Case Management

Dear patients and relatives,

We see ourselves as a link between you as patients, doctors, nursing staff, social services and external aftercare providers. We are a team of registered nurses and coordinate your stay from admission to discharge in line with your needs. During the initial consultation, we assess your current life situation and evaluate your support needs in close cooperation with the interdisciplinary team. As a result, we initiate appropriate measures to optimally support the discharge process to your home or another facility providing further care.

Tasks

• Assessment of the care requirements
• Once needs have been identified, joint planning takes place with patients and/or relatives, involving and activating all personal resources as well as the use of external resources
• Interdisciplinary exchange with all professional groups involved
• Provision of medical aids
• Organization of social counselling by the social services department
• Involvement of the various support services (e.g. family care, pastoral care, etc.)
• Discharge planning to home, follow-up treatment or further inpatient care

Goals

• Finding suitable care for the patient
• Improving the quality of care in the interdisciplinary team
• Specific contacts for patients and relatives
• Secured discharge