2.4.15 Case management: cross-departmental process planning

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Goal and purpose

For treatments in which several specialist departments are involved or in which patients pass through different specialist departments in succession, schedules should be drawn up to ensure continuity and consistency of treatment.

Optimisation of inpatient treatment
- Prompt backup, updating and provision of the relevant patient findings on the planned admission date, based on standardised treatment procedures
- Quality assurance
- Prompt planning and scheduling of examinations during inpatient stays
- the inpatient stay becomes more transparent
- the length of stay becomes more predictable
- Prompt information from the social services

Area of application

All patients who receive their admission/operation appointment via the admissions department

3 Description

3.1 Patient admission

The CM receives information about the date of the operation or admission from the secretary's office.
Form: Registration for inpatient admission (see Appendix No. 1)
Information chain: Forwarding to the administrative admissions department and the wards Appendix No. 1 and No. 5) 3.2 Provision of files The CM promptly compiles the current patient file and the current medical documentation and from previous hospitalisations
- Scheduling of examinations
- Preparation of forms (see appendix no. 6,7,8,9,10) - Social service information (see appendix no. 4)
After administrative admission, patients contact the CM with their file
- Detailed patient discussion about the course of the inpatient stay and notification of upcoming appointments for pre- and post-operative diagnostics,
- Care - assessment sheet to determine care and treatment requirements and patient needs

3.4 Inpatient stay

- Accompanying patients during their stay by taking part in ward rounds (3 times a week)
- the CM is available by telephone and in person for queries from the social services and care departments

3.5 Day of discharge

- Final check of the patient file
- X-ray images:
- Backing up the patient file for archiving
- Control of DRG coding

4 Documentation

Medical record

5 Resources

5.1 Room

5.2 Device

2 PC's, 2 desks, 1 printer, telephone fax radio

5.3 Time requirement

6 Responsibility, qualification

Registered nurse Specialised advanced training for the management of a ward / function MTA / laboratory medicine

7 Notes and comments

8 Applicable documents

Attachments

Appendix 1: Form - Registration for inpatient admission Appendix 2: Form - Checklist Appendix 3: Form - Care - Assessment sheet Appendix 4: Form - Transfer / Social consultation