogeneous challenges. Primarily, the aftercare market is highly fragmented and capacities are non-transparent. As a result searches for a suitable aftercare provider in the right time frame are time-consuming. Moreover, different cost-bearers even complicate the search for follow-up care in rehab clinics.   This example has already shown, that all the sectors have particular requirements in addition to individual IT-systems used by the follow-up care providers, wherefore digital communication cannot be implemented easily. How is it hence possible to develop a scalable, nationwide and digital solution consistent with the daily hospital routine?

Michael Rosenstock (Head of Sana Digital), illustrates the challenges of intersectoral communication and its need for efficient processes in the discharge management of big clinic groups. In cooperation with Recare, a tool has been developed to enable seamless and low-maintenance patient transfers into follow-up care in the rehab and care sector. The project started with a pilot in one hospital and -based on a positive evaluation- a company-wide roll-out was initiated.

Similarly, the tool was further customized according to the needs of the Sana corporation. Recare is an online platform for the coordination of digital patient transfers. The user in hospitals are able to access Recare from any device and create patients profiles in accordance with laws on data privacy. The platform then searches for suitable providers without any further manual effort. The “matchmaking” is based on  Recare`s self-learning algorithm, which estimates statistically each provider’s probability to be able to provide the necessary care. Then, all the data are used to create a ranking based on relevancy and requests of suitable aftercare providers are automatically generated. Providers can either accept or decline requests digitally and even ask patient-related questions via a safe and encrypted chat-function. This results in a list of providers, who have capacities to not only take care of all the patient needs but also have capacities for the requested discharge date. Further communication can be done with encrypted data transfers on Recare as well.

Together, we will illustrate that even in health care it is possible to roll-out a scalable online platform for all types of clinics with individual needs, which not only works in accordance with data-privacy laws but also solves compliance-related problems in the documentation. The Sana Kliniken AG will be used as an example to show all possible outcomes. To conclude this case study, chances and opportunities of digital platforms solving problems in intersectoral coordination will be discussed critically to find out if the platform really results in relief for all parties involved.



Maximilian Greschke, CEO, Recare


Michael Rosenstock, Head of Sana Digital, Sana Clinics