Planning of the patient path
A major logistical problem of inpatient care is the interlocking of outpatient clarification with inpatient treatment. More and more hospitals are therefore introducing a centralized patient management system to ensure that inpatient stays run smoothly and quickly or rather to enable outpatient preparation for the stay.
Patient management for elective patients begins with the coordination of admissions. Here, the treatment is planned as far as possible in its entirety before the patient is actually admitted. This means that when an appointment for an operation or therapy is made, all relevant steps such as necessary preliminary examinations, the inpatient stay, postoperative measures and discharge are already planned.
The aim is not to have to postpone an operation because preparatory measures were not carried out in time and not to have to send a patient home again because there is no bed available. As a side effect, the patient receives detailed information about his or her stay in hospital, an often underestimated confidence-building measure.
For planning purposes, this is sufficient at first:
- a treatment pattern (logistic time frame of an inpatient stay from the perspective of the patient's resource utilization),
- a start and end date (for the search),
- the room category,
- the sex of the patient,
- and a search variant (allowed, acceptance of conflicts).
The search process
A patient pathway is created per request, which initially only simulates the corresponding resources. This can be discussed with patients and corrected (moved) if necessary. But if scheduling according to the specified parameters is not possible, a response is given. Then the request should be repeated with other specifications (e.g. different search variant, different search period).
Data transfer is initiated at the push of a button, i.e. the corresponding data is created or changed in SAP® for Healthcare and Cerner i.s.h.med®. From this moment on, all other parties involved also receive knowledge of the bookings.